L.4 Behavioral Guidance Flashcards
What is the goal for appointment length?
less than 1 hour!
When do you typically schedule more invasive procedures?
in the morning
What are the 4 essential ingredients of communication? ALL 4 MUST BE PRESENT and CONSISTENT!!
1.Sender 2.Message 3.Context 4.Receiver
Body language of an ______ Sender cannot instill confidence in the Receiver.
uncertain
ALL behavior guidance decisions, other than ________ management, must include the parent’s (patient’s) consent.
Communicative
If the parent refuses the proposed or alternative guidance options, it is prudent to have an __________ form signed and in the record.
Informed Refusal
If an unanticipated behavior reaction occurs during treatment, the patient and staff must be kept from _____.
harm
Observation for changes such as facial expression, crying, complaining, movement could indicate pain. WHERE IS THE BEST PLACE TO READ PAIN?
Look at the eyes, they are a give away.
On the Frankl Scale, which ranking is most negative? Which is most positive?
negative- F1…..positive F4!
_______ may be necessary during active care if
the patient’s behavior becomes uncontrollable.
Deferral
Tell the child exactly ____ to cooperate.
HOW
What is the most widely used and basic behavior guidance technique?
Tell-Show-Do (TSD)…thank you Joey Creech!
What is a good method to pre appointment communication that ensures back and forth discussion?
Ask, Tell, Ask
Use of an ______ voice may be considered aversive to some parents. Informed Consent
assertive
TERM: Used after a difficult appointment in which memories associated with the difficulty are restructured into positive memories using information suggested after the event.
Memory Restructuring
What is the best aspect of having the parent in the operatory during the procedure?
RAPID informed concent
Indications for protective stabilization with the __________: Pre-cooperative, disabled or emergency patient, risk of injury
papoose board
T/F use of the Papoose board requires specific informed consent?
TRUE
Protective Stabilization CONTRAindications: _________, non-sedated patient
cooperative
Protective Stabilization CONTRAindications: _______ or _______ contraindications
Medical….psychological
Protective Stabilization CONTRAindications: Previous _____ of psychological trauma due to immobilization
HISTORY
Protective Stabilization CONTRAindications: Non-emergent treatment or to accomplish _________/multi-quadrant rehabilitation
full mouth
Protective Stabilization CONTRAindications: practitioner’s __________
Practitioner’s convenience
What is this is required for ANY invasive procedure in the clinic so discuss with parent?
Mouth Prop!
IN AZ, do you need to be certified to perform conscious sedation/ general anesthesia?
YES
Parents currently rate __________ high in acceptability and other advanced behavior techniques as very unacceptable
general anesthesia
What are the two typical methods of performing minor care on a TODDLER? (15mo-2yrs)
General Anesthesia! or protective stabilization…either way, defer treatment!
By the time a child is of pre-school age, they are basically ready for regular dental treatments. However, even if a child is in the Transition years (6-12) _____ can cause a reversion to immature behavior.
Stress
