Communication Skills Flashcards
Specific challenges
Culture/social diversity Dealing with emotions Age relate issues - elderly, children Three way interview Breaking bad news Low literacy patients Language barriers Disabilities
Dental anxiety
General state of apprehension
Prepared for something negative to happen
Dental PHOBIA
SEVERE anxiety which results in avoidance or endurance of situation with significant discomfort
The problem
36% moderate dental anxiety
12% extreme
Causes of dental anxiety
Learning - traumatic/negative experiences
Uncertainty - fear of the unknown
Personality
Classical conditioning
Learning by association - occurs when two stimuli are repeatedly paired
Classic conditioning in dental phobia
Fear due to pain of injection - associated with dentist
Dentist then associated with pain
Visit to dentist then associated with pain
Methods of anxiety management
Communication Behaviour management Local anaesthesia Inhalation sedation IV sedation General anaesthetic
Three As of anxiety
Ask
Acknowledge
Address
CBT
Thought
Emotion
Behaviour
CBT management techniques
1. Reduce uncertainty
2.
- Provide info about techniques and equipment prior to and during treatment
- Enhance control with stop signals
- Distract - music/tv/eye mask