Theory II

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Theory II
2011-03-28 12:14:15

Exam Review
Show Answers:

  1. what are the steps in developing care plan?
    • ADPIE
    • Present to dentist
    • present to pt
  2. what are the 8 components of care plan?
    • demographic data
    • assessment findings and risk factors
    • perio Dx/case type and status
    • Dx statement
    • planned interventions
    • expected outcomes
    • Tx plan
    • RE evaluation
  3. what component of care plan is the pt name, dob, gender, designation of initial or maintenance therapy, name of clinician who prepared written plan, date plan prepared, notation of pt chief complaine or statement indicating the reason pt presented for treatment
    demographoic data
  4. who diagnosis perio?
    DENTIST we cannot diagnose
  5. what is implementation?
    actual treatment
  6. what are the factors affecting sequence? 8
    • urgency (discomfort or pain)
    • existing etiologic factors
    • severity and extent of tissue condition
    • probe depths
    • BOP
    • mobility
    • radiographic signs of attachement or bone loss
    • individua pt requirements
  7. what is the first factor affecting sequence (what should you treat first)
    URGENCY-discomfort or pain
  8. t/f initial instruction and practice of removing bioflim requires a premed because of the increased pathogens
  9. what is the procedure for presenting the tx plan to the dentist?
    • follow sequence of pt writtne plan
    • summarize demographic data
    • summarize major systemic and dental health assessment findings
    • summarize risk factors
    • indicate planned intervention strategies
    • goals and expectued outcomes
    • outline appt sequence and services
  10. why do you present the tx plan to the dentist?
    coordinate dental and DH tx
  11. t/f you must present the pt tx plan in order for them to give you informed concent
  12. what are the signs and symptoms of disease you want to eliminate?
    gingival bleeding and probe depths
  13. how do you promote oral health disease and prevent recurrent disease? 4
    • educate on etiology of oral disease
    • counsel on prevention and elimination of risk factors
    • instruct and supervise dialy care technique
    • encourage regularly scheduled maintenance follow up
  14. what three things do you look at for assessment findings?
    • medical history
    • dental history
    • clinical exam
  15. what is the purpose of evaluation? 6
    • monitor pt needs
    • ongoing evaluation
    • determine if initial goals have been met
    • assess outcomes
    • ID need for further adaptations
    • determine maintenance interval
  16. t/f assessments and outcomes are done with both clinical and preventive interventions at the completion of the tx
  17. why do you do assessments and look at outcomes at the end of a tx cycle?
    identifies need for further tx and adapt sefl care protocols
  18. what is the purpose of maintenance?
    continue healthy state attained during active therapy
  19. what are the five steps of evaluation?
    • determine indicators that wil evaluate oral health goals and objectives set for each pt
    • collect and document data
    • provide info to solicit feedback from pt and oral helath care team
    • use evidence based decision making and determine modificaitons to tx or maintenance
    • document in pt record all assessment findings and modifications to tx
  20. t/f pt should be on a fixed schedule
    false no fixed schedule
  21. what are the intervals for appointments?
    2-6 months, change as needed for pt
  22. what are nine contributing factors in determining maintenance interval?
    • risk for perio disease activity
    • risk for dental carious lesions
    • risk for oral cancer in tobacco and alcohol users
    • predisposing diseases
    • behavoirs for perio (diabetes, smoking, AIDS)
    • compliance
    • previous tx
    • local factors (calc formation)
    • restorative complications
  23. what is a sign of recurrent perio?
    compare to last appt-no improvements
  24. what type of perio therapy is to provide an interim study period of borderline pts w/conditions that must be observed and further evaluated before a decision can be made as to whether corrective surgery may be necessary or whether maintenance is possible w/o further advanced disease therapy
  25. what type of perio therapy is to prevent the intitiation of disease in individual w/p perio infection
  26. what type of perio therapy is to slow the progress of diseasein pts whom corrective surgery and other advanced tx are indicated but cannot be implemented for reasons of health, economics or other personal factors
  27. what type of perio therapy is to prevent the recurrence of disease and maintain the state of perio health attained during perio therapy. such therapy may have been non surgical or surgical
    post treatement