Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Special Care Dentistry BDS4 > Learning Disability > Flashcards

Learning Disability Flashcards

1
Q

what is the oral disease experience like for people with learning disability

A

more extracted teeth
fewer dentures provided

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what impacts on the oral health of a learning disabled person

A

multiple medications - dry mouth and tooth decay
physical impairment making it hard to clean teeth
oral health issues overlooked in social care planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what makes it easer to ACCESS the dental care setting

A

ground floor access
suitable car parking
elevators
hand rails
wide corridors
disabled toilets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what makes it easier to ACCESS the mouth

A

bedi shield
open wide mouth rests
toothbrush
mirror
good light
head support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is clinical holding

A

where you need to physically hold to assist or support a patient to receive clinical dental care or treatment in situations where behaviour may limit ability of dental team to deliver treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does assessment of learning disability depend on

A

level of understanding
communication
physical and emotional access
co-operation
medical status
social status
dental status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

if a patient has pain but is not able to communicate this, what signs might they give

A

sleep interruption
changes in behaviour
rubbing of an area
pulling at an area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what do we want to know about the dental status of a learning disabled person

A

cooperation
preventative regime
level of support
diet and method of delivery
swallowing and thickeners if appropriate
previous delivery of dental treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how does someone demonstrate they have capacity

A

act (seeking treatment)
make decision regarding treatment
communicate the decision of treatment
understand what the treatment is
retain the memory of the treatment choice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the 5 principles of the AWI act

A

must benefit the patient
be least restrictive option
takes into account the wishes of the person
consult with relevant others
encourage person to use existing skills and develop new ones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the biopsychosocial model made of

A

biological factors
psychological factors
social factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the 5 main active barriers to dental care for older people

A

cost
fear
accessibility
availability
characteristics of dentist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the barriers to dental care for disabled people

A

cannot tolerate treatment
lack of knowledge of ways to access oral care
communication barriers
information formats
knowledge that their carer has of oral health

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the barriers to dental care for people who struggle with mental illness

A

feeling of shame/guilt
confusion and lack of recall of conversation
feel that public services are inadequate
lack of staff time
general dentists not willing to treat these patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is oral health literacy

A

the degree to which individuals have the capacity to obtain, process and understand basic oral health information and services needed to make appropriate health decisions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the barriers to communicating with your patient who may not be able to speak/hear

A

limited time
financial incentives promoting treatment over prevention
lack of OHL training
limited plain language patient education materials
patients with low OHL knowledge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the barriers to dental care for learning disabled people

A

lack of consent
complicating medical histories
inability to cooperate with treatment
inability to communicate dental pain
general dentists not willing to treat
shortage of specially trained or experienced dental professionals

18
Q

what helps to facilitate oral health care

A

need for education and training
financial support
dentist chairside manner
community support
interprofessional communication

19
Q

what are the non-pharmacological behavioural management techniques in practice

A

acclimatisation
tell, show, doe
relaxation
structured time
multiple short appointments in staged approach

20
Q

when do you refer for GA

A

pain and swelling where no alternatives
obvious dental disease when no alternative treatment modality

21
Q

when is GA used for adults

A

intellectual impairment
multiple disabilities
dental anxiety/phobia
medical reasons
behavioural

22
Q

if a person comes in with reversible pulpitis and needs a GA, what can you do in the meantime

A

try to temporise

23
Q

if a person comes in with irreversible pulpitis and needs a GA what can you try to do in the meantime

A

gain enough access for sedative dressing

24
Q

if someone needs a GA for a periapical infection what can you do in the meantime

A

prescribe antibiotics

25
Q

how can dehydration and xerostomia become and issue in patients with dysphagia

A

oxygen therapy
mouth breathing
side effects of medications
reduced food and fluid intake

26
Q

what oral care options can we use for dysphagia

A

sit patient up
suction toothbrushes
hand over hand technique
regular dry mouth care
adapt toothbrush handle

27
Q

what is the 2 toothbrush technique

A

thick handled rubber toothbrush is used as a prop between the jaws to open them up while you brush with another toothbrush

28
Q

what adjuncts to communication can we use

A

makaton
picture boards
letter boards
wrist bands
talking mats
draw or write
technology

29
Q

how do we empower patients

A

maximise skills and abilities
prompt
encourage
support

30
Q

what behavioural strategies for toothbrushing aid can be used

A

bridging
chaining
hand over hand
distraction
rescuing

31
Q

what is bridging

A

describe and show toothbrush and mimic brushing your own teeth and then they should mirror this back

32
Q

what is chaining

A

bring persons hand to mouth while describing activity
carer starts brushing and patient finishes it

33
Q

what is hand over hand

A

place hand over patients hand and brush their teeth together

34
Q

what is distraction

A

place an item in their hand while you brush their teeth

35
Q

what is rescuing

A

carer can leave and rescuer comes in to take over

36
Q

how do you manage when someone bites the toothbrush

A

keep them biting and use another brush to clean round it

37
Q

how do you manage when someone is a tongue thruster when toothbrushinig

A

use gauze square wrapped around finger to retract or hold back tongue

38
Q

why might people resist toothbrushing

A

bleeding gums
pain from dental source
pain/stress from brushing

39
Q

how do you develop a routine for toothbrushing

A

reinforce behaviour
come up with a trigger (time of day/environment)
facilitate behavioural change

40
Q

what facilitates behavioural change

A

supportive environment
stable environments
piggyback onto already positive experience
make small and easy
unique personalised cues
practice and repeat

41
Q
A

Special Care Dentistry BDS4 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions