1. Post the discussion post for each topic below, 200

Please help answer the questions from the case study and please provide rationale about the answers, supported by what are learned for best practices and ethical considerations in dental care. Questions 1. What are the ethical and potential legal issues involved? 2. Does the state of California practice act address “compromised” practitioners or practitioners with substance abuse problems? 3. Does the ADHA or ADA Code of Ethics specifically address the issues in this case? 4. Using the ethical decision-making model, analyze this case. CASE study 4: A Great Boss Pamela Zarkowski University of Detroit Mercy Lesa Lawrence thoroughly enjoyed practicing as a dental hygienist. It was important to her to work in a practice that provided quality patient care. She also enjoyed being part of a good “team” and enjoyed the camaraderie of the dental office. Employees sometimes ate lunch in the office and on other occasions went out to lunch as a group. Dr. Frank Harris, Lesa’s boss, usually went out to lunch by himself or to meet some other dentist. Frequently, after lunch, Lesa noticed that Dr. Harris smelled like alcohol. She picked up on the same smell in the morning but also noticed he always used mouthrinse before examining a patient. She wanted to believe that it was the mouthrinse she smelled, but was suspicious that it was the smell of alcohol. Lesa mentioned her concern to her fellow employees. They acknowledged that Dr. Harris had a history of alcoholism, seemed to be managing it through Alcoholics Anonymous, but recently had started drinking again. His dental assistant, Corey, assured Lesa that when he appeared unsteady or tentative, she helped out to assure patient care went smoothly. Lesa suggested to the office manager that she wanted to help Dr. Harris by reporting him to the state dental society, which had a program to assistant dentists with a substance abuse problem. The office manager, Debbie, became very protective of Dr. Harris. She indicated all the staff was receiving generous salaries, and if Dr. Harris had to stop practicing to participate in a recovery program, the staff could lose their jobs and their incomes. She reminded Lesa that this had been an ongoing problem and that ALL the staff worked together to “help” Dr. Harris when he was in a compromised state. Debbie reminded Lesa they were a “team” and needed to work together!

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