Ch. 1 The Professional Dental Hygienist Flashcards
Who is the father of dental hygiene?
Alfred C. Fones
First licensed dental hygienist
Irene Newman
Scope of Practice is determined by what?
The state you live in
Types of Supervision
Direct
Personal
General
Direct Access
Collaborative Practice
Indirect
Remote
Independent Practice
Direct Supervision
Dentist needs to be present
Personal Supervision
Dentist needs to authorize, be present, and check work before pt leaves (not in az)
General Supervision
Dentist authorizes procedure, but doesn’t need to be present. Carried out according to dentists diagnosis and treatment plan
Direct Access Supervision
DH can provide appropriate services without specific authorization (usually preventive services in specified public health settings)
Collaborative Practice
Without supervision
Agreement between dentist and DH (collaborate)
Indirect Supervision
Must authorize procedure and be in office while the services are performed
Remote Supervision
Dentist not on site
Teledentistry
Affiliated DH practice
Independent Practice
DH provides services within scope without supervision/authorization
Preventive Services
Primary-carried out before any disease or injury
Secondary-treatment of early disease so it doesn’t get worse (non surgical, sealing noncaviated, deep clean, remineralize)
Tertiary-replace lost tissue, rehab mouth to where function is as normal as possible after secondary services were unsuccessful (implant, restoration, crowns, bone and tissue graft). Gum disease
Dental Hygiene Specialties
More than GP. Private Ortho, ped., perio. value DH as partners in prevention.
CE perio
Alternative Practice Settings
Canada DH self regulated
42 states allowed direct access
-schools,public health, headstart, WIC, nursing homes,free clinics, community settings
(DH plan and initiate treatment without specific auth. of DDS)
ADHP and Dental Therapists
ADHP-advanced dental hygiene practitioner
Mid level provider-basic restorative and preventative care for low income at risk populations (rural,inner cities)
54 countries have mid level provider
1921 New Zealand
2006 Alaska (assistant)
2009 Minnesota
Process of Care
Framework in which individual needs of pt is met
Assess
Diagnose
Plan
Implement
Evaluate
Document
Assessment (Process of Care)
Foundation
Collection of subjective (how a pt feels) and objective (facts) data
Diagnosis (Process of Care)
Interpret data using critical thinking
Provide basis how DH care plan is designed,implemented,evaluated
Justify treatment to pt
DH Care Plan (POC)
Strategies and interventions to help pt attain oral health into paper or comp.
Pt must sign (consent)
Treatment, how many app., cost
Implementation (POC’
Activation of care plan - treatment
Evaluate
Area needs retreatment, pt needs referral, reg schedule
Documentation (POC)
Condensed, consistent format
-Assesment data
-Diagnosis
-Care Plan
-Treatments
-Pt education
-Evaluation
Core Values
Autonomy and respect-informed consent
Confidentiality-
Societal Trust-
Non Maleficence-care for pts and inflict no harm
Benefice-promote well being of public
Justice/Fairness-
Veracity-tell truth and expect others to do same
Issue or Dilemma?
Issue=resolves easily , easy solution
Dilemma=can be 2 right answers, no single clear cut answer
Factors to Teach Pt
DH cotherapsit
Moral and ethic nature of DH
Scope of practice
Interrelationship of education and clinical services
Importance if home are
Shared responsibly but important on pt end
Pt shares role in their oral health
