Dental care for the medically compromised child Flashcards

1
Q

Health

A

“ a complete state of physical, mental and
social well-being, and not merely the
absence of disease or infirmity”

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2
Q

Rights of disabled people

A

‘Disabled people, whatever the origin,
nature & seriousness of their handicaps
and disabilities have the same fundamental
rights as their fellow citizens of the same
age, which implies first & foremost the right to enjoy a decent life, as normal & full as possible

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3
Q

Medical model

A

A problem of the person
-she is disabled because she has epilepsy
Medical care/ treatment is seen as the main issue
The focus is on cure and rehabilitation through medical intervention
‘The personal tragedy theory of disability’

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4
Q

Social model

A

It is society which disables people with impairment

by its failure to include them

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5
Q

Impairment: medical model

A

loss or abnormality of physiology or anatomical

structure or function

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6
Q

Impairment: social model

A

the functional limitation within the individual

caused by physical, mental or sensory loss

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7
Q

Disability: medical model

A

restriction of activity as a consequence of

impairment

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8
Q

Disability: social model

A

the loss or limitation of opportunities to take part in
the normal life of the community on an equal level
with others due to physical or social barriers

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9
Q

Functional limitations caused by physical impairments

A

There are 8.7 million physically
disabled people in the UK
8% people with physical disability
are wheelchair 20 users
20 people for every 1,000 have mild or moderate learning disability
3-4 people for every 1,000 have profound or multiple or multiple disability
25% of people with learning disabilities have carer aged 65 or over
20% `have 2 carers aged 70 or over
11% have only one aged 70 or over

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10
Q

Challenging behaviour

A

behaviour of such an intensity, frequency or duration that the physical safety of
the person or others is likely to be
placed in serious jeopardy, or behaviour
that is likely to seriously limit or deny access to the use of ordinary community facilities

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11
Q

Dental aspects

A

Makes treatment potentially dangerous
More at risk of dental disease
Compliance with personnel care
Compliance with treatment

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12
Q

Makes treatment potentially dangerous

A

Cardiac lesion
Immuno-compromised
Bleeding tendency

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13
Q

More at risk of dental disease

A

Cleft lip and palate
Down syndrome
Cerebral Palsy

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14
Q

Compliance with personnel care

A

Autism
ADHD
Cerebral palsy

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15
Q

Compliance with treatment

A

Learning delay
ADHD
Cerebral palsy

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16
Q

Treatment need

A

The need for oral health care is the most prevalent unmet health care need among U.S.
children and adolescents with Special
Healthcare Needs (SHCN), just as it is for all U.S.
children and adolescents
Children and adolescents with SHCN are almost
2x as likely to have unmet oral healthcare needs as their peers without SHCN across all
income levels

17
Q

What can affect access to care?

A

Socio-economic
Racial
Cultural

18
Q

DBOH

A

Learn

19
Q

Advice should be

A

Three Ps:
Personal
Practical
Positive

20
Q

Autistic spectrum disorder epidemiology

A

31-47 per 10,000

3:1 males:females

21
Q

Autistic spectrum disorder: difficulties with

A

Social interaction
Communication
Inflexibility in thinking and behaviour

22
Q

ADHD

A

Attention deficit hyperactivity disorder (ADHD)

Hyperactive/ inattentive/ compulsive

23
Q

ADHD epidemiology

A

3:1 male : female

1/3 have another disorder (motor, defiant, bipolar disorder

24
Q

ADHD management

A

Medications, behaviour modifications, lifestyle changes, and counselling

25
Q

Down syndrome typical appearance

A

Upslanting palpebral fissure
Simian fold
Reduced muscle tone

26
Q

Down syndrome symptoms/ cause

A
Trisomy 21
Reduced IQ
Congenital heart disease
Gastric reflux
Thyroid dysfunction
Immune deficiency, > risk of leukaemia
Atlanto-axial instability
27
Q

Down syndrome - oral

A

Less caries
More perio disease
Delayed eruption
Macroglossia

28
Q

Cerebral palsy epidemiology

A

1.3:1 male: female

2 in 1,000 births

29
Q

Cerebral palsy

A
Damage to motor control centres
Abnormal muscle tone 
-i.e. slouching over, reflexes, motor development, coordination
Sometimes cognition
Sometimes epilepsy
30
Q

SEAMLESS

A
Should have opportunity
Education
Access
Multidisciplinary
Linkwork
Empowerment
Special Care Dentistry / Paediatric Dentistry
Service provision
31
Q

Special needs

A

Poorer dental health
Problems with access
Complex needs
Dental health one of many priorities