Management Strategies Flashcards
name 4 behavioural management techniques
acclimitisation
desensitisation
relaxation
structured time
enhanced control
why may inhalation sedation not be appropriate for people with learning difficulties despite it carrying the least risk of all sedation options
patient is required to understand that they need to breath in and out through their nose throughout the treatment
what medical conditions may see a particular benefit to using IV sedation and why
significant benefit with muscle relaxation and decreased involuntary movement - parkinsons, cerebral palsy, huntingtons disease
what are the 5 main categories of barriers to dental care in the elderly
- cost and fear of cost
- fear (dental anxiety)
- accessibility
- availability
- characteristics of dentist (personality, polite, professional)
barriers to oral hygiene for older people who are dependent
- patient refusing care
- lack of time
- unclear responsibility of oral care
- ack of knowledge
barriers to dental care for ASD patients
behavioural - ability to comply with OH and dental appointments
inhibited social and communication skills - lack of cooperation with personal care, lack of understanding re personal care
parental dependence - low prioritisation of oral care, often dont ask for additional support
clinical environemnt - lots of new stimuli
OH professionals - lack of education
what must a patient be able to do to show they have capacity
act a decision
make a decision
communicate a decision
understand a decision
retain memory of a decision
what 5 prinicples must be considered when making a decision on behalf on an adult with incapacity
- must benefit patient
- must be least restrictive option
- take into account the wishes of the person
- consultation with relevant others
- utilise residual capacity
why are foam sponge swabs not recommended for cleaning patients teeth
ineffective at removing plaque
risk of aspiration or choking if sponge detaches (particularly an issue when they are wet)
what are the 3 units within the open wide training resource
1 - core oral health knowledge
2 - practical oral care
3 - oral health documentation
what is the open wide training resource for
manual delivery of oral care for people with additional care needs
bridging
technique to help patient engage and understand task.
describe and show them the toothbrush then mimic brushing your own teeth. Give another toothbrush to them and they may mirror your behaviour and brush their own teeth
chaining
involved gently bringing patient hand to mouth whilst describing the activity. The carer starts the activity and the individual finishes it
hand over hand
technique that may be used if chaining unsuccessful - place hand over individuals hand and brush their teeth together
how can we overcome a ‘toothbrush biter’
allow them to continue biting by introducing a second toothbrush to bite on whilst giving oral care with the other
do tube fed individuals still require oral care
yes - mucosa should be kept moist and lubricated
teeth should be cleaned using non foaming toothpaste in an upright position to avoid aspiration risk
when entering residential care - how soon is an oral health assessment completed and what is its purpose
within 48 hours
identifies risk to oral health and subsequent needs - facilitates development of a daily oral care plan - reviewed every 4 weeks
in what 3 ways does disability have an indirect effect on oral health
multiple medications may cause dry mouth which increases caries risk
physical impairment may make OH difficult and dental attendance more tricky
oral health issues often overlooked in health and social care planning
name 3 medical conditions associated with down syndrome
congenital heart defects
leukemias
diabetes
