Intro Flashcards
The sequential guide for the patient’s care as determined
by the dentist’s diagnosis and used by the dentist for the restoration
to and/or maintenance of optimal oral health.
Treatment Plan:
A subjective statement made by a patient describing the
most significant or serious symptoms or signs of illness
or dysfunction that caused him or her to seek
dental care.
Always written in the patient’s own words.
Chief complaint
In clinical dentistry, the patient’s past and present which may contain relevant information bearing on their health past, present, and future. The medical history, being an account of all medical events and problems a person has experienced is an important tool in the management of the patient.
Med Hx
\_\_\_\_\_ med Conditions Diabetes High Blood Pressure High Cholesterol Thyroid Conditions Heart Conditions Liver Conditions Kidney Conditions Neurological/Mental Health Conditions Lung Conditions Auto Immune Diseases Cancer HIV Etc…..
Chronic condition
\_\_\_\_ med Conditions Bell’s Palsy Upper respiratory infection Trauma Flu Ear infections Appendicitis Etc…..
Acute conditions
In the pt med list, what should be included in the notes tab for every medication the patient is taking?
Why they are taking the med and what effects it has (adverse effects, need morning appt, etc)
A written documentation of a patient’s oral health covering all particulars of disease and therapy.
Dental history
Is it desirable to ask open or close ended questions to the patient?
Open ended