ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00847.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Sponsored by The Federation of Special Care Organizations in Dentistry; Oral Health America‐America's Fund for Dental Health; Maternal and Child Health Bureau, United States Public Health Service; April 19–21, 1996, Chicago, Illi

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00848.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00849.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Yes! Practice guidelines are clearly connected to quality. To characterize that connection adequately, however, is a more formidable task and is the subject of this paper.This paper will capture, in a few words, the essence of my perspective and experience related to quality issues and then attempt to establish a connection between practice guidelines and quality from two perspectives: first, by suggesting a series of assumptions that would lead to a decision on what should be the focus of an appropriate guideline for an older adult, since there are many possibilities and agreeing on assumptions is a logical first step; and second, by suggesting a framework for the content of such guidelines.

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00850.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00851.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00852.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00853.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

SummaryDental professionals encounter a number of challenging ethical and legal dilemmas when caring for nursing home residents. Questions may arise in determining a patient's capacity to make decisions, securing consent for treatment, choosing the most appropriate from among several treatment options, and when and how to use restraints. When securing consent for treatment, practitioners must consider both the patient's legal competence and his/her decision‐making capacity, and adopt roles appropriate to the patient's circumstances. If legal competence has been retained but decision‐making seems impaired, practitioners must involve others in the process of determining appropriate care. The capacity to consent to treatment can be assessed by questions designed to evaluate the patient's ability to understand relevant information, appreciate the situation and consequences, manipulate information rationally, and communicate choices. When faced with a choice of several treatment options and patient preferences are unclear or unknown, the principle of substituted judgment should be used to attempt to provide care in keeping with the patient's values. To maximize patient safety and dignity, ten guidelines are presented for the use of restraints to provide dental care for individuals with behavior probl

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00854.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00855.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0275-1879    

DOI:10.1111/j.1754-4505.1996.tb00856.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY