Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Special Care Dentistry BDS4 > Older People > Flashcards

Older People Flashcards

1
Q

what functions can people have oral frailty in

A

mastication
swallowing
oral motor skill
salivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are the consequences of mastication frailty

A

difficult eating hard or tough foods
inability to chew all types of foods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the consequences of swallowing frailty

A

decreased ability to swallow solid foods and liquids
overall poor swallowing function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the consequences of oral motor skill frailty

A

impaired tongue movement
speech or phonatory disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are the consequences of salivation frailty

A

hyposalivation
xerostomia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what does quality of life mean for older people

A

having good social relationships
maintaining social activities and retaining a role in society
having positive psychological outlook
having good health and mobility
enjoy life and retain ones independence and control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what does ART stand for

A

atraumatic restorative technique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is ART

A

spoon excavation to get rid of caries and put glass ionomer over the top

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are the risk factors for ART failure

A

lower number of tooth brushings/day
absence of prosthesis
posterior location of tooth
higher baseline plaque index

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are the common medical concerns in older people

A

frailty
polypharmacy
incontinence
falls
bone health
nutrition and weight loss
dementia
parkinsons disease
diabetes
stroke

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the syndromes that come with frailty

A

falls
immobility
delirium
incontinence
susceptibility to side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the causes of falls

A

intrinsic - postural hypotension
extrinsic - trip hazards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the dental implications of falls

A

dental trauma
sitting patients up slowly after treatment
manual handling
domiciliary visits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the dental implications of bad bone health

A

MRONJ risk
fracture of mandible following fall or extractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the dental implications of older people having a restricted diet due to bad dentures/loss of teeth

A

delayed healing
NCTSL
haematinics - burning mouth, RAS
higher caries rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

name 4 types of medication which affect the immune system

A

oral corticosteroids
disease modifying medications
chemotherapy
immunomodulatory treatment for cancer treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are patients more at risk of if they are on medication affecting the immune system

A

dental infections
prolonged healing if invasive procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the limit of HbA1C for all dental treatment

A

<7%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the limit of HbA1C for emergency treatment only

A

9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what considerations should we take for diabetics when making appointments

A

in the morning
avoid appointment which coincides with insulin activity peak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the risks of diabetes

A

hyperglycaemia
hypoglycaemia
fatigue
increased risk of infection
poor wound healing
increased risk of periodontal disease
complications related to comorbidities/secondary vascular complications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is a stroke

A

sudden interruption of blood supply to brain leading to rapid focal or global neurological disturbance which lasts >24hrs

23
Q

what are the 4 types of stroke

A

ischaemic
haemorrhagic
carotid artery dissection
cerebral venous thrombosis

24
Q

what are the signs and symptoms of stroke

A

facial weakness
slurred speech
gait disturbance
urinary incontinence
loss of taste
headache
confusion
loss of consciousness

25
Q

what are the risk factors for having a stroke

A

carotid artery diseases
congestive heart failure
age
genetics
sickle cell disease
smoking, alcohol, physical inactivity, poor diet

26
Q

what are the dental effects of stroke

A

access mobility and communication issues
depression leading to self neglect
OH deteriorates on affected side
impaired manual dexterity
dysphagia
denture wearing issues due to loss of muscle control
root caries due to drug induced xerostomia

27
Q

what are the treatment recommendations for someone who has had a stroke

A

treat upright
short mid-morning appointments
extra care
care with anticoagulants and adrenaline with LA
avoid BDZ due to respiratory depression

28
Q

what must we consider when treatment planning for stroke patients

A

high risk root caries
ART when difficult to cooperate
SDA
adhesive bridges to replace single units
antiplatelets for extractions
consider copy denture over new denture

29
Q

what is the dental advice for the people who have dysphagia

A

brush teeth upright with suction or aspirating toothbrush
low foaming toothpaste
remove excess water on toothbrush
rub toothpaste into toothbrush before placing in mouth

30
Q

what is parkinsons

A

chronic and progressive neurological disorder caused by degeneration of dopaminergic neurons in substantia nigra of basal ganglia

31
Q

what are the characteristic features of parkinsons

A

dyskinesia
bradykinesia
akinesia
hypomimia
shuffling gait
resting tremor

32
Q

what are the dental implications of parkinsons

A

access is challenging
xerostomia, root caries, denture issues, poor OH, periodontal disease
anxiety increases tremor
movement, drooling
dysphagia
problems with drooling
denture struggles due to rigid facial muscles

33
Q

what are the issues with levadopa which parkinsons patients take

A

taste issues
red saliva
parafunction
interact with adrenaline

34
Q

what are the treatment recommendations for parkinsons patients

A

extra weight of electric toothbrush can help reduce tremor
avoid mouthwash as aspiration risk
give time for communication
mouth props and head support
dont recline more than 45 degrees
use airway protection

35
Q

what is dementia

A

acquired progressive loss of cognitive functions, intellectual and social abilities, severe enough to interfere with daily functioning

36
Q

what are the characteristic features of dementia

A

amnesia
inability to concentrate
disorientation in time, place, person
intellectual impairment
deterioration in emotional control
social behaviour and motivation

37
Q

what are the 4 common types of dementia

A

alzheimers
vascular
lewy-body
fronto-temporal

38
Q

what are the features of alzheimers

A

amyloid plaques
neurofibrillary tangles
short term memory loss

39
Q

what are the features of vascular dementia

A

series of small strokes
sudden onset memory problems

40
Q

what are the features of lewy body dementia

A

changes in behaviour
problems with language
fluctuating cognition

41
Q

what are the features of fronto-temporal dementia

A

pick bodies found in cytoplasm
3 variants
seen in younger patients

42
Q

what would a dementia friendly dental practice look like

A

reception desk visible from entrance
avoid non-essential signs
signs at eye level
good natural light

43
Q

how do you communicate with a dementia patient

A

engage attention
eliminate distraction
eye contact
hold hand
reassure
call by first name

44
Q

what would early stage dementia treatment planning be like

A

planning for future
identify and attempt to retain key teeth
focus on high quality restorations
establish preventative regime

45
Q

what would mid stage dementia treatment planning look like

A

maintenance and prevention
access becoming harder

46
Q

what would late stage dementia treatment planning look like

A

focus on comfort
aim for moist, clean and healthy mouth which is free of pain
non-invasive

47
Q

what complications of GA increase with age

A

death
dehydration
insufficient pain treatment
insufficient nutrient intake
thromboembolic events

48
Q

what are the dental implications of dementia

A

involve carers
prevention
dentures broken or lost
xerostomia/hyposalivation
dysphagia
halitosis
periodontal disease
loss of taste = high sugar diet

49
Q

who is eligible for domiciliary visits

A

patient confined to bed
patient on oxygen therapy
patient in hospital
patient with agoraphobia
end of life care

50
Q

who can do domiciliary visits

A

GDP
public dental service
special care dentists

51
Q

what are the scottish palliative care guidelines

A

routine oral assessments to ensure comfort and minimise pain
advice on oral hygiene and denture care
moisten mouth every 30mins

52
Q

what can the dental team do for patients in the hospital

A

assess patients
provide treatment where necessary
advise on mouth care
advise on most effective products
provide education
act as resource for hospital staff

53
Q

what are the common dental issues which elderly patients suffer from

A

poor denture hygiene
admitted with poor oral health
xerostomia
fungal and viral infections
ulceration
oral cancer
mucositis

Special Care Dentistry BDS4 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions