Neurological Impairment Flashcards
What challenges might arise when managing Mrs. Smith’s dental care?
Communication barriers due to Alzheimer’s disease.
Difficulty obtaining a reliable history.
Reduced cooperation during examination and treatment.
Increased risk of oral infections due to poor oral hygiene.
Managing expectations of the family while prioritizing patient well-being.
List and prioritize Mrs. Smith’s dental issues in order of urgency.
Infected retained roots (36) and buccal abscess – Requires urgent extraction due to infection.
Non-healing ulcer – Needs investigation for malignancy or trauma-induced etiology.
Grade III mobile tooth (31) – Risk of aspiration; may need extraction.
Denture-related issues – Poor fit, staining, and presence of food debris contribute to discomfort and potential infections.
General oral hygiene concerns – Dry mouth, erythematous palate, and potential denture stomatitis need management.
What medical complications must be considered when extracting the retained roots of 36?
Bisphosphonate-related osteonecrosis of the jaw (BRONJ/MRONJ) due to alendronic acid.
Delayed healing and infection risk due to osteoporosis and medications.
Bleeding risk from possible anticoagulant therapy (though not listed, should be assessed).
Post-extraction pain management tailored to her cognitive state.
How should consent be managed for Mrs. Smith’s dental treatment?
Assess her capacity to consent under the Adults with Incapacity (Scotland) Act.
If lacking capacity, consult the appointed welfare guardian or use best interest principles.
Inform and involve the carer and family in decision-making.
Apply the five principles of the Act:
Benefit – The intervention must benefit the patient.
Minimum necessary intervention – The least restrictive option should be taken.
Respect for wishes – Consider past and present preferences.
Consultation with relevant others – Involve family and carers.
Encourage residual capacity – Allow the patient to participate as much as possible.
What is treatment for xerostomia is NOT recommended for the dentate patient?
- Glandosane → Glandosane is acidic
What is the most common cause of dementia?
alzheimers
What are the principles of the Adults with Incapacity Act (2000)?
Benefit, minimum necessary intervention, consultation with relevant others, encourage residual capacity
A principle of the Adults with Incapacity Act (2000) is to provide treatment which is least restrictive. What is the best description of this concept?
Option that restricts the persons freedom as little as possible
