Behaviour Management in Children Flashcards
What is anxiety?
vague unpleasant feeling
premonition of undesirable event
What is fear?
strong reaction to a specific event
What is a phobia?
intense disproportional fear
Anxiety manifests itself as …
behaviour
What are the causes of dental anxiety?
- previous dental experience
- parental influence
- peer influence
- previous medical experience (white labcoat syndrome)
- personality trait
- awareness of a dental problem
List the dental anxiety scales available
- modified child dental anxiety scale (MCDAS)
- Corahs modified dental anxiety scale
- Venhams Picture Test
- Childrens Dental Fear Survey Schedule (CFSS)- Dental subscale
What ways can we help anxious children?
- prevent anxiety from developing
- trustworthy
- listen to worries and concerns
- local anaesthetic - treatment should be more comfortable
- topical anaesthetic vs stab and squirt
- time and patience
How should topical anaesthesia be applied?
- dry mucosa
- leave for 2-3 minutes, give it time to work
What are the effects of child patient anxiety?
- parent avoids dental visits- cancellations/FTA
- clinicians becoming stressed
Childrens behaviour is classfied by the degree of cooperation. What are the classes of childrens behaviour?
- co-operative
- potentially co-operative
- pre co-operative- too young to cooperate
- lacking co-operative ability (specific disability affecting ability to co-operae)
What are the aims of behaviour management methods ?
- improve communication process
- eliminate inappropriate behaviours
- reduce anxiety
List behaviour manangement techniques available
- prepatory information
- non-verbal communication
- communication with patient
- moedelling
- tell-show- do
- giving patient control signals
- behaviour modelling and positive reinforcement
- distraction
- negative reinforcement
- behaviour contracts
- cooling-off period- externalisation
- systemic desensitisation
What are the principles of verbal communication
- be understandable
- questioning
- listening
- reassure
- praise
- humour
What are the principles of non-verbal behaviour?
- body language
- proximity-personal space
- eye contact
- reinforcers
- level and posture
- empathy
For non-verbal communication, the message can be conveyed by the _____ as much as the people
environment
surgery surroundings
How can you get the child settled in the chair?
- gain assistance from the child
- consider more upright position
- help patient back to head rest
- behaviour direction
- there is an option to remove the head rest on the chair so that you are closer to the child patient
- always warn patient before you move the chair
Give examples of behaviour directions that can be given
- sitting still
- hand position- “hands on your lap”
What can you adopt when verbally communicating to children?
“childrenese”
the language of children
In voice control, a variation in _____, _____ or _____ can be used to influence and direct childs behaviour
tone, pace or volume
What voice control technique can you implement to reinforce/recognise good behaviour?
bright and airy
What voice control technique can you implement to calm anxiety ?
even and low
What voice control technique can you use to indicate poor behaviour to a child?
low and quiet
What must you do if you intent to use voice control techniques on a child?
MUST inform their parents
What are the types of modelling techniques?
- live
- symbolic
