Caring for the Dental Patient Flashcards

1
Q

Admitting the patient

A

patient should be admitted in a professional and courteous manner.

When you admit the patient should complete the actions
- pleasantly greet the patient by name in the reception area
- Escort the patients to the treatment area
- lace the patient’s personal items in a safe place, out of the way of the procedure.

  • Initiate conversation with the patient.
  • ask the patients has any questions about the treatment that you be able to answer.
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2
Q

Preparing of your patient

A

dental assistant responsibility of preparing treatment area, assisting the dentist in procedures and carrying out expanded functions.

A good way is reviewing the patient record.

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3
Q

preparing the treament area

A

in addition to preparing the patient you also must prepare the treatment area.

  • Treatment room is clean, ready for next patient
  • patient records, radiographs, and laboratory results are in place.
    -sterile preset tray and other supplies are in place
  • dental chair is position the seat of the patient
  • equipment is moved out of the way of the patient and dental team
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4
Q

Seating the patient

A

she or he needs to be seated properly for procedures
steps to seat patient:
- seat the patient from the side of the dental chair
- lower or slide the arm into position
- place the napkin on the patients
- inform the patient before adjusting the chair
-position the operating light
- complete treatment room preparations
-wash hands and put on personal protective equipment

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5
Q

Role of the dental assistant to complete the actions

A
  1. help the dentist provide type of treatment is needed
  2. act as source of education and answers for both patient and any family members
  3. provide emotional and physical comfort to the patient
  4. help reduce any fear of anxiety the patients may have
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6
Q

Physcially compromised patient

A
  • wheelchair bound patient: care when moving the patient into dental office into dental chair.
  • Vision impaired patients: this patient relies heavily sense of touch and oral communications.
  • hearing impaired patients: face your patient, speak slowly, keep directions simple, give written instructions.
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7
Q

stages with the aging populations

A
  • Young/old (65-74): increasingly in health care and service and retain most of their natural teeth
  • old (75 to 84): may have multiple health issue as well as fixed and removable

-old /old (85 up): may have medial conditions affecting oral health, fewer natural teeth and tooth loss is inevitable.

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8
Q

Denatl changes with age
Some most common oral conditions that affect the old patients?

A
  • Xerostomia: dry mouth caused by health problems. reduce the amount of saliva
  • Periodontal disease: older poulation becuase their tissues are often slower to heal
  • Dental decay: increase in form of coronal and root caries around defective restorations.
  • Bone resorption: results in loss of he alveolar ridge.
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9
Q

patient with heart disease

A

leading cause of death in US foe both man and women
heat disease ways to show
- hypertension or high blood pressure
- chest pain due to lack of blood supply to heart
- heat attack
-heat failure
- bacteria attacks blood system and cardiac valves

treatment plant:
- using of supplemental oxygen
- vital sign checks throughout the procedure
-use of prophylactic sublingual nitroglycerin
-Avoidance of epinephrine

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10
Q

Cardiovascular disorders

A

Hypertension: high blood pressure
majors factors: stress ,age, heredity, smoking, obesity

EndocarditisL type of infections that affects not only cardiac valves bit also the supporting structures. it caused by blood-born pathogens.

You should note that a patient with a cardiac disease or prosthetic carries an increased risk of infections from bacteria carried in blood.

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11
Q

Patients with neuralgic

A

Alzheimer’s : brain disorder
early disease: forgetfulness
intermediate: confusion
late: total dementia

dental patients who have Alzheimaer will require a shift in treatment plan

  • through dental examination in early stages
  • special attention to daily care of mouth
  • Alertness to sin of xerostomia
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12
Q

seizures النوبات

A

The condition can results in
-petit mal seizures: last five to 10 seconds
-grand mal seizures: last longer and can end in unconsciousness

treatment plan modifaction for patients with seizures

-maintenance of oral hygiene
-surgical reduction of gingival hyperplasia
- questioning before any procedure with regard to diet, stress, pain and alcohol.

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13
Q

Storke patients

A

common health issue in elderly
treatment plan modifications

  • midmorning scheduling with additional time set aside
    -modification of oral hygiene aids.
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14
Q

patients with pulmonary disorders

A

pulmonary disorders is broad rage of conditions that affect the lungs and interfere with the ability to breath normally.
- Bronchial Asthma: caused by allergies
-COPD: blocks airflow during respiration
-Bronchi-ties: airways are narrowed
-Emphysema: treatments minimizing stress, setting morning

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15
Q

Ptients with muscloskeletal disorders

A

bone and joins to muscles.
Treatment plant modifications are
-seeing arthritic patients in morning
- avoiding sedation in patients whose breathing impaired.

-Artthrities: older patients have chronic progressive arthritis

Muscular dystrophy: involves the striated muscles in body.

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16
Q

Patients with Enocrine disorders

A

Endocrine disorders affects many glands throughout body responsible for releasing hormones into bloodstream.

treatment medical
-providing medical consultation which is essential
- Avoiding epinephrine

*hyperthyroid disorder: means thyroid gland overactive

  • hyperthyroid disorder: means thyroid gland under-active and produce less hormone
17
Q

vital signs

A
  • temptures
    -pulse
  • respiration
  • bood pressure

to have a clear picture about overall health.
Outside affects can make signs unstable such as
- fear
-emotions
-stress
- llness
-eat,drinks
-exercise

18
Q

measuing temperature

A

thermometers measure the temperature. The aaverage range for adult is 97.5 to 99 F, infants and small children may be higher

thermometers can be digital, glass and sensitive tape

human temperature can be taken four location. tongue, ear, under arm and rectum.

19
Q

digital thermometer

A

common because quick ad easy to use

how digital thermometer differ from glass thermometer? it has a timing systems shows a digital reading after 30 sec

What can cause an inaccurate reading? low battery in a digital thermometer

How do you maintain infection control using digital thermometer ? disposable plastic sheath that slides over probe

20
Q

tympanic thermometer

A

works by means of small probe that is gently inserted into ear canal read with 2 sec

we can have open mouth, hot or cold drink willl be no effect in the process

21
Q

using glass thermometer

A

it took 3 minutes for mercury to record a temperature.
Also it is rarely used i today’s offices because mercury inside glass is toxic and can cause a health hazard

22
Q

Blood pressure

A

two pressure of heart
-systolic: number the amount of pressure it takes for left ventricle of heart to compress or push oxygenated blood into blood vessels.

-Diastolic: number the amount of pressure that exists when heart muscle is at rest and heart taking in blood to be oxygenated before the next contraction.

23
Q

Normal blood pressure reading

A

Try to relax the patients
wait 5-10 min before taking reading
normal less 120 less 80

equipment
-sphygmomanometer
- blood pressure cuff
- meter
-rubber bulb
-stethoscope

24
Q

hearth rate

A

radial artery: place index and middle fingers.
count pulse for 30 seconds then multiple by 2

Brachial artery: using cuff

carotid artery: finger on patient’s neck

25
Q

Pl

A
26
Q
A
27
Q

pulse characteristics

A

-rate: # of beats
-Rhythm: patten of beats
-volume: force of beats
-readings: normal pulse 60-100 beats per minute. child 70-120
-Irregularity:irregularity in force or force or rhythm of heartbeat.

28
Q

Respiration characteristics

A

rateL total # of breaths per minute
Rhythm: pattern of breaths
depth: amount of air inhaled and exhaled

29
Q
A