Lectures Flashcards

1
Q

what are the protected characteristics

A

age, gender, gender reassignment, disability, marriage, race, religion, sexual orientation, pregnancy

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2
Q

what characteristics are affected most in dentistry

A

age, disabled, homeless

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3
Q

what programmes are in place to ensure those of all ages receive equal care

A

childsmile, caring for smile

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4
Q

what is carried out to check what reasonable adjustments a practice can make to ensure equal care for disabled people

A

access survey - takes into account size of practice, the layout etc, and decides what changes they can make

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5
Q

when is a practice liable for discrimination to disabled

A

if they should have made reasonable adjustments and never, resulting in disabled not receiving standard of care

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6
Q

what areas are included in a full medical history

A

introduction, what is the patient complaining of, history of present complaint, past medical history, past dental history, social history, family history, what medications they are on

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7
Q

what is included in history of present complaint

A

SOCRATES

S - site O -onset C- characteristics R - radiate A - associated symptoms T - time E - exacerbating S - severity on 1-10

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8
Q

what systems must be asked about in medical history

A

cardiovascular - include blood pressure and cholesterol
respiratory - breathing, ask about asthma
gastrointestinal problems
then can ask if any other problems

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9
Q

what is asked in social history

A

alcohol - if yes, how many units a week
smoking - if yes, how many packs a day
who they live with, what they work as, exercise

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10
Q

what does the GDC expect of dentist in regards to complaints

A

have a clear and effective complaints procedure. the complaints procedure should be effective and readily available for patients to see and use. Dentist’s must adhere to this procedure, respect the patients right to complain and provide a constructive and prompt response

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11
Q

how can a dentist respond professionally to complaints

A

be respectful, demonstrate insight, be reflective.

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12
Q

what is involved in the cycle of dental anxiety

A

anxiety and fear, leads to avoidance of dental appointments, results in deterioration of oral health, leads to shame and embrassment which worsens anxiety, more avoidance etc

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13
Q

what is the aetiology of dental anxiety

A
bad experience
influenced by others - friends and family bad experience
media portrayal of dentistry
expectations of pain
poor knowledge of modern analgesics
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14
Q

how can personal characteristics affect dental anxiety

A

if someone is a negative person, will always expect the worst. will also have bias recall when thinking back to previous appointments. highly neurotic and depressive more likely to be fearful

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15
Q

how is dental anxiety assessed in adults

A

dental anxiety scale - questionnaire regarding how you would feel about certain situations - anxious or not. a score of 19 or more out of 25 - anxious

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16
Q

how can dental anxiety be treated in practice

A

by giving the patient control, informing them of what youre doing to improve predictability, tell them what theyll feel so not surprised, distraction, relaxation, desensitising

17
Q

how can a patient be given control

A

stop signals - lift left arm if you want me to stop
start signals - open mouth when ready
rest signals - if want a break in treatment

18
Q

give some relaxation and distraction techniques

A

relaxation - focus on breathing

distraction - count backwards from 100, think of your safe place, anagrams

19
Q

what is desensitisation and the fear hierarchy

A

exposing patient to situations where they can practice their relaxation techniques and be comfortable with the situation - start off with basics and work up to getting an injection

20
Q

what is the best way for treating dentally anxious patients

A

relaxation techniques, give control, fear heirarchy with sucessive approximations