Consent Health History

Question 1

Informed Consent

Answer 1

Autonomy/
Informing patient of planned procedures
expected successful outcomes of procedures
possible risk
unanticpiated outcomes
alternatives to propose plan of action
cost

Question 2

Legal age for consent of health history in oregon is

Answer 2

15 years old

Question 3

In PU clinic a new consent form is obtained every

Answer 3

2 years or if something has changed

Question 4

Why do we need name/personal info

Answer 4

Nessary for business aspects

Question 5

Birthdate

Answer 5

Conditions related to age OR if patient is a minor

Question 6

Occupation

Answer 6

Factor in etiology of certain diseases

Question 7

Physcian

Answer 7

for consult

Question 8

Why do we complete health history

Answer 8

• Oral/systemic link
• Oral side effects of medication
• systemic condtions are unsafe for me to treat patients

Question 9

3 ways to obtain accurate information

Answer 9

1. DIrect observation-begins when patient enters the heatlhcare setiting
2. Health hisotry questionair elctronoic-clinician/patient completes the health history. RESEARCH CONDITONS AND DRUGS
3. Health history oral interview -ask questions to clarify info on the form and to obtain addional imomtion

Question 10

Follow up Questions for ALL YES responces

Answer 10

• 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=

Question 11

DH clinic does not prescribe or distribute antibiotics. If DH patient forgets to take antibiotic premedication an dreschedueled

Answer 11

Antibiotic Premedication

Question 12

Cardiac Conditions Requiring Antibiotic Premedication

Answer 12

Heart valve disorder
Artificial heart valves
Prior infective endocarditis
Congenital heart defects and repair
Heart transplant with valve dysfunction
Inborn heart defects

Question 13

No treatment in DH clinic within 6 months.

Possible physician consult to determine physician recommendations regarding dental care.

Answer 13

Heart Attack/Stroke

Question 14

Heart trouble
Coronary occlusion
Arteriosclerosis
Recent Cardiac bypass
Recent Cardiac surgery

Answer 14

Vascular disease

Cosult with physician

Question 15

For angina pectoris patient should brin

Answer 15

Nitroglycerin

Question 16

HIV/AIDS may require antibiotic premidication

Answer 16

Physician consul to detmerin PM level and viral load prior to treatment

may be taking mutlple drugs wit side effects

Question 17

Herpes Simplex HSV1 is ocmmunicable in all stages

Answer 17

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

Question 18

during what trimester should I support right side with pillow/cushion to prevent compression of vena cava

Answer 18

3rd trimester

Question 19

whihch pregnancy trimester is best for treatment

Answer 19

2nd

Question 20

If patient is on anticoagulant therapy and they are taking ___ it is ok to treat them

Answer 20

aspirin

Question 21

Undiagnosed? >200 mg/dl treatment will be

Answer 21

delayed and a referral to the physician will be given

Question 22

BG >300 mg/dl receives an immediate

Answer 22

referral to a physician and all tx delayed until medical clearance is recieved

Question 23

Responses that indicate risk for dental and or oral disease

Answer 23

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.

Question 24

with alcohol, tabacco and drug us anesthia may be more or less efficitve or contraindicated

Answer 24

less effective

Question 25

For a Healthy History Update.

• it is completed at ___ visit
• A new med history must be initiiated every 2 years

Answer 25

every