Intro to Special Care

Question 1

What are examples of SCD groups?

Answer 1

• Learning disability
• Physical disability
• Medical compromise
• Mental health problems
• Homeless, refugees and asylum seekers
• Older people
• Patients requiring behavioural management techniques

Question 2

What is impairment?

Answer 2

• Any loss or abnormality of psychological, physiological, or anatomical structure or function.
• Impairment is considered to occur at the level of organ or system function.

Question 3

What is disability?

Answer 3

• Any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being.
• Disability is concerned with functional performance or activity, affecting the whole person.
• Disability is activity restricted by impairment.

Question 4

What is handicap?

Answer 4

A disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfilment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual.

Question 5

What are the barriers to care?

Answer 5

• Physical
• Attitudinal
• People Centred
• Professional Centred

Question 6

Why do dentists need to know about patients’s health?

what rules/regulations are involved?

Answer 6

• The Human Rights Act 2000
• (DDA 2005)
• The Equality Act 2010
• The Adults with Incapacity Act (Scotland)
• The Mental Capacity Act (England & Wales)
• NHS terms of service
• GDC

Question 7

What are examples of physical disability?

Answer 7

• Spina Bifida
• Cerebral Palsy
• Arthritis
• Spinal injury patients

Question 8

What are examples of intellectual impairment?

Answer 8

• Down Syndrome
• Fragile X Syndrome
• Autism Spectrum Disorder

Question 9

What are examples of mental disability?

Answer 9

schizophrenia
dementia
alzheimers

Question 10

What are examples of social disability?

Answer 10

• Illegal Drug use
• Alcohol abuse
• Homelessness
• Obesity
• Poverty

Question 11

What are bisphosphonates used to treat?

Answer 11

• Metastatic cancer and myeloma
  – Prevent osteolytic lesions
  – Reduce bone pain
  – Regulate serum calcium
• Osteoporosis
  – Reversal and prevention Issue date: Reversal and prevention – with calcium/vit D supplementation
• Paget’s disease

Question 12

What can bishosphonates cause dentally?

Answer 12

can cause medication-related osteonecrosis of the jaw (MRONJ)