Lecture 5 Flashcards

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1
Q

disease definition

A

a disturbance in the physiological function of an organism which can occur WITHOUT the person’s awareness

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2
Q

illness definition

A

a state of poor health recognized by the person and usually treated by and expert

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3
Q

describe illness behavior

A

bodily indications, perceptions, values, attitudes and interpretations lead to an individual to behave in particular ways in reference to their bodies

*lay interpretation of disease

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4
Q

disease defined by

A

doctor

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5
Q

illness defined by

A

subjective self-analysis of what is or is not normal

- the person

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6
Q

definition of decision time

A

the length of time a person takes from the first perception of discomfort to the time of decision to seek treatment

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7
Q

decision time is based on what three factors

A
  1. background factors (social class, age, gender, ethnicity)
  2. psychological processes
    (denial as a defense mechanism)
  3. social variables (family, friends, peers)
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8
Q

ADA’s Commission on Dental Accreditation puts who into the category of special needs

A

ALL individuals with ANY level of disability into this category

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9
Q

who or what compromises the ‘disabilities’

A
  1. Physical (missing limb, congenital birth defects)

2. Mental - depression, mental retardation, schizophrenia, Alzheimer’s Parkinson’s

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10
Q

instead of ‘mental’ we use what word

A

intellectual

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11
Q

definition of disability

A

any impairment that restricts or limits daily activity in some manner

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12
Q

definition of disability

A

any impairment that restricts or limits daily activity in some manner

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13
Q

definition of disability at the federal level

A

includes mental illness and any permanent disabling condition that has its onset before the developmental period
BEFORE AGE 22

THIS IS NOT A MEDICAL TERM
SOCIO-LEGAL TERM
- DEFINITIONS VARY FROM STATE TO STATE

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14
Q

top 3 reasons why persons of lower SES are less likely to seek dental help as quickly?

A
  1. cant afford
  2. cant find transportation
  3. do not feel like they are treated equally
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15
Q

older people see treatment when?

A

usually less likely to go for help as quickly

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16
Q

what accounts for a great deal of variability in seeking treatment in a timely fashion

A

Ethnicity

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17
Q

describe health care utalization in terms of age and gender

A

services are greatest for the eldest and youngest

isolated elers seek care for social interactions

women > men
- even when adjusted for reproductive services

18
Q

what accounts for ethnicity and social class varying cultural beliefs?

A
  1. How disease is understood
  2. how symptoms are defined/ recognized
  3. how sources of care are perceived
19
Q

T/F individuals over age of 65 are considered special needs

A

TRUE

65+ is geriatrics

20
Q

young old
old
old old

A

65-74

old = 75-84

old old - 85+

21
Q

educable vs trainable mental retardation

define each

A

educable

  • culturally deprived which results in an inability to manage academic demands and goal for this population is some level of social and economic independence
  • recognized early on

trainable

  • ORGANIC BRAIN DAMAGE
  • goal is to use appropriate behavioral modifications and rewards and enhance self-help and social skills through a shletered living environment
22
Q

describe the ‘trainable’ mentally retarded

A

have organic brain damage

develpo 40-60% of normative intelligence and reach a mental age of 4-8 years (chronilogically 21)

readily identified in childhood

23
Q

definiton of diasability

legal term?

A

any impairment that restricts or limits daily activity in some manner

YES- legal term –> SOCIO_LEGALTERM – not a medical term and the conditions under the definition vary from state to state

24
Q

federal level defintion of disability

A

Feds say disability disorders have an age onset BEFORE 22 (onset before developmental period)

any variations to this are due to state definitions

25
Q

Mental Retardation is divided into what three categories

A
  1. Educable with MR
  2. Trainable with MY
    - 40-50% of growth / development
  3. The Severe or Profound with MR
    - most seriously impaired and require constant care
26
Q

definition of pouching

A

placement of foods, meds, other products in the buccal vestibules, for lengthy periods, leading to tooth decay

27
Q

definition of rumination

A

regurgitation of food, chewed, then swallowed again, leads to malnutrition, dehydration, decreases resistance to disease

28
Q

T/F mass health /medicaid is insurance

A

FALSE – not insurance

it is a federal block grant to states for needs based care

29
Q

implication of medications that special needs population

A
generally on MORE rx's and many meds are SUGAR COATED and may lead to tooth decay 
like --
anti-seizure
hypertension
parkinson's 
anti-depressants
30
Q

Neuro-developmental disorders includes (general range) and excludes which?

A

all the neurologically based disorders
‘ all the big ones’ like down syndrome, fragile X, Cerebral Palsy, fetal alcohol syndrom, autism

and EXCLUDES developmental disorders that have non-neurological conditions like muscular dystrophy, limb abnormalitieis and maybe cystic fibrosis

31
Q

what will you see with cerebral palsy

A

bruxism, lip biting, delayed eruption patterns

32
Q

what will you most likely see with autism patient

A

fixated on soft diets, self-inflicted injuries, pouching, fractures

33
Q

what will you most likely see with down syndrome patients

A

over retained teeth, macroglossia (large tongue), abnormal eruption patterns

34
Q

PICA?

A

an eating disorder that refers to repeated ingestion of non-nutritive or inedible substances such as strings and cigarette buds (most common), but also clothes, dust, dirt, paper and grass over a period of time

35
Q

is pouching considered poor oral hygeine?

A

NO – it is a behvior linked to a disorder

36
Q

statistical reasons 3rd and 4th year dental students lack of caring for the disabled

A

majority:

  • had less than 5 hours of instruction
  • had no clinical training
  • had little or no confidence in providing the care
  • had little or no preparation in providing care
37
Q

SOSS

A

special Olympics special smiles

38
Q

special Olympics special smiles offers?

A

oral hygiene instructions, non invasive oral examinations, referrals to local dentists

39
Q

multi disciplinary care use?

A

in mentally retarded patients

  • dentist
  • surgeon
  • endo
  • gyno
  • podiatrist
  • otolaryngologist
  • anesthesiologist
  • nurse anesthetic

*all come in and have to modify tx so much for these patients

40
Q

hyperplasia of gingiva occuring most likely with?>

A

anti-seizure medications IN PRESENCE OF PLAQUE