IV assessment and CBT Flashcards
when should assessment for conscious sedation and GA be done
at a separate appointment prior to the treatment appointment
what is important to cover in the social history for patients when assessing them for conscious sedation
- establish nature of patients anxiety/ fphobia
- is anxiety generalised or specific to one procedure
- potential escort
- caring responsibilities
- trasnport
- occupation
- age
what should be covered in a dental history during assessment for sedation
referral source
any previous bad experiences
any previous problems with GA or sedation
Is proposed procedure doable in midazolam working time
why does BMI need to be calculated for sedation assessment
alters the ASA classification
30 -40 - ASA 2
> 40 - ASA 3
name 3 problems CBT may be effective at helping
anxiety
depression
PTSD
dental phobia
how is CBT thought to work
provides psychoeducation and uses behavioural modification techniques and cognitive restructuring skills to challenge unhelpful beliefs and behaviours
dental anxiety
general type of fear that occurs without a triggering stimulus
emotional response to unknown danger or perceived threat
dental fear
an intense biological response to immediate danger which is specific
dental phobia
clinical mental disorder
overwhelming and debilitating fear of an object, place, situation or animal
name 3 potential aetiologies of anxiety/fear/phobias
past experience
Adverse childhood experiences
what your told by others - parents, media
observation
personality
MDAS
modified dental anxiety score
structured self reporting anxiety questionaire
what version of MDAS can be used for children age 8-15
MCDAS with faces
what ASA category is a current smoker
ASA II
what BMIs fall into ASA II and ASA III
II - 30-40
III >40
If patient tells you they have asthma during IV sedation assessment what further questions should be asked
what drugs do they take and how often
have they ever been hospitalised
is it exacerbated by stress
