Diagnosis, Planning, Implementation, Documentation

Question 1

Dental Hygiene: Diagnosis

Answer 1

Identification of health behaviors, attitudes and oral health care needs - which a dental hygienist is qualified and licensed to provide

Question 2

Process of Care

Answer 2

Assessment > Diagnosis > Planning > Implementation > Evaluation > Documentation

Question 3

Three Parts:

Answer 3

Condition or Risk, Evidence, Contributors

Question 4

Perio Staging Criteria

Answer 4

based on evidence

Question 5

Perio Grading Criteria

Answer 5

based on ‘due to’

Question 6

Caries Risk: Evidence

Answer 6

disease indicators, predisposing risk factors, protective factors

Question 7

Caries Risk: Contributors

Answer 7

CRA findings (radiographic decay, frequent sugar, etc), patient centered

Question 8

Dental Hygiene: Plan

Answer 8

Formulate a patient-centered dental hygiene care plan with clearly defined tangible and measurable outcomes

Question 9

Care Plan: Sequence

Answer 9

1. link diagnosis 2. establish priorities 3. set goals 4. select interventions 5. appointment schedule

Question 10

Care Plan: Clinical Goals

Answer 10

linked to evidence; “as evidenced by” column *at least one required

Question 11

Care Plan: Patient Centered Goals

Answer 11

guided by contributors; “due to” column *one or more required

Question 12

Oral Health Status Goal

Answer 12

[clinical] addresses signs + symptoms of disease and reflects a desired outcome

Question 13

Cognitive Goal

Answer 13

[patient centered] targets an increase in patient knowledge/understanding *“educate on caries process

Question 14

Psychomotor Goal

Answer 14

[patient centered] focus on patient skill development/mastery *educate on mod. bass technique

Question 15

Affective Goal

Answer 15

[patient centered] pinpoints desired changes in values/beliefs/attitudes *educate on how to prevent caries transfer

Question 16

Intervention Strategies

Answer 16

evidence based services, products, procedures to reduce or eliminate oral health condition

Question 17

Care Plan: Components

Answer 17

Profile > Chief Concern > Diagnosis > Goals > Interventions > Appointment Schedule

Question 18

Care Plan: Core Values

Answer 18

Non-maleficence, Beneficence, Autonomy, Veracity

Question 19

Care Plan: Presentation Steps

Answer 19

1. define/discuss 2. present/explain proposed treatment 3. prognosis if no treatment 4. proposed outcome w treatment 5. appointment schedule 6. fee schedule 7. informed consent

Question 20

Informed Consent

Answer 20

[expressed/written] patient’s acceptance of care following discussion of plan and risks of not receiving care.

Question 21

Implementation

Answer 21

application of planned services to meet goals. *evaluation and monitoring are key as modifications may be necessary

Question 22

Evaluation occurs

Answer 22

during implementation, at termination of care plan, at recare, *ie. reassess at reappoint

Question 23

Predicted Outcome

Answer 23

met, partially met, not met

Question 24

Document

Answer 24

complete, objective, logical recording of data/consents/recommendations/referrals/outcomes/etc

Question 25

Patient Record

Answer 25

health status, evidence of care (interventions, discussions + outcomes), short/long term goals, legal document, forensics, kept for 6 years, quality assurance