Care Plan

Question 1

identify the components of the periodontal patient treatment plan

Answer 1

1. chief complaint
2. assessment findings significant to the 3. patient treatment
3. risk factors
4. DOD
5. AAP case type
6. DH prognosis
7. Motivation level
8. DH Diagnosis
9. Planned Interventions
10. expected outcomes
11. appointment plan
12. consent
13. re-evaluation

Question 2

chief complaint

Answer 2

what is the main issue the patient is concerned about?

*if the pt. does not have any concerns, the area is dashed

Question 3

assessment finding significant to the patient treatment

Answer 3

1. medical history: pregnancy, diabetes, tobacco us, certain medication
2. special needs: hearing impaired, vision impaired, diabetes, high blood pressure, scheizophrenic, temporal mandibular diso5rder
3. social and Dental History: TB 1x day, scrub method, med bristle, no adjuncts, smokes 1x day
4. Oral Exam: TMJ disorder, nicotine stomatitis, fremitus, etc.
5. periodontal exam, record SBI: furcation involvement, gen. 5mm probe depths

Question 4

Risk Factors: anything that affects the pt’s oral health

Answer 4

1. local factors (what is in their mouth)
2. systemic factors (e.g. diabetes)
3. tobacco (if they smoke)
4. nutrition
5. Cambra

Question 5

Degree of Difficulty: (DOD)

Answer 5

You are going to circle for each quad what you think their perio is at where their supra or sub
circle the # on the care plan
where they are in periodontal involvement
supra or sub

Question 6

AAP Case Type
DH prognosis
Motivational Level
Return or maintain health

Answer 6

*AAP Case Type
DH Prognosis: good/fair
Motivational Level (physiological, security, self esteem, safety)
return health
maintain health (or they are in health and we just want to maintain their health)

Question 7

DH diagnosis

Student DH Diagnosis

Answer 7

what is going on here in their mouth
where do you think b/w their:
local and/or systemic factors
med. condition and what we found in the perio assess;

Question 8

planned interventions

Answer 8

pg. 3 of the care plan
1. Education/counseling: what topics do you need to discuss with the patient so they can identify their oral conditions, potential health risks and why being compliant to the treatment plan and oral hygiene instructions is important

2. demonstration oral hygiene/home care:
   what are you going to instruct and/or demonstrate to your patient to improve their oral care
3. clinical: what treatment you are going to do?
   such as scaling (hand/ultrasonic) and root debridement, polish (engine or air), chemotherapeutics, fluoride application, etc.

Question 9

Expected outcomes

Answer 9

goals:
based off of what you found in the medical history, dental history, oral exam, and periodontal assessment what outcomes do you think you can achieve with this patient? Maintain patient comfort is listed for every patient.

evaluation methods:
how to assess if the goal has been met
(e.g. reduces PCR, SBI

time frame:
when will you evaluate?
(e.g. at every appointment)

Question 10

appointment Plan

Answer 10

record your plan prior to verification of the perio assess for treatment and services, education, counseling and OHI for each appointment.

Question 11

Plan for treatment and services

Answer 11

record what you think you will accomplish in each appointment and include the specific quadrants. 
1st appointment: 
RMH and take BP if needed
2nd appointment: 
scaling (hand or ultrasonic) 
3rd appointment: 
debridement hand or ultrasonic) 
4th appointment: 
Polish (engine or air) 
5th appointment: 
fluoride (varnish, tray, rinse) 
6th appointment: 
 Dental Charting
7th appointment: 
 Reassess
8th appointment: 
 Reevaluation/Re-explore
9th appointment: 
 Establish recall 

plan for education, counseling and OHI: 
record your plan for education on all appointments
things to address: 
*intro or review 
*frequency

Question 12

appointment plan

Answer 12

there will be no revisions. if care plan does not go according to schedule, that is acceptable. the treatment record will reflect what treatment has actually occurred.
each appt. should include patient education and re-evaluate/re-explore previous quadrant scaled. Re-evaluation includes students making a mental note of tissue improvement and hard and soft deposit reformation. If deposits are identified, student will rescale area after patient education

Question 13

Verification

Answer 13

student signature
instructor signature
signed after PA is verified and student and instructor have completed dialog about Care Plan

Question 14

Consent

Answer 14

after perio assess and care plan is verified with the instructor, you will explain what you found to the patient and ask the patient to sign the care plan
THE PATIENT DOES NOT SIGN THE CARE PLAN UNTIL AFTER THE INSTRUCTOR HAS SIGNED IT!!!!

Question 15

re-evaluation

AT THE VERY LAST APPOINTMENT AT THE BEGINNING

Answer 15

at the beginning of the patients last appointment:
evaluate and write a brief description on:
*bleeding
*probing
*gingival conditions
then have instructor verify before PCR/Pt. ED.