Exam 1 Flashcards
What does the S for subjective on SHAPED notes need to contain?
Male/female
age
chief complaint/reason for appt.
What should D for disposition in SHAPED notes contain?
what should happen next and when
What do you do with any “yes” responses in medical history?
circle in red, make note of it
What is the passing average in lecture and lab for DHG 130?
78% in both
what do the SHAPED letters mean?
S- Subjective H- History A- Assessment P- Plan E- Execution D- Disposition
what is the average temperature?
adult: 98.6 older adults over 70: 96.8 children 1 yr: 99.1 children 4 yr: 99.4 children 5 yr: 98.6 children 12 yr: 98.0
What should P for Plan on SHAPED notes include?
everything you plan on doing to the pt..
MX, DX, vitals, IO/EO, Perio exam, PSR, bleeding index, cleaning…
What does the A for Assessment in SHAPED notes need to contain?
significant findings in IOEO, Occlusal finds, oral habits, hard tissue findings, perio findings, Bleedning index, PSR, PHP, Xray findings, perio diagnosis, class, and prognosis for treatment
what is the BP range for stage I hypertension?
mild, no restrictions, f/u in 2 mths.
140-159/90-99
what are the vital signs?
body temp pulse resp rate blood pressure smoking
what are the variations of temperature?
pyrexia (fever) over 99.5
hyperthermia over 105.8
hypothermia below 96.0
what is considered a valid excuse?
written, dated and signed by doctor, lawyer, etc. on office letterhead
What age is considered pedo?
12 or younger
What should E for execution in SHAPED notes contain?
what you actually did to the pt.
How many full mouth series must you take?
1