Fundamentals Quiz 1 Flashcards
Purpose of Personal, Dental, and Health Histories
Collecting and recording personal, dental, and health histories will provide information that the dental hygienist needs to assess risks and contraindications that may influence treatment planning and determine the need for supportive medical consultation.
The personal, dental, and health histories are legal documents that enable hygienist to:
- Understand patient concerns, attitudes, and goals for the dental visit;
- Establish patient rapport;
- Document baseline information regarding a patient’s complete health status;
- Identify key risk factors that affect the provision of dental hygiene care;
- Determine the need for a medical consultation;
- Prepare preoperative and postoperative care plans for the prevention of medical emergencies;
- Facilitate medical and dental diagnoses of various symptoms and conditions;
- Recognize special physiologic states, such as pregnancy or menopause;
- Identify patient’s social determinants of health;
- Manage risks, and minimize potential litigation.
Using a _____ ____, ____ ____ ____ is recommended as the dental hygienist creates a dialog to establish a ____ relationship with the patient that will promote quality care.
- Culturally sensitive, patient centered approach
2. therapeutic
The ___ ____ can uncover patient perceptions, motivation, and value of dental care
personal history
The ___ ____ provides information relating to past experiences, recognizes chief complaints, and guides treatment modalities.
dental history
The ___ ____ identifies existing medical conditions that may influence clinical procedures and outcomes or identify the need for prophylactic antibiotic premedication.
health history
During the psychologic, systemic wellness, and oral evaluations, the foundation for __ ___making develops.
clinical decision
A __ ___ __ includes documentation, building rapport through patient-centered interviewing, and verifying key elements to guide care planning.
complete Health History
A preferable design health history includes a clearly-demarcated area, usually at the top of the form, to identify ___ ___ information.
critical medical
Critical Medication at top of form includes
High-risk med alerts
antibiotic allergies
cardiovascular disease
prophylactic antibiotic premedication
The __ __ health history is the first step in building rapport and trust with a patient. One of the primary objectives is to form __ ___ - ___ parternship
- patient centered
2. Dental Hygienist- Patient Partnership
The Dental Hygienist- Patient partnership maintains a mutual goal of
the patients overall well being
Potential barriers to effective communication
- language/cultural differences
- Presence of a physical or mental disability
- Low level of health literacy (basic reading and math)
Patient Risk Factors/Social Determinants of health
Can affect a patients willingness or ability to seek dental care
(Smoking
work stress
poor living conditions)
process to elicit the patient’s emotions and personal health agenda that allows for a better understanding of the psychosocial context for disease.
- Shifts the focus to patient concerns, anxieties and perceptions of disease
Patient-centered interviewing
5 Steps in patient centered Interviewing are:
1) establishing a private setting
2) elicit the patients chief concerns/setting agenda for appointment
3) using open-ended questioning to help the patient express herself or himself
4) using active listening and response techniques
5) briefly summarizing the interview for accuracy, clarification, confirmation
Interview should occur in a private setting unless the patient is ____ or a ___ is needed
a minor
interpretor
Theme in patient-centered interviewing is asking what???
“What has brought you in today?”
Enables the clinician to obtain a deeper understanding of the patients concerns, improves the therapeutic relationship, and increases patient and provider satisfaction.
Patient-centered interview
Motivational Interviewing Techniques
modify patient behavior during the interview process promotes better communication and elicits change talk
a technique that encourages patients to discuss their desires, abilities, reasons, and need for dental care.
Change Talk
During the health history interview, the dental hygienist should observe the ____, ____ ____, ___ ____as part of the patient assessment process.
use of eye contact
nonverbal communication, and body language
Patients experiencing stress, fear, and anxiety during the dental visit may be at risk for medical emergencies such as ___, _____, _____
Vasovagal Sycope
Cardiac Arrythmia
Hyperventilation
