Behaviour Management Techniques

Question 1

How can communication be altered?

Answer 1

Treat them as individuals, use name and ask them questions

Lower yourself physically in height

If patient interested, jargon can help

Question 2

What is dental fear vs anxiety

Answer 2

Anxiety is reaction to unknown danger or treatment

Fear is reaction to previous known treatment

Question 3

What non pharmacological ways can paeds patients be made to feel more comfortable

Answer 3

Preparatory info - e.g. use slow speed on fingernail first

Enhanced control - let patient choose what they want done first - make them think they in control

Tell, show do

Behaviour shaping - smiles, positive voices and reinforcement

Distraction - music, tv, magic light

Topical

Question 4

Contraindications of conscious sedation?

Answer 4

Unwilling to cooperate / do not consent

Unaccompanied pts

ASAIII+ in secondary care only

Severe learning difficulties - pt must understand sedation for it to be beneficial

Severe MSK disorders

COPD

Severe psychiatric disorders

Thyroid dysfunction

Pregnancy and lactation

Blocked airway (IS)

Hepatic insufficiency and BZDP allergy (IVS)