EXAM I Behavioral Management Flashcards
what are the two primary goals of the functional inquiry?
- to learn about the patient and parental concerns
- to gather information to enable a reliable estimate of the cooperative ability of the child
___ is stress that continues over a prolonged period and has lifelong effects
toxic stress
behavioral guidance approaches for each patient who is unable to cooperate should be customized to the individual needs of the child and the desires of the parent, and may include what 4 things?
- sedation
- general anesthesia
- protective stabilization
- referral to another dentist
___ is described as any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely
protective stabilization (formerly known as physical restraing and medical immobilization)
___ immobilization involves restraint by another person, such as the parent, dentist, or dental auxiliary. ___ immobilization utilizes a restraining device.
- active
- passive
protective stabilization, with or without a restrictive device, performed by the dental team requires ___ from a parent
informed consent
although a minor does not have the statutory right to give or refuse consent for treatment, the child’s wishes and feelings (assent) should be considered when addressing the issue of consent
are laws governing informed consent consistent across the US?
no, they vary by state
why should a detailed written consent for medical immobilization be obtained separately from consent for other procedures, even if not required by law?
it increases the parent’s awareness of the procedure
should parents be allowed in the operatory room or have direct visual observation of the patient during use of protective stabilization?
- yes, unless the health and safety of the patient, parent, or dental staff would be at risk
- if parents are denied access, they must be informed of the reason, with documentation of the explanation in the patient’s chart
do parents have the right to terminate use of a restraint at any time if she/he believes the child may be experiencing physical or psychological trauma due ot immobilization?
yes
if termination is requested, the practitioner must complete the necessary steps to bring the procedure to a safe conclusion before ending the appointment
what is the frankl behavior rating scale?
divides observed behavior into four categories, and is useful in determining the cooperative ability of the patient
what is the frankl rating for the following:
reluctance to accept treatment, uncooperativeness, some evidence of negative attitude but not pronounced (sullen, withdrawn)
rating 2: negative
what is the frankl rating for the following:
acceptance of treatment; cautious behavior at times; willingness to comply with the dentist, at times with reservation, but patient follows the dentist’s direction cooperatively
rating 3: positive
what is the frankl rating for the following:
refusal of treatment, forceful crying, fearfulness, or any other overt evidence of extreme negativism
rating 1: definitely negative
what is the frankl rating for the following:
good rapport with the dentist, interest in the dental procedures, laughter and enjoyment
rating 4: definitely positive
