Mod 12 Test 2

Question 1

what is impairment

Answer 1

abnormality of structure or function of a limb or body organ

Question 2

what is disability

Answer 2

inability to preform a task or activity as the result of impairment

Question 3

what is handicap

Answer 3

disadvantage or limitation that an individual has when compared with other of the same age, sex and background that has resulted from the impairment or disability

Question 4

what are some examples of physical disabilities

Answer 4

degenerative neuromuscular system disorders
developmental neuromuscular disorders
hearing and visual impairment
CVA
alcohol and substance abuse
TBI
spinal cord injury

Question 5

what are examples of mental disabilities

Answer 5

developmental (autism, down syndrome)
psychiatric disorders (depression, bipolar)
TBI
alcohol and substance abuse

Question 6

how is identification of patients with physical and mental disabilites accomplished

Answer 6

• pt caregiver or agency request
• H & P
• direct referal or consultation

Question 7

is a disability always permanant

Answer 7

no it can be temporary

Question 8

What should the dental record reflect in the coordination of care

Answer 8

any consultation

Question 9

what should the health assessment of a pt include

Answer 9

medical history
oral exam
tx recommendations
if in long term care facility recommendations of the PCP should be fully documented prior to dental tx

Question 10

what is mental status

Answer 10

intellegence and emotional condition and needs, family history, living enviroment and past dental tx history

Question 11

what is crucial to success of dental care in psychosocial assessment

Answer 11

family or caregiver support

Question 12

what are financial considerations for special needs pts

Answer 12

• major barrier
• medicaid has limited services
• local agencies may have available funding
• may have social worker secure funds

Question 13

what is important in communication with special needs pts

Answer 13

address pt whenever possible

• caregiver should be present to convey info pt cant
• make pt particpant in convo

Question 14

what may be the only means of normalcy for pts

Answer 14

oral function and esthetics can be important

Question 15

what modifications can be made for pts who cant be treated in the conventional manner

Answer 15

physical or pharmalogical restraint

Question 16

how should a pt be positioned if they are unable to protect their own airways

Answer 16

in a sitting, or semi reclined position rather than the reclined

Question 17

what should you be aware of during the appointment with special needs pts

Answer 17

chair padding, elimination devices, hearing devices, visual devices

Question 18

what should you do with pts with visual imairment

Answer 18

describe path to area of tx, announce departure adn return to area, intro clinical procedures clearly and concisely

Question 19

what should you be aware of if you are treating a pt in their wheel chair

Answer 19

those with spinal cord injury may need pushups, quadriplegia the pt may need to shift weight every 20 min

Question 20

what are good supportive devices for pts

Answer 20

pillows, bed sheet or blanket to fold around pt, pt may be held with velcro strap

Question 21

what can be used for head stablilzation

Answer 21

• wrap mirror arm around pts head
• towel or pillow around head
• strap around forhead
• mouth prop

Question 22

does restraint require informed consent

Answer 22

yes… written and signed prior

Question 23

what is protective stabilization

Answer 23

any manual method, physical or mechanical, material or equipment that immobilizes or reduces the ability of the patient to move his her body

Question 24

what is active immobilization

Answer 24

restraint by another person

Question 25

what is passive immobilization

Answer 25

restraint by a restraining device

Question 26

what are 5 common guidelines for restraint

Answer 26

- valid for noncompliant develomentally disabled pt - least restrictive alternitive should be used - should not be used as convienence or punishment - should cause no injury - reason, type length of time restraint is used should be documented

Question 27

what are supportive straps

Answer 27

made of flannel and padded to place of the wrists or ankles to tie to chair arms

Question 28

what is a pedi wrap

Answer 28

encloses pt from neck to ankles

Question 29

what is a papoose board

Answer 29

board with padded wraps to enclose pt

Question 30

what are examples of oral and IV chemical restraints

Answer 30

xanax, adavan, versed, propofol, valium, halcion

Question 31

what chemical restraint has a reversal durg

Answer 31

halcion

Question 32

what chemical restraint has the fastest half life

Answer 32

propofol

Question 33

what chemical restraint is the most popular

Answer 33

versed

Question 34

what should the tx regimen be for a medically compromised pt

Answer 34

- go sextant or quadrant by quadrant - most disease area first - chairside assistance - unbreakable mirrors - ultrasonic often indicated - show tell do

Question 35

what should be accessible to pts with wheelchairs ect

Answer 35

walkways, sidewalk, parking, entrance ramps, the office restrooms, operatory

Question 36

what is the min door with for a wheelchair

Answer 36

32"

Question 37

what are adjunctive therapies that would be good for medically compromised pts

Answer 37

xylitol, fluoride, fluoridated water, reduction of fermentable carbs, CHX

Question 38

*what should appropriate informed consent include

Answer 38

nature of oral disease condition, reason for recommended care, alternatives for tx, concequences of non tx, reasonably anticipated or potential complications

Question 39

where is the consent for exam, prophy and minor tx

Answer 39

in the statement included with health history

Question 40

does the ada make an attempt to establish standars of informed consent

Answer 40

no