DOH124 Lecture Notes - Lecture 1: Patient Participation, Deontological Ethics, Consequentialism
DOH 114 NOTES
Week 1-4
Lecture 1 - Ethics
1. Be able to demonstrate a foundation understanding of patient centred care
and the implications of the Australian healthcare system and the legislation
which regulates it
2. Be able to understand the the dynamic and emerging scope of dental
practice in Australia and the cultural and societal influences on patient care
3. Be able to demonstrate familiarity with effective communication skills
- Study of morality
- Rational criteria for decisions
Compassion, competence, autonomy
Non rational:
- Obedience
- Imitation
- Feeling
- Intuition
- Habit
Rational
- Deontology: search for rules as a basis for all decisions
- Consequentialism: analysis of outcome
- Principlism: ethical principles
- Virtue ethics: character of decision makers (honesty etc)
Professional, professional, professionalism definitions
Good practice
1. Good care
a. Working within limitation
b. Continued education
c. Balance benefit and harm in decisions
d. Patient centred
e. Etc.
2. Shared decision making
a. Between practitioner and patient
b. Include family if they want
3. Decisions about access to care
a. Partnership
b. Communication (awareness of health literacy)
c. Confidentiality
d. Informed consent
e. Child
f. Cultural
g. Additional needs
h. Relatives (balancing their needs and privacy)
i. Adverse events
j. Complaints (right to complain)
k. Boundaries
Lecture 2 - Dental Materials
Learning Outcomes:
1. Terminology
2. Introduction to dental material
3. Understanding some dental physics and mechanics in relation to dental
materials
Study of:
- Composition and (physical mechanical biological) properties of dental
materials
- Way they interact with their environment
- Used to predict performance of preventative and restorative biomaterials
- Math, chem and phys principles used to describe their behaviour
- Helps to choose and operate material
- Used for restoration and replacement of teeth
- Selection considers function, properties, risk
Materials affected by:
- Oral environment (thermal, pH, masticatory)
- Storage environment
Historically:
- Evolved over time
- Gold bands, wires
- Ivory bone
- Seashell
Document Summary
Deontology: search for rules as a basis for all decisions. Virtue ethics: character of decision makers (honesty etc) Learning outcomes: terminology, introduction to dental material, understanding some dental physics and mechanics in relation to dental materials. Composition and (physical mechanical biological) properties of dental materials. Used to predict performance of preventative and restorative biomaterials. Math, chem and phys principles used to describe their behaviour. Used for restoration and replacement of teeth. Dimensionally stable (little change to temp and solvent) Minimal conductivity (insulate to electrical and thermal change) Steel (iron and carbon): instruments and wires in orthodontics. Gold and chromium (ni/cr, co/cr): crowns inlays, dental bases. Mechanical properties: forces) important to ensure resistance of biting (masticatory: application of pressure, pulling force axially, stress component parallel to surface. Elastic modulus: elastic stress:elastic strain = stiffness of material. Australia has 3 government systems that contribute to healthcare: federal, state and local. Funding of healthcare, e. g. medicare, child benefit schedule.
