Lecture 5 Flashcards
The key to successful outcomes is an appropriate assessment of ____ to prepare them to participate actively in a positive manner in the child’s oral health care.
Child and family (two patients)
What are the two primary goals during the functional inquiry?
Learn about patient and parental concerns
Gather information to enable a reliable estimate of the cooperative ability of the child
What is toxic stress?
Stress that continues over a prolonged period and has life-long effects
What is positive pre-visit imagery?
Pts are shown positive photos of dentistry in waiting area before the appointment
True or false.. sometimes its best to use an assertive voice to pedo pts.
False. It may be considered aversive.
If you have to have an assertive voice with a pt, you should discuss it prior to prevent misunderstanding
Behavior guidance approaches for each pt who is unable to cooperate should be customized to the individual needs of the ___ and desires of the ___, and may include __, ___, ___ or ___.
Child
Parent
Sedation, general anesthesia, protective stabilization, referral to another dentist
Define protective stabilization.
Define active immobilization
Protective stabilization: any manual method, physical, or mechanical device, material, or equipment that immobilizes or reduces the ability of a pt to move his or her arms, legs, body, or head freely
Active immobilization: restraint by another person such as the parent, dentist, or dental auxiliary. Passive immobilization utilizes a restraining device
In order to use protective stabilization, the doc must have what?
Graduated from an accredited post-doc program or pedo residency
Extensive CE course of no less than 8 hours
In order to use protective stabilization, what is required?
Informed consent, written and signed.
Although the minor does not have the statutory right to give or refuse consent for treatment, the child’s wishes and feelings should be considered when addressing the issue
True or false.. a parent has the right to terminate use of restraint and the procedure at any time.
True. The practitioner should immediately complete the necessary steps to bring the procedure to a safe conclusion before ending the appt.
When is protective stabilization indicated?
Pt requires immediate diagnosis and/or urgent limited treatment and cannot cooperate due to emotional and cognitive developmental levels
Emergent care is needed and uncontrolled movements risk the safety of pt and others.
A previously cooperative pt quickly becomes uncooperative during the apt, in order to protect the pts. Safety and help expedite completion of treatment
True or false… protective stabilization can be used in non-emergent situations
False
What are the objectives of NO2 sedation?
Reduce or eliminate anxiety
Reduce untoward movement
Enhance cooperation
Raise pain threshold
Increase tolerance for longer apts
Reduce gagging
Potentiates the effects of sedatives
Aiding in the treatment of a pt with mental or physical disabilities
__% nitrous oxide delivered is equivalent to __ of morphine
10-15mg
A subcutaneous dose of morphine for pediactric shouldnt exceed ___mg. What about for IV?
15 mg for subcutaneous
10 mg for IV
The concentration of nitrous shouldnt routinely exceed __%
50%
What is the most efficient type of scavenger for NO2?
Double-mask
There is a normal range of ages at which motor and language skills are acquired; a general principle is that the earlier a skill emerges, the ___ the range
Narrower.
Whole tends to exhibit more dental anxiety, girls or boys?
Girls
The anxiety of the mother can be transferred to children, especially those under age ___
4
Weighs clinical classification places children in one of three categories. What are they?
Cooperative
Lacking in cooperative ability
Potentially cooperative
The frankl behavior rating scale has what four ratings of cooperativeness?
Rating 1 = definitely negative (refusal of treatment, forceful crying)
Rating 2 = negative (reluctant to accept treatment, incooperativeness)
Rating 3 = positive (acceptance of treatment; cautious behavior at times. Willingness to comply.
Rating 4 = definitely positive. (Good rapport with dentist, interest, laughter, enjoyment)
How are functional inquiries usually performed?
By paper and pencil questionnaires
By direct interview of child and parent
What is behavior guidance?
The means by which the dental health team effectively and effeciently performs treatment for a child and at the same time instill a positive dental attitude
