Large document with guidance notes Flashcards

1
Q

What must you consider for someone with limited mobility?

A
  • Access to building i.e disabled parking, ramp access, if stairs or not
  • Access to dental surgery i.e. height of reception desk, adequate space for wheelchairs, door width etc
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2
Q

Define and explain reasonable adjustment?

A
  • Any step that can be reasonably taken to prevent a disabled person or impaired person at a disadvantage compared to non-disabled person
  • E.g. Providing a ramp in addition to stairs into the practice
  • Unreasonable would be place lift in old tenement building
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3
Q

What options are there to give someone who cannot transfer to dental chair by theirself?

A
  • Hoist
  • Banana board
  • Reclining wheelchair
  • Turn table
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4
Q

What is Rheumatoid arthritis?

A
  • Autoimmune and inflammatory disease so immune system attacks healthy cells which causes inflammation in affected body parts
  • Mainly attacks joints and commonly affects hands, wrists and knees
  • Lining of joint also becomes inflamed causing damage to joint tissue which leads to chronic pain and deformities
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5
Q

Signs and symptoms of RA

A
  • Pain or aching in more than one joint
  • Stiffness in more than one joint
  • Fever
  • Weight loss
  • Weakness
  • Tenderness and swelling in more than one joint
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6
Q

Risk factors for RA

A
  • Age
  • Women > men
  • Genetics
  • Smoking
  • Obesity
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7
Q

Treatment of RA

A
  • DMARDs (disease modifying antirheumatic drugs) that slow disease and prevent joint deformity
  • Self management strategies and occupational health
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8
Q

Complications of RA

A
  • Premature heart disease increased risk
  • Increased risk of obesity
  • RA can make employment hard
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9
Q

What is Osteoporosis?

A
  • Bone disease when bone mineral density and bone mass decreases or when structure and strength of bone changes
  • Lead to decreased bone strength that increases risk of fractures
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10
Q

How can you prevent Osteoporosis?

A
  • Stay physically active in weight bearing exercises
  • Drinking alcohol in moderation
  • Stop smoking
  • Take meds prescibed to help prevent fractures
  • Eat nutritious diet with calcium and vit D
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11
Q

How can you prevent Osteoporosis?

A
  • Stay physically active in weight bearing exercises
  • Drinking alcohol in moderation
  • Stop smoking
  • Take meds prescribed to help prevent fractures
  • Eat nutritious diet with calcium and vit D
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12
Q

Risk factors of Osteoporosis

A
  • Women more likely then men
  • Age
  • Family history
  • Low oestrogen levels in women after menopause
  • Low levels testosterone in men
  • Low calcium and vit D
  • Lots of different medications like PPI
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13
Q

Treatment of osteoporosis

A
  • Proper nutrition
  • Lifestyle changes like stopping smoking
  • Exercise
  • Medications like bisphosphonates
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14
Q

When should steroid cover be provided?

A
  • With primary adrenal insufficiency
  • If taken 5mg predinsolone
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15
Q

What are some complications of Sjogrens?

A
  • Tooth dimineralisation and caries
  • Gingival changes
  • Difficulty chewing
  • Impairment of denture use
  • Oral malodour
  • Swallowing difficulties
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16
Q

If person unable to hold toothbrush due to RA, what modifications can you do?

A
  • Electric tooth brush
  • Collis curve toothbrush
  • Foam handles
  • Ball handles
  • Suction brush to stick to wall to clean dentures