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Peds 2 > Behavioral Guidance #2 > Flashcards

Behavioral Guidance #2 Flashcards

1
Q

what are the three classifications of childhood behavior?

A
  • cooperative
  • lacking cooperative behavior
  • potentially cooperative
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2
Q

what constitutes a cooperative childhood behavior?

A
  • relaxed with minimal apprehension
  • enthusiastic
  • listens to instructions well - can be treated with relatively straightforward behavior guidance techniques
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3
Q

what constitutes a child who is lacking in cooperative ability/

A
  • NOTE they are NOT uncooperative
  • very young (PREcooperative)
  • special health care needs
  • basic behavior guidance techniques unlikely to work
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4
Q

what constitutes a kid who is POTENTIALLY COOPERATIVE

A
  • these are the kids who may be UNcooperative
  • physically, mentally, emotionally they should be ABLE to cooperate
  • bad kids
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5
Q

what are the ratings of the Frankl Behavior Rating Scale?

A
  1. definitively negative
  2. negative
  3. positive
  4. definitively positive
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6
Q

rank of frankl behavior rating scale, refusal of tx, forcefully crying, fearfullness, or any other overt evidence of extreme negativism

A

definitively negative

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7
Q

rank of frankl behavior rating scale, reluctance to accept treatment, uncooperative, some evidence of negative attitude but not pronounced

A

negative

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8
Q

rank of frankl behavior rating scale, acceptance of tx, cautious behavior at times, willingness to comply with the dentist with reservation, follows directions

A

positive

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9
Q

rank of frankl behavior rating scale, good rapport with the dentist, interest in the dental procedures, laughter and enjoyment

A

definitively positive

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10
Q

what is crucial to successful behavior guidance?

A

pain managment

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11
Q

under age ___ kids are more sensitive to painful stimuli and more difficult for them to communicate

A

4

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12
Q

what is the name of pain scale with the faces 1-10?

A

wong- backer FACES pain scale

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13
Q

when dealing with child pts, what is the more important than the words coming out of your mouth?

A
  • tone of voice
  • facial expressions
  • body language
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14
Q

what are questions that are dealt with during informed consent?

A
  • indications and contraindications
  • significant risks - including risk of no treatment
  • alternative txs
  • answer all questions
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15
Q

when dealing with kids, ________ does NOT require specific consent, BUT EVERYTHING ELSE DOES

A

communicative managemnt

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16
Q

what are some ways of communicative guidance?

A
  • smile
  • eye contact (win them over)
  • dont stop talking
  • have simple rules and tell them their job
17
Q

what is Dr. Erin’s #1 tip for communication?

A

don’t give kids a choice if there isnt one

18
Q

are there any contraindications for tell show do?

A

no

19
Q

what are the contraindications for voice control?

A

hearing impared

20
Q

what are the objectives to voice control?

A
  • gain pts attention and compliance
  • avert negative or avoidance behaviors
  • establish appropriate adult-child roles
21
Q

what are the objectives for nonverbal communication?

A
  • enhance the effectiveness of other communicative management techniques
  • gain or maintain the pts attention and compliance
22
Q

what are the contraindications for nonverbal communications?

A

none

23
Q

how does distraction work?

A
  • divert the pts attention away from what might be perceived as unpleasant. even giving a break during a stressful procedure can be an effective destraciton.
  • DONT STOP TALKING
24
Q

what are the indications to give nitrous to a child?

A
  • fearful/ anxious pt
  • certain pts with special health care needs
  • gag reflex interfers with dental care
  • profound LA can be obtained
  • coop child but long procedure
25
Q

type of stabilization where another person immobilizes the pt

A

active stabilization

26
Q

type of stabilizaiton where a restrictive device is used (pappoose board)

A

passive stabilization

27
Q

what are the indications for stabilization?

A
  • immediate dx and/or limitied tx and lacks ability to coop
  • safety of pt or others would be at risk without it
  • sedated pts to reduce unwanted movement
28
Q

what are the contraindications for stabilization?

A
  • coop, non-sedated pts
  • cant be immobilizes for medical conditions
  • previous trauma from protective stabilizaiton
  • NON-SEDATED PTS WITH NON-EMERGENT TX REQUIRING LENGTHY APPTS
29
Q

do you need informed consent for stabilization/

A

yes

30
Q

what is the documentation for stabilzation?

A
  • informed consent
  • indicaiton
  • type
  • duration
  • behavior rating
31
Q

what education do you need in order to do sedation?

A

-predoc or CE instruction of at least 60 hrs didactic and 20 cases OR residency with equal training

32
Q

what are the indications for sedation?

A
  • fearful, anxious pts for whom basic behavior guidance techniques haven’t worked
  • pts that lack the ability to coop
  • pts for whom sedation may protect developing psyche and reduce medical risk
33
Q

what are the contraindications for sedation?

A
  • coop pt with minimal dental needs

- predisosing medical and physical conditions that dec saftey

34
Q

what are the indications for GA?

A
  • pt lacks ability to coop
  • LA is inefffective (acute infection, allergy)
  • extremely uncoop, fearful
  • sig surgical probs

Peds 2 (9 decks)

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