Consent Health History Flashcards
Exam 1 PREP
Informed Consent
Autonomy/ Informing patient of planned procedures expected successful outcomes of procedures possible risk unanticpiated outcomes alternatives to propose plan of action cost
Legal age for consent of health history in oregon is
15 years old
In PU clinic a new consent form is obtained every
2 years or if something has changed
Why do we need name/personal info
Nessary for business aspects
Birthdate
Conditions related to age OR if patient is a minor
Occupation
Factor in etiology of certain diseases
Physcian
for consult
Why do we complete health history
- Oral/systemic link
- Oral side effects of medication
- systemic condtions are unsafe for me to treat patients
3 ways to obtain accurate information
- DIrect observation-begins when patient enters the heatlhcare setiting
- Health hisotry questionair elctronoic-clinician/patient completes the health history. RESEARCH CONDITONS AND DRUGS
- Health history oral interview -ask questions to clarify info on the form and to obtain addional imomtion
Follow up Questions for ALL YES responces
- When were you diagnosed or when did this happen
- Are you currenlty under the care of a physican for this condtion?
- Are you taking any presvrption or hebalsupplements fo rti=
DH clinic does not prescribe or distribute antibiotics. If DH patient forgets to take antibiotic premedication an dreschedueled
Antibiotic Premedication
Cardiac Conditions Requiring Antibiotic Premedication
Heart valve disorder Artificial heart valves Prior infective endocarditis Congenital heart defects and repair Heart transplant with valve dysfunction Inborn heart defects
No treatment in DH clinic within 6 months.
Possible physician consult to determine physician recommendations regarding dental care.
Heart Attack/Stroke
Heart trouble Coronary occlusion Arteriosclerosis Recent Cardiac bypass Recent Cardiac surgery
Vascular disease
Cosult with physician
For angina pectoris patient should brin
Nitroglycerin
HIV/AIDS may require antibiotic premidication
Physician consul to detmerin PM level and viral load prior to treatment
may be taking mutlple drugs wit side effects
Herpes Simplex HSV1 is ocmmunicable in all stages
stage 1: tingling and itching 24 hours before blisters erupt
stage 2 fluid filled blisters appear
stage 3 the blisters burst, ooze, form painful sores
stage 4: the sore drys out and scabs over
stage 5 the scab falls off and the cold sore heals
during what trimester should I support right side with pillow/cushion to prevent compression of vena cava
3rd trimester
whihch pregnancy trimester is best for treatment
2nd
If patient is on anticoagulant therapy and they are taking ___ it is ok to treat them
aspirin
Undiagnosed? >200 mg/dl treatment will be
delayed and a referral to the physician will be given
BG >300 mg/dl receives an immediate
referral to a physician and all tx delayed until medical clearance is recieved
Responses that indicate risk for dental and or oral disease
FOLLOW UP QUESTIONS Age of dentures? When and where was the oral cancer? What treatment was received? When do you clench or grind? Any soreness or headaches? Any history of treatment? Who in family had gum disease? Where and when is the pain? When were implants placed? Describe TMJ problems. Where is the oral piercing? Any problems? Describe the bad experience.
with alcohol, tabacco and drug us anesthia may be more or less efficitve or contraindicated
less effective
For a Healthy History Update.
- it is completed at ___ visit
- A new med history must be initiiated every 2 years
every
