Lecture 5 Flashcards

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
Mental Retardation is divided into what three categories
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
definition of pouching
placement of foods, meds, other products in the buccal vestibules, for lengthy periods, leading to tooth decay
27
definition of rumination
regurgitation of food, chewed, then swallowed again, leads to malnutrition, dehydration, decreases resistance to disease
28
T/F mass health /medicaid is insurance
FALSE -- not insurance | it is a federal block grant to states for needs based care
29
implication of medications that special needs population
``` 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
Neuro-developmental disorders includes (general range) and excludes which?
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
what will you see with cerebral palsy
bruxism, lip biting, delayed eruption patterns
32
what will you most likely see with autism patient
fixated on soft diets, self-inflicted injuries, pouching, fractures
33
what will you most likely see with down syndrome patients
over retained teeth, macroglossia (large tongue), abnormal eruption patterns
34
PICA?
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
is pouching considered poor oral hygeine?
NO -- it is a behvior linked to a disorder
36
statistical reasons 3rd and 4th year dental students lack of caring for the disabled
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
SOSS
special Olympics special smiles
38
special Olympics special smiles offers?
oral hygiene instructions, non invasive oral examinations, referrals to local dentists
39
multi disciplinary care use?
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
hyperplasia of gingiva occuring most likely with?>
anti-seizure medications IN PRESENCE OF PLAQUE