Communication 3 Flashcards
When are children most disruptive?
Younger-pre school children (under 5 yrs old)
Invasive procedures
Verbal signs of distress?
Crying
Moaning
Complaining
Screaming
Behavioural signs of distress?
Flinching Blocking Thrashing Turning away (Wanting to escape)
Contributors to disruption?
Early experience
- Negative
- Role models
Pain experience
- Sensitivity/thresholds
- Ineffective LA
Implications?
Distressing for child, parent and dental team
Oral health - children with dental anxiety 3x more likely to have caries at 5 yrs
Caries most common reason to have GA in UK for children
What should you aim to do for children?
Reduce unpleasantness of the dental experience and increase its pleasantness
What is behavioural management?
The means by which the dental health team effectively and efficiently performs dental tx and instils a positive dental attitude
Stages of child development?
Physical Sensory Cognition and language Emotional and social For 6 months, 12 months, 2 yrs, 5 yrs and 8-12 yrs
Implications for 6 month olds?
Respond to baby’s needs
Allow baby to touch objects, play with object
Face to face communication
Beginning to understand cause and effect
Introduce objects slowly and demonstrate they make noise
Implications for 12 month olds?
Provide interesting varied environment Use baby's name Talk to baby about everyday activities Provide simple instructions Plenty of reassurance Use of familiar comforting item (teddy)
Implications for 2 year olds?
Provide simple instructions
Use toys, picture books, glove puppets = gain interest and help explain what you’re doing
Encourage child to express feelings
Implications for 6 yr olds?
Encourage to do simple tasks with parents
Involve children in what you’re doing
Explain everything, encourage questions
Try to engage through humour, interest in activites
Will respond to praise and rewards
Implications for 8-12 yr olds?
Encourage to talk about feelings
Provide good level of communication to make informed choices
Shared decision making
Implications for 13-16 yr olds?
Avoid comments that could be interpreted as crticism
More detailed explanations
Approaching age where they can give informed consent
CCF summary of communication skills?
Establish a supportive environment and initial rapport
• Demonstrate interest
• Listen attentively
• Actively encourage through use of supportive words, comments,
non-verbal behaviour (tone, voice control, smiling, removal of
mask, eye contact)
• Uses open, exploratory questions – invite child to become
actively involved
• Actively explore child’s perspective; feelings
• Adjust language as appropriate, age specific
• Explore treatment options and negotiate mutually acceptable
plan (involving parent)
