ch 22 theory II

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jackiedh
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69750
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ch 22 theory II
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2011-03-01 09:11:47
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theory II
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theory II ch 22
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  1. the dental hygiene care plan is based on the assessments of what 4 things?
    • oral mucosa
    • teeth
    • periodontal supporting structures
    • health factors that influence the oral environment
  2. what part of the care plan is the primary objective of the dental hygiene plan for perio therapy to restore and maintain health of the perio tissues?
    periodontal/gingival health
  3. what part of the care plan includes remineralization program, fl2, sealants and dietary control of fermentable carbs?
    dental caries control
  4. what part of the care plan starts with the pt's daily bacterial control and includes interventions such as tobacco cessation, risk factor reduction, desensitizing exposed dentin, halitosis help, and more?
    prevention
  5. what are the three parts of a care plan?
    • periodontal/gingival health
    • dental caries control
    • prevention
  6. dh diagnosis, plans for perio care, total tx plan that covers restorative and surgical needs, and within the scope of the dh practice are all parts of a _________ where the written care plan is a prioritized sequence of evidence-based dh interventions
    DESCRIPTION (these chapters suck for making flashcards...)
  7. what are three things the RATIONALE helps do?
    • focus on individuals needs
    • prioritize sequence of tx and educate
    • provides a checklist so it all can be accomplished
  8. the OBJECTIVES need to be _______ and ______, based on assessment data, contain tx and _______ goals that address the problem, and provide recommendations based on current __________
    • flexible and realistic
    • education
    • science "because I only believe in science" (nacho libre)
  9. t/f a dental hygiene care plan may be written using a variety of formats
    true
  10. what all needs to be included in demographic data of a written care plan? (7)
    • pt name
    • DOB (age)
    • gender
    • initial or maint therapy
    • name of clinician that prepared written plan
    • date plan was prepared
    • pts chief complaint or reason for tx
  11. what medical history is included in a written care plan?
    • systemic diseases and conditions
    • medications
    • overal health
    • functional assessment
  12. what is included in dental history of a written care plan?
    • tx history
    • oral health knowledge
  13. what is included in a clinical examination of a written care plan?
    • extraoral and intraoral
    • soft and hard tissue
  14. what are three links to risk factors of a written care plan?
    • increased oral disease
    • increased risk of systemic disease due to oral infection
    • compromised tx outcomes
  15. what are the four components assessment findings and risk factors?
    • medical history
    • dental history
    • clinical examination
    • link to risk factors
  16. the perio diagnosis formulated by the _______ is included in the dental hygiene care plan
    dentist
  17. link observed or potential oral health problems identified during the pt assessment to probable etiology or risk factors
    relate to problems and solutions that can be addressed with the dental hygiene scope of practice are:
    __________ statements
    diagnostic statements
  18. why are dh interventions measured?
    they are applied to regenerate, restore, or maintain oral health (~yawn~........ boooooooring)
  19. clinical tx's (root planing, scaling, and debridement) selected for the purpose of arresting or controlling existing disease is an example of what part of the ridiculous written plan?
    planned interventions
  20. preventitive measures (e.g. sealants) that maintain tooth integrity are what part of the written consent?
    planned interventions
  21. education and couseling in etiology and progression of oral disease and elimination of risk factors are part of what part of the written plan?
    planned interventions
  22. individualized oral hygiene instructions and personal daily oral care regimens based on pt's needs and abilities are what part of the dreaded written plan?
    planned interventions (who cares about any of this crap)
  23. at least how many goals for each health problem in the diagnosis should be made?
    at least one
  24. t/f a realistic time frame for measuring success is part of the expected outcome
    true
  25. expected outcomes include: (3)
    • at least one goal
    • evaluation methods on measured progress
    • realistic time frame
  26. interventions sequenced in order or performance and can be adapted at each appointment to respond to new or immediate info are part of the appointment plan for _________ appointments
    multiple
  27. if you properly prioritize and sequence tx and education what will be the two positive aspects?
    • pt comfort
    • more effective to reach goal
  28. what three things are done at the reevaluation appt?
    • new assessment data - collected/analyzed
    • determine if outcome has been met
    • maint appt interval determined
  29. providing evidence-based, individualized pt care
    eliminate or control etiologic and predisposing factors
    eliminate signs and symptoms of disease
    promote oral health and prevent recurrence of the disease are all part of the ________ and _________ of pt care
    sequencing and prioritizing
  30. list four factors that can affect the sequence of care:
    • urgency
    • existing etiologic factors
    • severity and extent
    • individual pt requirements
  31. NUG, abscess, or gingiva that is hard to access that leads to pain falls under what category of factors affecting sequence of care?
    URGENCY
  32. the existing etiologic factors of someone with gingival, perio infections, or risk for dental caries requires the pt perform thorough _______ ______ each day
    biofilm removal
  33. t/f the number of appts, and sequencing are not affected by the severity of the condition
    FALSE! they ARE affected
  34. change in color, size, shape or consistency of gingiva
    probe depths
    BOP
    mobility
    radiographic attachment/bone loss =
    determining the _________ and ________ of the condition
    severity and extent
  35. individual pt requirements can include ________ premed, ________ diseases, _________ disability, or other considerations
    • antibiotic premed
    • systemic diseases
    • PHYSICAL DISABILITY
  36. to determine if someone will need to premed for their appt, what four dh factors that we do are necessary for premed??
    • all instrumentation
    • BOP
    • exploring
    • mobility determination
  37. t/f chronic disease will influence the content and length of appt
    true!
  38. physical limitations will require _________ of the appointment plan
    adaptation
  39. when is the dental hygiene care plan discussed with the dentist and explained to the pt?
    BEFORE tx has begun
  40. why does the dentist need the plan presented to them? (2)
    • to integrate the dh care plan into the pt's TOTAL plan (including what the dentist needs to do)
    • to coordinate dental and hygiene tx
  41. what can influence pt acceptance of tx needs and compliance with recommendations?
    good communication skills of the clinician and trust
  42. what can provide visual documentation for the need of oral health interventions?
    intraoral camera pics
  43. what is the purpose of explaining the plan to the pt?
    • informed consent
    • reinforce pt's role in reaching goals
  44. how should the pt be positioned when presenting the tx plan?
    in upright position
  45. t/f an informed consent is a legal concept that can exist even without a written document
    true
  46. t/f an informed consent is acceptable when a document by the pt is signed and has not had the opportunity to comprehend and evaluate the risks of tx
    FALSE!
  47. "expressed consent" is given ______ or in _______
    orally or in writing
  48. "implied consent" is granted by the pt's presence in the _____ _____. it only applies to ________ _______ procedures, data _______ and tx planning. (hint 3 D's)
    • dental chair
    • data collectin
    • data analysis
  49. what are 5 things to go over in an informed consent with the pt?
    • diagnosis
    • tx
    • alternatives
    • consequences
    • prognosis
  50. t/f the pt's right to autonomy in making decisions regarding oral tx requires practitioners to respect pt's decision of refusal of tx
    true! dont force them to do something you cant talk them into in their best interest. let them be stubborn
  51. what should be done if refusal of care and any other rec tx options are requested?
    dobument in pt's permanent record

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