Evaluation of DH

Question 1

Purpose of Developing Care Plan

Answer 1

• resolution of oral health problem amenable to dental hygiene care (able to be affected)
• prevention of a problem
• promotion of oral health

Question 2

Care Plan vs. Treatment Plan

Answer 2

• care plan: dentist

- treatment plan: hygienist

Question 3

Components of Overall Dental Treatment Plan

Answer 3

• Preliminary Phase: Emergency Care
• Phase I: Initial or Active Therapy AND Evaluation of Response to Initial Therapy
• Phase II: Surgical Care
• Phase III: Restorative/Prosthetic Therapy
• Phase IV: Maintenance

Question 4

Dental Hygiene Care Plain

Answer 4

Phase I and Phase IV

Question 5

Phase I: Initial Therapy

Answer 5

• patient education/self-care instruction
• diet assessment
• tobacco cessation
• pit and fissure sealants
• debridement (Scaling and root debridement)
• hard tissue desensitization

Question 6

Phase I: Evaluation of Response to Active Therapy

Answer 6

-reassessment of
  periodontal health
  hard and soft tissues
  host response
-renew and reinforce self-care

Question 7

Phase IV: Maintenance Therapy

Answer 7

• frequency of continued care
• supportive preventive therapy
• supportive periodontal therapy
• self-care education
• evaluation of continued care interval

Question 8

Positive Factors

Answer 8

• enhance goal attainment
• can be reinforced
• patient’s interest in oral health, motivation, sense of inquiry, family environment
• knowledge of dental hygienist
• conducive work environment

Question 9

Negative Factors

Answer 9

• hinder goal attainment
• can be resolved to facilitate the achievement of desired outcome
• patient who refuses to comply, does not cooperate with regimen, does not communicate needs
• dental hygienist who gives 200% when others do not
• dental hygienist who is bored

Question 10

Evaluation Components

Answer 10

-monitor and reassess
self-care
self-care behaviors
oral health and disease parameters

Question 11

Decision Outcomes

Answer 11

• patient having difficulty implementing: modify the plan
• patient needs more time to achieve the goal: continue the plan
• patient has achieved goals: terminate the plan of care

Question 12

Prognosis

Answer 12

prediction of probable outcome of a disease based on the condition of the person and the usual course of the disease as observed in similar situation

Question 13

Supervised Neglect

Answer 13

failure to evaluate a patient’s progress towards achieving goals

Question 14

ODU Evaluation of DH Care

Answer 14

-moderate gingivitis and/or calc 2 or higher and/or perio patients
-evaluates
gingival tissues
pocket depths
gingival bleeding
plaque
-uses disclosing
-relates areas of plaque with signs of disease
-evaluates homecare
-has patient demonstrate homecare technique in areas of remaining disease
-reinstrument as needed
-NO POLISHING
-compare findings with previous exams and goals –CRITICAL
-records status of perio health and instruction given