Comp Pt

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Comp Pt
2011-02-01 23:39:01

ch 54 homebound pt
Show Answers:

  1. what are seven potential homebound patients?
    • frail elderly
    • severely medically compromised
    • critically ill
    • physically disabled
    • developmentally disabled
    • chronically mentally ill
    • terminally ill
  2. what are seven common oral problems for the homebound pt
    • need for routine dental check up
    • losing weight and not eating enough because of oral problems
    • tooth ache or pain and abscess or swelling
    • loose teeth
    • dental caries
    • loose uncomfortable or lost dentures
  3. what are 8 barriers to accessing traditional dental service systems
    • limited ambulation
    • transportation
    • cost
    • fear
    • pt health attitudes and beliefs
    • pt daily pain or discomfort levels
    • ageism or other negative attitudes of practitioners
    • limited availability of practitioners who provide home based services
  4. when providing a pt with care in any situation what is the rule to follow
    know before you go
  5. what are four things to help you know before you go?
    • review records and forms
    • contraindications to treatment
    • consultation with physicians
    • consultation with pt, parent or caregiver
  6. what is the most successful way to communicate with the homebond pt?
    direct approach with gentle firmness
  7. t/f the homebound pt has an increased risk for dental disease because of effects of medications, poor oral hygiene and high carb diet
  8. t/f it is best to have people in the room to help distract the homebound pt while you work
  9. what is one of the best ways to establish rapport
    listening attentively and socializing
  10. t/f the overhead light should be extinguished during procedure and the use of a gooseneck floor lamb is better to produce better shadows in the mouth
    false-extinguish overhead to REDUCE shadows
  11. what is defined as the role of a DH in the care of a terminally ill pt is to provide comfort care and to educate pt and their caregivers about the importance of daily oral care with an emphasis on symptom relief and a clean oral environment
    hospice care
  12. what is it called when a DH is providing relief but no cure
    palliative care
  13. t/f for a terminally ill pt the goal is to provide long term preventive care.
    false short term palliative care
  14. what are four types of oral infection often found in terminally ill patients?
    • mucosal soreness and ulceration
    • candidiasis
    • glossitis
    • xerostomia
  15. what % of terminally ill pt have candidiasis?
  16. t/f candidiasis can become life threatening in an immunocompromised pt
  17. how is candidiasis treated?
    antifungal medication
  18. a potentially homebound pt may include:
    a. frail elderly
    b. critically ill
    c. physically disabled
    d. terminally ill
    e. all of the above
    e. all of the above
  19. a rule for providing pt care in any situation is what?
    A. wash your hands
    B. SLUD
    C. know before you go
    D. patient first
    C. know before you go
    (this multiple choice question has been scrambled)
  20. t/f handicapped is defined as a person who has a disadvantage from an impairment or disability that limits or prevents fulfillment of a role that is within their normal range. Disability is defined as a person who has a lack of ability to perform an activity that is within their normal limits
    both statements are true
  21. a progressive disorder of the central nervous system characterized by loss of postural stability, slowness of spontaneous movement, resting tremor and muscular rigidity. Defines what illness?
    parkinson's disease
  22. hyperreflexia is a risk in pts who have suffered spinal cord injuries from which spinal vertebra and above?
  23. t/f medicare pays for dental services
  24. what is used for care planning of the homebound pt