Mod 12 Test 2 Flashcards

1
Q

what is impairment

A

abnormality of structure or function of a limb or body organ

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2
Q

what is disability

A

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

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3
Q

what is handicap

A

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

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4
Q

what are some examples of physical disabilities

A
degenerative neuromuscular system disorders
developmental neuromuscular disorders
hearing and visual impairment
CVA
alcohol and substance abuse
TBI
spinal cord injury
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5
Q

what are examples of mental disabilities

A

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

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6
Q

how is identification of patients with physical and mental disabilites accomplished

A
  • pt caregiver or agency request
  • H & P
  • direct referal or consultation
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7
Q

is a disability always permanant

A

no it can be temporary

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8
Q

What should the dental record reflect in the coordination of care

A

any consultation

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9
Q

what should the health assessment of a pt include

A

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

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10
Q

what is mental status

A

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

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11
Q

what is crucial to success of dental care in psychosocial assessment

A

family or caregiver support

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12
Q

what are financial considerations for special needs pts

A
  • major barrier
  • medicaid has limited services
  • local agencies may have available funding
  • may have social worker secure funds
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13
Q

what is important in communication with special needs pts

A

address pt whenever possible

  • caregiver should be present to convey info pt cant
  • make pt particpant in convo
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14
Q

what may be the only means of normalcy for pts

A

oral function and esthetics can be important

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15
Q

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

A

physical or pharmalogical restraint

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16
Q

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

A

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

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17
Q

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

A

chair padding, elimination devices, hearing devices, visual devices

18
Q

what should you do with pts with visual imairment

A

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

19
Q

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

A

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

20
Q

what are good supportive devices for pts

A

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

21
Q

what can be used for head stablilzation

A
  • wrap mirror arm around pts head
  • towel or pillow around head
  • strap around forhead
  • mouth prop
22
Q

does restraint require informed consent

A

yes… written and signed prior

23
Q

what is protective stabilization

A

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

24
Q

what is active immobilization

A

restraint by another person

25
Q

what is passive immobilization

A

restraint by a restraining device

26
Q

what are 5 common guidelines for restraint

A
  • 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
27
Q

what are supportive straps

A

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

28
Q

what is a pedi wrap

A

encloses pt from neck to ankles

29
Q

what is a papoose board

A

board with padded wraps to enclose pt

30
Q

what are examples of oral and IV chemical restraints

A

xanax, adavan, versed, propofol, valium, halcion

31
Q

what chemical restraint has a reversal durg

A

halcion

32
Q

what chemical restraint has the fastest half life

A

propofol

33
Q

what chemical restraint is the most popular

A

versed

34
Q

what should the tx regimen be for a medically compromised pt

A
  • go sextant or quadrant by quadrant
  • most disease area first
  • chairside assistance
  • unbreakable mirrors
  • ultrasonic often indicated
  • show tell do
35
Q

what should be accessible to pts with wheelchairs ect

A

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

36
Q

what is the min door with for a wheelchair

A

32”

37
Q

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

A

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

38
Q

*what should appropriate informed consent include

A

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

39
Q

where is the consent for exam, prophy and minor tx

A

in the statement included with health history

40
Q

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

A

no