ch 22 theory II
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. What would you like to do?
the dental hygiene care plan is based on the assessments of what 4 things?
- oral mucosa
- periodontal supporting structures
- health factors that influence the oral environment
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?
what part of the care plan includes remineralization program, fl2, sealants and dietary control of fermentable carbs?
dental caries control
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?
what are the three parts of a care plan?
- periodontal/gingival health
- dental caries control
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...)
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
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
- science "because I only believe in science" (nacho libre)
t/f a dental hygiene care plan may be written using a variety of formats
what all needs to be included in demographic data of a written care plan? (7)
- pt name
- DOB (age)
- initial or maint therapy
- name of clinician that prepared written plan
- date plan was prepared
- pts chief complaint or reason for tx
what medical history is included in a written care plan?
- systemic diseases and conditions
- overal health
- functional assessment
what is included in dental history of a written care plan?
- tx history
- oral health knowledge
what is included in a clinical examination of a written care plan?
- extraoral and intraoral
- soft and hard tissue
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
what are the four components assessment findings and risk factors?
- medical history
- dental history
- clinical examination
- link to risk factors
the perio diagnosis formulated by the _______ is included in the dental hygiene care plan
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:
why are dh interventions measured?
they are applied to regenerate, restore, or maintain oral health (~yawn~........ boooooooring)
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?
preventitive measures (e.g. sealants) that maintain tooth integrity are what part of the written consent?
education and couseling in etiology and progression of oral disease and elimination of risk factors are part of what part of the written plan?
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)
at least how many goals for each health problem in the diagnosis should be made?
at least one
t/f a realistic time frame for measuring success is part of the expected outcome
expected outcomes include: (3)
- at least one goal
- evaluation methods on measured progress
- realistic time frame
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
if you properly prioritize and sequence tx and education what will be the two positive aspects?
- pt comfort
- more effective to reach goal
what three things are done at the reevaluation appt?
- new assessment data - collected/analyzed
- determine if outcome has been met
- maint appt interval determined
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
list four factors that can affect the sequence of care:
- existing etiologic factors
- severity and extent
- individual pt requirements
NUG, abscess, or gingiva that is hard to access that leads to pain falls under what category of factors affecting sequence of care?
the existing etiologic factors of someone with gingival, perio infections, or risk for dental caries requires the pt perform thorough _______ ______ each day
t/f the number of appts, and sequencing are not affected by the severity of the condition
FALSE! they ARE affected
change in color, size, shape or consistency of gingiva
radiographic attachment/bone loss =
determining the _________ and ________ of the condition
severity and extent
individual pt requirements can include ________ premed, ________ diseases, _________ disability, or other considerations
- antibiotic premed
- systemic diseases
- PHYSICAL DISABILITY
to determine if someone will need to premed for their appt, what four dh factors that we do are necessary for premed??
- all instrumentation
- mobility determination
t/f chronic disease will influence the content and length of appt
physical limitations will require _________ of the appointment plan
when is the dental hygiene care plan discussed with the dentist and explained to the pt?
BEFORE tx has begun
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
what can influence pt acceptance of tx needs and compliance with recommendations?
good communication skills of the clinician and trust
what can provide visual documentation for the need of oral health interventions?
intraoral camera pics
what is the purpose of explaining the plan to the pt?
- informed consent
- reinforce pt's role in reaching goals
how should the pt be positioned when presenting the tx plan?
in upright position
t/f an informed consent is a legal concept that can exist even without a written document
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
"expressed consent" is given ______ or in _______
orally or in writing
"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
what are 5 things to go over in an informed consent with the pt?
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
what should be done if refusal of care and any other rec tx options are requested?
dobument in pt's permanent record
What would you like to do?
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