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16 Cards in this Set
- Front
- Back
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What factors contribute to increased rate of life threatening events in the dental office?
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1. Increasing number of older patients
2. Recent therapeutic advances in medicine 3. Trend toward longer dental appts 4. Increasing use of medications in the dental practice |
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What factors decrease the life threatening events in the dental office?
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1. Pre-treatment physical examination of the patients (medical hx, physical examination, dialog hx)
2. Modifications in dental therapy to decrease medical risk to the patient |
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What are some of the components of the physical exam that are used for patient evaluation?
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1. Vital Signs
2. Visual Inspection 3. Lab tests (i.e. anticoagulants) |
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What are some types of life threatening emergencies that occur in dental school clinics?
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1. Convulsive seizures
2. Hyperventilation 3. Vasodepressor Syncope 4. Hypoglycemia 5. Angina Pectoris 6. Postural Hypotension 7. Allergic Reactions 8. Bronchial Asthma 9. Myocardial Infarction |
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Is it OK to ask "Are you in good health?"
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No, you need more information than that
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What should you ask this patient?
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Ask about habits
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During the physical evaluation, what sources should you use to gather your data?
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The above
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What is a format for organizing progress notes related to any patient visit? (chart documentation)
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SOAP
Subjective (chief complaint) Objective (hard data) Assessment Plan |
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What is postural hypotension?
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Drop in blood pressure when standing up resulting in feignting
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What does PHTEN stand for when documenting patient visit?
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PHTEN
Purpose History Treatment Evaluation Next Visit |
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What are the properties of the purpose category of your PHTEN?
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Purpose
Type of visit (hygiene, emergency, consult, restorative) Patient Hx of the problem |
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What are the properties of the History category of your PHTEN?
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History
Medical Hx of the patient |
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What are the properties of the Treatment category of your PHTEN?
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Treatment
Area of mouth treated Type, amount, and route of medication given Type of anesthetic block performed Type of Tx provided Method/instrumentation involved Number and type of radiographs taken, area involved, findings |
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What are the properties of the Evaluation category of your PHTEN?
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Evaluation
Pt's condition following procedure Complications during procedure Adverse effects to medication or procedure Behavioral/management problem |
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What are the properties of the Next visit category of your PHTEN?
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Next Visit
Planned intervention at next appointment |
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What is the obstacle in this case study regarding communication?
*34 y/o female partially edentulous new patient *CC: I want dentures *Oral exam: some perio disease, but significant number of teeth are savable *Dentist does not recommend dentures |
Philosophical Differences
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