Communicating and Patient Management

Question 1

What are the milestones in development?

Answer 1

The preschool child (2yrs)
3 yrs
4 yrs
School child (5-8yrs)
Adolescents

Question 2

5 main tactics when dealing with a 2 yr old

Answer 2

Keep short appointments
Avoid asking Qs - always answer no
Invite parent into surgery
Full concentration on child not parent
Avoid sudden movements or working from behind

Question 3

4 main tactics when dealing with a 3 yr old

Answer 3

Get and keep attention by arousing curiosity
Helping hands? Keep control of this
Positive attitude
Negative attitudes of “don’t do that” tend to alienate or frighten

Question 4

3 main tactics when dealing with a 4 yr old

Answer 4

Explain simple procedures. Why you need to stay open/suction etc - let them hold
Keep control, work steady avoid delays
Involve the child in procedure

Question 5

5 main tactics when dealing with a school child

Answer 5

Show interest in new clothes/items brought into surgery
Appeal to egocentricity and vanity, e.g clean dirty tooth, fill with silver star
Give praise - lots throughout
Steady and unfaltering concentration on child
Teach stop signals and practice to reassure

Question 6

Relationships between age and behaviour are characterised in 3 ways, what are they?

Answer 6

Cooperative
Potentially cooperative
Pre-cooperative - lacking cooperative ability

Question 7

What are the two locus of children?

Answer 7

internal
external

Question 8

What is internal locus children?

Answer 8

they can control what happens to them or responsible for own health

Question 9

What is external locus children?

Answer 9

what happens is down to chance and has no personal input

Question 10

Which locus of control group needs more motivation and reinforcement than the other?

Answer 10

external

Question 11

What type of information should the internal locus children receive?

Answer 11

specific , gives them a feeling of expectation and control over the procedures

Question 12

What type of information should the external locus children receive?

Answer 12

an outline of the session, details will increase anxiety

Question 13

What does the trait anxiety entail?

Answer 13

Patients who are more anxious than others
Worry about failure
Stable over time
Need continuing support

Question 14

2 steps that will ensure success on almost all occasions with almost all patients

Answer 14

gain rapport (eye contact, make them smile)
give control to the patient (raise your hand if you want me to stop)

Question 15

the specific techniques of patient management

Answer 15

introduce in stages
teach them relaxation breathing/imagery
tell-show-do
reinforcement and reward
modelling
distraction