dental care medically compromised child Flashcards
What is health?
A complete state of physical, mental and social wellbeing and not merely the absence of disease or infirmity
~1948 WHO
What is the declaration on the rights of disabled people?
Disabled people have the same rights as their fellow citizens of the same age
First and foremost the right to enjoy a decent life as full and normal as possible
~1975 UN
What is the medical model?
Problem of the person
Medical care/tx main issue
Focus on cure and rehab
‘personal tragedy theory’
What is the social model?
Society disables the person w impairment by its failure to include them
What are terms in the medical model?
IMPAIRMENT
Loss or abnormality of physiology or anatomical structure or function
DISABILITY
Restrictions of activity as a consequence of impairment
What are terms in the social model?
IMPAIRMENT
The functional limitation within the individual caused by the physical mental or sensory loss
DISABILITY
The loss/limitation of opportunities to take part in normal life of the community on an equal level to others due to physical/social barriers
What are some basic facts?
8.7-10 million physically disabled people in UK
8% of these are wheelchair users
General pop-
0.02% mild/moderate learning difficulty
0.004% have profound/multiple disability
25% of people w learning disabilities have a carer 65+
20% have 2 carers 70+
What is challenging behaviour?
The person or others are placed in serious jeopardy, or it may seriously limit/deny access to used of normal community facilities
How do disabilities affect dentistry?
Makes tx potentially dangerous
More at risk of dental disease
Compliance w personnel care and tx
How might tx become dangerous?
Cardiac lesion (more at risk of IE)
Immune compromised
Bleeding tendency
Why might people be more at risk of dental disease?
Cleft lip/palate
Down syndrome (less risk of caries but more risk of perio)
Cerebral palsy
What might there be difficulties with compliance of personnel care/tx?
Autism (spectrum however)
ADHD
Cerebral palsy (dexterity)
What are some fissure sealant statistics?
48 months 60% caries reduction and 52% retention
What is autism?
31-47/10000
3:1 male:female
Difficulties-
-social interaction
-communication
-inflexibility in thinking and behaviour (but more likely difficulty in understanding info)
Starts to appear 6 months-year
What is ADHD?
Hyperactive/inattentive/compulsive
3:1 male:female
1/3 have another disorder
Management-
-meds
-behaviour modifications
-lifestyle changes
-counselling
