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71 Cards in this Set
- Front
- Back
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•Assess •Diagnose •Plan •Implement •Evaluate •Document |
The Dental Hygiene Process of care |
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identify problems based on assessment data •Identifies patient needs |
Diagnose |
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Interventions based on analysis of assessment data that has been consolidated into diagnostic statements that define patient needs Select, prioritize, and sequence dental hygiene interventions |
Plan |
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Activating the plan |
implement |
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Feedback on effectiveness |
Evaluate |
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Comprehensive record keeping |
document |
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Data collection |
Assess |
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Ethical applications Cognizant of the ------ each patient deserves |
respect |
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Ethical applications Maintains ------- among all parties responsible fordental/DH treatment |
communication |
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Ethical applications Attains ------ of current standards of care through CE coursework & reading professional journals about new research |
knowledge |
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Ethical applications Awareness of legal scope of ------ & ----- practice |
responsibilities, ethical |
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•Chief complaint (patient) •Risk factors for: -Periodontal infections -Systemic conditions •Dental caries •Patient’s overall health status - Physical status •Oral cancer •Tobacco use |
Assessment Findings |
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•Infective endocarditis •Cardiovascular disease & atherosclerosis •Diabetes mellitus •Respiratory disease •Adverse pregnancy outcomes |
Systemic conditions |
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Everything needs to be consistently _______ |
reevaluated |
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•ASA class •OSCAR Planning guide |
Physical Status |
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A patient with out systemic disease; a normal healthy patient Able to walk up one flight of stairs without distress Without systemic disease, a normal healthy patient with little or no dental anxiety |
ASA I |
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mild systemic disease or extreme dental anxiety Examples: Well controlled chronic conditions Upper respiratory infections Healthy pregnant women allergies healthy patient over age 60 |
ASA II |
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Systemic disease that limits activity by is not incapacitating |
ASA III |
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Incapacitating disease that is a constant threat to life heart attack within last 6 months |
ASA IV |
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Patient is moribund and not expected to survive |
ASA V |
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Teeth, restorations, prostheses, periodontium, pulpal status, oral occlusion, saliva, tongue, alveolar bone |
Oral |
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normative age changes, medical diagnoses, pharmacologic agents, interdisciplinary communication |
Systemic |
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Functional ability, self-care, caregivers, oral hygiene, transportation to appointments, mobility within the dental office
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Capability |
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Decision-making ability, dependence on alternative or supplemental decision makers
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Autonomy |
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Prioritization of oral health, financial ability or limitations, significance of anticipated life span
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Reality |
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Oral Systemic Capability Autonomy Reality |
Oscar Planning guide |
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•Patient’s oral health knowledge level •Patient’s self-care ability •Documentation of assessment data |
Information to get for Assessment Findings |
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•Planning for number & length of appointments determined by patient’s periodontal diagnosis•Current periodontal status •Case type •Classification of periodontal disease •Parameters of care (table 23-4) |
The periodontal diagnosis |
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•Type 1: Gingival Disease •Type 2: Early Periodontitis •Type 3: Moderate Periodontitis •Type 4: Advanced Periodontitis |
Case type |
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A systematic approach to identifying factors to evaluate when planning dental hygiene care |
Oscar Planning guide |
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Protocol which aids to determine patient’scaries risk level |
Caries Management by Risk Assessment (CAMBRA) |
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Plan for DH care includes ------- aimed at managing risk factors for dental caries |
interventions |
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•Patient interview data •Physical assessment data •Treatment or education needs as provided by RDH or other healthcare professional |
Basis for dental hygiene diagnosis |
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•Vitals •EIOE •Perio charting |
Physical assessment data |
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•Chief complaint (cc) •Oral problem ID •Medical/dental health histories |
Patient interview data |
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Diagnostic statements Provide basis for planning ------- withinscope of DH practice |
interventions |
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Diagnostic statements Reflect ------ ----- of DH interventions |
expected outcomes |
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Diagnostic statements Identify patient responses that are----- by DH interventions |
changeable |
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Gingivitis is considered -------. The only difference is ------ (periodontal disease) and gingivitis is ------ |
periodontal disease, bone loss, reversible |
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Diagnostic statements Exclude diagnoses that require treatments ------ defined as dental practice |
legally |
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Can you go from Type 2 (Early Periodontitis) to Type 1 (Gingival Disease) |
No. Bone does not regrow. |
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Diagnostic models Address ----- ------- and ------ |
health functioning, behaviors |
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Diagnostic models Describe ----- or ----- health problems that RDHs are educated and licensed to treat |
actual, potential |
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Diagnostic models Give ------ & a ------- from which to determine DH interventions and formulate patient care plans |
direction, scientific basis |
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a look ahead to an anticipated outcome or end point |
Prognosis |
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•Assessment data regarding current disease status •Patient’s risk factors •Patient’s commitment to personal care & preventive regimens •Interventions with the potential to reverse a patient’s oral problem •Treatment alternatives selected •Evidence from research |
Factors that determine prognosis |
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Good Fair Poor Questionable Hopeless |
CRITERIA FOR VARIOUS PROGNOSES |
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Adewuate control of etiologic fators |
good |
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less than 25% attachment loss Class I or less furcation involvement |
Fair |
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50% attachment loss wit Class II furcation self-care difficult |
Poor |
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50% attachment loss with poor crown-to-root |
ds |
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ss |
Hopeless |
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Expected outcomes ------ of results expected followingdental hygiene interventions |
Identification |
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Role of the patient Patient ------ to participate in planned oral health behaviors will be key toreaching goals set during planning |
willingness/ability, goals |
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Determine: •patient’s level of ------ of dentaldiseases, risk factors & oral health behaviors |
understanding |
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Determine patient’s ----- ------ to manipulate recommended oral care needs |
physical ability |
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Determine ------- that impact the patient’s ability to comply with oral health recommendations |
lifestyle factors |
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------ patients regarding importance of their role |
Educate |
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Expected outcomes Based on treatment and self-care behavior goals set by the ------ with the ----- during the planning phase of care |
clinician, patient |
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how long a product continues to work |
substantivity |
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preparation or conditioning of the gingivaltissue for scaling |
Purpose of Tissue conditioning |
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•pretreatment program of daily biofilmremoval •recommend a daily use of antibacterial rinse after thorough brushing/flossing before going to bed •select affected quadrants for scaling only after patient cooperation has been demonstrated |
Tissue conditioning procedure |
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•removal of dental biofilm •lower bacterial count in aerosols & decrease potential forbacteremia |
Purpose of Preprocedural antimicrobial rinsing |
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First choice for Preprocedural antimicrobial rinsing |
brushing & flossing |
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------ rinsing with an antibacterial mouthrinse is beneficial |
vigorous |
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forcing fluid between teeth for ----- minutes can remove loose debris and surface bacteria approximately ----- below gingival margin |
1 to 2, 1 mm |
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rinsing with water will have some effect on bacteria; ------- rinses have the most substantivity |
chlorhexidine |
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•control of discomfort during treatment procedures •increased patient compliance with recommended interventions and need to return for additional scheduled appointments |
Purpose of Pain and anxiety control |
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Treat areas of patient discomfort ----- |
first |
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First treat quadrant with fewest ------ or least severe ------ infection |
teeth, periodontal |
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slide |
24 |
