Pain Control Flashcards
why is this important?
helps people cope with stressful situations
teach the patient how to establish and maintain good home care skills
if patients are comfortable, they will return…better for their oral health
1. to keep them comfortable
2. pt. rapport
3. prevent emergencies
Need to know these!
fear: emotional response about a specific, identifiable situation, event, or person that is a perceived threat (e.g. heights, needles and drills)
Anxiety: a general stat of nervousness, a type of stress (may or may not know)
Pain: a subjective feeling or extreme discomfort
*everybody’s pain is different
types of Fear:
Normal and Neurotic
Normal Fear
self-protective mechanism
Neurotic Fear
highly subjective fear that is disproportionate to the threat=phobia (over exaggeration)
origins of Fear
conditioning
direct stimulation
condition Fear
relatives (learned response)
cultural
socioeconomic
bad attitude from health providers
direct stimulation
pain during appointment
can happen while child or adult
prevalence of dental fears
causative factors:
dental anxiety more common in women
negative attitude of family
negative expectations related to traumatic experiences
Three types of control
behavioral control
cognitive control
information
behavioral control
the person believes that they can do something to shorten or lessen the event
cognitive control
a mental lessening of adverse situations (control negative thoughts or redirecting their consciousness)
information control
information communicated to the patient gives a feeling of control
signs of anxiety or fear
Verbal indicators: talk too much or too radily talking loud talking too little inappropriate jokes
signs of anxiety of fear
behavioral indicators: nervous laughter inappropriate smiles voice cracking trembling hand gripping edge of chair broken appointments lateness
signs of anxiety or fear
physiological indicators: dilated pupils white knuckles increased heart rate perspiration on hands, forehead, etc. redness in neck dry mouth uneven breathing
application time:
how you would treat a patient with fear of specific simtuli?
Tell, Show, do approach
explain the procedure/benefits
ask them whe? and possibly
look–tori?
*gagging
*for children/count showing instrument polishing “tickles”
application time:
how you would treat a patient who distrusts dental personnel? always use Rationales! ask why? rough or talked down heavy handed tell them everything
application time:
how you would treat a patient with generalized anxiety?
attention diversion
changing or modifying
tell, show, do
something else to focus on
tv, music
gagger–have them concentrate on their breathing in and out of your nose!
drug usage to reduce anxiety
advantages:
most widely used method of helping patients cope with fear and anxiety
quick, easy, effective in reducing mild or moderate anxiety
disadvantages:
little carryover for future anxiety
severely anxious people are resistant to analgesics and sedative drugs
**Sleep dentistry!!!!
