Lectures Flashcards
what are the protected characteristics
age, gender, gender reassignment, disability, marriage, race, religion, sexual orientation, pregnancy
what characteristics are affected most in dentistry
age, disabled, homeless
what programmes are in place to ensure those of all ages receive equal care
childsmile, caring for smile
what is carried out to check what reasonable adjustments a practice can make to ensure equal care for disabled people
access survey - takes into account size of practice, the layout etc, and decides what changes they can make
when is a practice liable for discrimination to disabled
if they should have made reasonable adjustments and never, resulting in disabled not receiving standard of care
what areas are included in a full medical history
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
what is included in history of present complaint
SOCRATES
S - site O -onset C- characteristics R - radiate A - associated symptoms T - time E - exacerbating S - severity on 1-10
what systems must be asked about in medical history
cardiovascular - include blood pressure and cholesterol
respiratory - breathing, ask about asthma
gastrointestinal problems
then can ask if any other problems
what is asked in social history
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
what does the GDC expect of dentist in regards to complaints
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
how can a dentist respond professionally to complaints
be respectful, demonstrate insight, be reflective.
what is involved in the cycle of dental anxiety
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
what is the aetiology of dental anxiety
bad experience influenced by others - friends and family bad experience media portrayal of dentistry expectations of pain poor knowledge of modern analgesics
how can personal characteristics affect dental anxiety
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
how is dental anxiety assessed in adults
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
how can dental anxiety be treated in practice
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
how can a patient be given control
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
give some relaxation and distraction techniques
relaxation - focus on breathing
distraction - count backwards from 100, think of your safe place, anagrams
what is desensitisation and the fear hierarchy
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
what is the best way for treating dentally anxious patients
relaxation techniques, give control, fear heirarchy with sucessive approximations
