Dental Hygiene Diagnosis and Care Plan Flashcards
(25 cards)
What are the 4 basic steps when planning patient care?
- Assessment
- Diagnosis
- Tratment plan
- Develop formal plan for care
What is teh dental hygiene diagnosis?
- Involves the use of evidence-based analysis of the assessment findings to determine the patients or community’s dental hygiene needs
- Provides a basis for the dental hygiene care plan
What is the chief complaint?
Reason for seeking care or significant concern expressed
Individual risk factors for periodontal disease
- Stress
- Lifestyle choices
- Gender (more prevalent in men)
- Ethnicity
- Sstemic conditions
- Genetic factors
- Nutritional status
Systemic conditions associated with periodontal disease
- Cardiovascular disease
- Diabetes
- Metabolic syndrome
- Obesity
- Respiratory disease
- Osteoporosis
- Adverse pregnancy outcome
Risk factors for dental caries
Behavioral
Dietary factors
Low fluoride
Tooth morphology/position
Xerostomia
Personal and family history
Developmental factors
Risk factors for oral cancer
- Tobacco
- HEavy alcohol use
- Excessive sun exposure
- HPV
- Genetics
Examples of systemic approaches to assess physical status
ASA classification system
The Oral, Systemic, Capability, Autonamy, Reality, Planning Guide (OSCAR)
What do we need to assess before planning individualized homecare?
- Assess knowledge/oral healthcare literacy of the patient
- Build on current knowledge
What does OSCAR stand for?
Oral, Systemi, Capability, Autonomy and Reality Planning Guide
If the issue is oral, what are factors of concern?
Teeth, restorations, prestheses, periodontium, pulpal status, oral mucosa, occlusion, saliva, tongue, alveolar bone
If teh issue is systemic, what are factors of concern?
Normative age changes, medical diagnoses, pharmacologic agents, interdisciplinary communication
If the patients issue is with capability, what are factors of concern?
Functional ability, self-care, caregivers, oral hygiene, transportation to appointments, mobility within the dental office
If the issue is autonomy, what are factors of concern?
Decision-making ability, dependence on alternative or supplemental decision makers
If the issue is reality, what are factors of concern?
Prioritization of oral health, financial ability or limitations, significance or anticipated life span
What is the dental hygiene prognosis?
Looking ahead at the anticipated outcome or end point expected from the dental hygiene intervention selected for the individual patient
One factor is based on treatement and self-behavior goals set by the clinician w/ teh patient during the planning phase of care
Describe the dental hygiene care plan
Prioritized sequence of evidence-based DH interventions that are:
* Based on the DH diagnosis
* Composed of integrate dplans for the care and control of PD, caries control, and managing other modifiable risk factors
* Encompasses the pt’s preventive, restorative and surgical needs
* Identifies treatment referrals to toher HC providers
* Contained within the scope of practice as defined by each state or province practice act
What are the components of a written care plan?
- Demographic data: Name, DOB, gender, date of plan, chief complaint, initial or M therapy, clinician name
- Assessment findings and risk factors: ASA, meds, mod risk factors
- Perio diagnosis and status
- Caries risk status- oral health ed and treatment interventions
What is the purpose of presenting the plan to the collaborating dentist?
To integrate the DH care plan into the pt’s comp treatment plan
To provide a coordinated dental and DH statement to the pt regarding oral health needs
How do we present the DH care plan to the dentist?
- Follow sequence on the pt’s written care plan
- Summarize demographic data
- Summarize major systemic and dental health assessment findings
- Summarize risk factors
- Indicate suggested intervention strategies, goals, expected outcomes adn referrals
- Outline suggested appointment sequence and services
- Be prepared to give detail and answer questions
How do we explain the tx plan to the pt?
- Good communication skills builds trust
- Use of radiographs and IO camera provides visual documentation of need
- Use motivational interviewing approach can help determine and respond to the pt’s readiness to change health behaviors that increase risk for oral disease
What is the purpose of explaining the tx plan to the pt?
- To provide the pt w/ information needed to give informed consent for tx
- To reinforce the pt’s role in setting and reaching oral health goals outlined in the plan
How to we attain good communication with our pt’s?
- Sit face-to-face with pt
- Use terminology that they can understand
- Educate the pt regarding link btw systemic and oral health
- Educate pt regarding DH services, appointment sequence, expected outcomes and referrals
- Present info using visual aids such as radiographs, dental models, drawings, videos, brochures or IO camera
- Engage the pt in planning and setting goals
- Answer questions
- Obtain signed informed consent
What is informed consent?
- Legal concept that can exist even without a written document
- Can be lacking even when a document has been signed if the ot hs not had the opportunity to comprehend and evaluate teh risks and benefits of the suggested tx
