DH theory

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DH theory
2010-12-14 15:49:30
chapter one

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  1. Purpose of the dental hygiene process of care
    • to provide a framework within which individualized needs of the pt can be met
    • to identify the causative or influencing factors of a condition that can be reduced, eliminated, or prevented by the dental hygienist
  2. provides a foundation for pt care by collecting both subjective and objective data
  3. Objectives of assessment
    • Collection of comprehensive data relative to the status of the individual pt
    • documentation of data in pt's record
  4. obtained by observation and interaction with the patient; includes cheif complaint, perception of health, care and value placed on oral health
    subjective data
  5. includes physical and oral assessment; records clinical and radiographic findings to show evidence of disease in teeth and periodontal tissues, including probing depths, loss of periodontal attachment, dental carious lesions, and defective restorations
    objective data
  6. identifies the health behaviors of individuals as well as the actual or potential oral health problems that dental hygienists are educated and licensed to treat. It provides the basis on which the dental hygiene care plan is designed, implemented, and evaluated. The data from the assessment phase are critically analyzed and interpreted to prepare this
    Dental hygiene diagnosis
  7. Objectives of the DH diagnosis
    • identify the health behaviors of individuals as well as the actual or potential health problems that dental hygienists are licensed to treat
    • provides the basis on which the dental hygiene care plan is designed, implemented, and evaluated
    • justify the treatment proposed to the pt
    • challenge the dental hygienist to assume responsibility for pt care and to move beyond a rote system of clinical practice
  8. Uses critical thinking skills to collect and interpret information, including classification, interpretation, and validation collected during the assessment phase
    Data processing; of diagnosis phase
  9. involves the sorting of information into specific categories such as general, systematic, oral soft tissue, periodontal, dental, and oral hygiene. As information is organized, pertinent data are interpreted according to pts needs
    classification of data processing; of the diagnosis phase
  10. relies upon critical thinking to identify significance. The cognitive processes of analysis, synthesis, inductive reasoning, and deductive reasoning are the basis for this. Compare findings with standards, recognized deviations or abnormalities, analyze abnormalities with respect to significance
    interpretation of data processing; of diagnosis phase
  11. an attempt to verify the accuracy of data interpretation. It can assist in recognizing errors, isolating descrepancies, and identifying the need for additional information. Direct interaction with the pt, consultation with other healthcare professionals, comparison of data with an authorative reference
    validation of data processing; of diagnosis phase
  12. Formulation of DH diagnosis
    • focus on pt's individual needs
    • determine potential or actual problems that can be prevented, by independant or interdependant interventions
    • identify pt's condition for potential risk
    • specify the causative and contributing factors such as environmental, psychological, sociocultural, and physiological factors believed to be related to the health condition
    • provides safe and effective care. Diagnos within the scope of dental hygiene
    • express the problem and cause
  13. the selection of interventions to be performed by the patient, dental hygienist, or others to meet the needs of the pt in attaining oral health
    DH care planning
  14. objectives of DH care planning
    • develop strategies to meet the individual needs of the pt as defined by the DH diagnosis
    • incorporate priorities, goals, interventions, and expected outcomes
  15. dental hygiene therapies or pt educational activities that reduce, eliminate, or prevent the cause of the problem
    intervention; of DH care planning phase
  16. identifying the expected outcome (prognosis)
    • represent measurable criteria for each intervention
    • selected according to the anticipated effectiveness of the interventions
    • provide a way to evaluate teh results of the intervention
  17. presenting the DH care plan
    • to the dentist for integration with comprehensive care plan
    • to the patient for complete understanding of the interventions needed and the appointment of requirements
  18. the activation of the care plan
  19. objectives of implementation
    • put care plan into action
    • perform identified activities. These activities may be performed by the pt, dental hygienist, or others depending on pt needs
  20. used to determine if the pt needs to be re-treated, referred, or placed on maintenance
  21. objectives of evaluation
    • compare current health status with baseline data
    • assess the progress of lack there of toward the stated goal
    • determine maintenance interval according to the pt's health status and adherence to personal oral hygiene
    • determine change or modification of the DH care plan
  22. why do all pt's need to be placed on a maintenance program?
    to prevent progression or recurrence of disease and maintain their current level of health