DC 3 Health History

Question 1

Rationale for Obtaining health history

Answer 1

safety -(treatment/precautions)

REflective- (general/oral health)

Question 2

Systems for obtaining HH

Answer 2

Pre-appointment-(phone, premeds)

Prepared at home(emailed)

In office(most complete)

Question 3

Relationship between oral and general health

Answer 3

oral conditions reflect general health
complicate pathological conditions
GH influence response to treatment

Question 4

Optimal Patient care

Answer 4

conveying orarl+ GH =connected

Question 5

Rapport building

Answer 5

gaining patient trust
tactfully and respectfully
understanding patient’s wants and needs

Question 6

3 Components of a Health History

Answer 6

Personal

Medical

Dental

Question 7

Personal history

Answer 7

helps appointment planning (business aspect)
consultation a patient’s physician (GH+ Oral )
Approval care of Minor(legal)

Question 8

Filling a Health History Form

Answer 8

USE PEN

error=single line

Question 9

Antibiotic & Prophylaxis

Answer 9

if patient need/ MUST have premeds
Premeds taken 30min-1hr before appt.
instruments use withheld =risk premeds

Question 10

Bacterial Endocarditis

Answer 10

Infection of heart lining

Question 11

Dental Procedures Requiring Prophylaxis

Answer 11

Manipulation of the gingiva
periapical region of teeth
piercing oral mucisa

Question 12

Medical History questions includes:

Answer 12

Past medical history/Current meds
Present physical/Chronic conditions
Allergies
COVID

Question 13

Rationale for Medical history

Answer 13

Alert dentist medical condition+ meds interfere
potential emergency
special treatment patient needs

Question 14

Vital Signs

Answer 14

taken at initial visit

blood pressure-at initial visit t+ every 2 yrs

Question 15

Detanl history

Answer 15

helps dental team in recognizing and calming fears
purpose of visit
current dental problem
unpleasant dental experiences

Question 16

formats for obtaining medical & dental history

Answer 16

System oriented

Symptom oriented

Disease oriented

Question 17

System oriented questions

Answer 17

About general state of body system

e.g Nervous system

Question 18

Symptom Oriented

Answer 18

questions may lead to suspicion of a condition

“do you have tight pain in the chest?)

Question 19

Disease Oriented

Answer 19

Have you had any of the following ?

Question 20

Supplementary Forms

Answer 20

secondary, more detailed questionnaire for specialized topics
eg. COVID forms

Question 21

3 Methods: for completing HH Form

Answer 21

Questionnaire
Interview
Questionnaire and Interview

Question 22

HH questionnaire advantage Vs disadvantages

Answer 22

Advantage: time saving/consistency:
Disadvantage: impersonal-no rapport

Question 23

HH interview Advantage/disadvantages

Answer 23

Advantage Allows clarification

Disadvantage: time consuming /patient embrassed

Question 24

MEDICAL ALERT!

Answer 24

conditions contradicting meds
health condiotn/allergy+ life threatinging
NOTED-ALERETED-FLAGGED

Question 25

Limitation of HH

Answer 25

1. Completeness-(patient cant provide info)
2. Wording-(language barrier)
3. Where/ how-location influence answers
4. Lack of understanding-info witheld

Question 26

Ways to promote quality assurance

Answer 26

Routine forms- signed and date
Timely recall
complete patient record
radiograph documentation dates
Up to date

Question 27

Identifying Change in Health status by:

Answer 27

General catch-up questions

“ are there any change in Health since last visit”

Question 28

3 stage of patient interview

Answer 28

1. orientation-any comlaints?
2. Calirfy response- simple q’s
3. Termination to end-“ just a few more questions”

Question 29

Obtaining information respectfully

Answer 29

environment permitting privacy

Question 30

Characteristics of a legal record

Answer 30

written in PEN 
Signed accurate info
Radiographs Labeled
patient name
consistent