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15 Cards in this Set
- Front
- Back
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What is the Importance to General Health?
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Dentistry is a health care field. The treatment of and/or recognition of oral disease, or the failure to recognize/treat oral disease can have a significant impact on the general health of the patient.
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What is the primary purpose of a health history?
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Gain information for diagnosis & treatment.
--> Diabetes |
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What is the Emergency reason for a health history?
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Help to prevent an emergency situation.
--> Example Pt taking blood thinner (Coumadin) |
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What are questions 30-44 on the patient health history form utilized for?
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Help patient & physician discover any unrecognized diseases.
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What is the purpose of a health history for documentation?
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Document records for comparison
-Update health history - Changes in dental treatment needs |
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How can a patient history be used legally?
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- Furnish evidence in legal cases
- Dental chart/records may be subpoena by courts for lawsuits or forensic cases |
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What is PTP?
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- Permission to Proceed
- Asking any changes and taking vitals. - Document any changes that are seen |
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What are the Medicolegal Notations that are required in a Dental history?
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Must be completed in blue/black ink.
-->Never in pencil which can be easily erased or changed. Must have correct date. Notation of medical alert -->Keep records confidential. Signed by patient (age 18 or older) -->Health history signed by parent or legal guardian if pt is under age 18. |
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What are some evidence that a health history has been updated?
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- Write statement in the treatment progress note if any contraindications to treatment and note the problem.
- Also need to state if there is no contraindication to treatment prior to dental procedure for that date in the treatment progress note. - Ask patient at every appointment if any changes to health - illness, medications, physicians - This is checked at every appointment - (PTP). - Health history summary is updated twice a year (biannual). |
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What are the advantages of a health history questionnarie?
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- Saves time
-Consistent since every pt is asked the same questions. - In patient’s own handwriting - legal benefit. |
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What are the disadvantages of the Health history questionnaire?
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Impersonal, inflexible and may not fit every situation.
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What are the advantages of the patient interview?
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- Ask pt medical history questions
- More opportunity to get details - Build rapport with patient |
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What are the disadvantages of the patient interview?
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- Takes longer for interview
- May forget to ask a question - Some questions may be embarrassing for pt. to answer |
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_____ of emergencies with your patient can be prevented with a thorough medical history
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90 %
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Why do we use a combination of questionnaire / interview when doing a health history?
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Advantages of both types.
Comment section on forms for DH or DS students to explain any positive or “yes” answers. Write a health history summary for the patient. Format followed at OUCOD. |
