Patient Factors in Tx Planning-afford

Question 1

What are the patient factors in Tx planning?

Answer 1

• patient:
  
  • goals
  • desires
  • modifiers

Question 2

Patient Goals

Answer 2

• patients have several expectations or goals for tx
• Identify goals at initial interview
• 2 types:
  
  • Short term
    
    • resolving chief complaint
  • Long term
    
    • maintaining oral health

Question 3

How do you determine patient goals?

Answer 3

• Use open ended questions that:
  
  • elicit the patients thoughts and feelings
  • Encourage sharing concerns

Question 4

Give some examples of questions that can be used to determine a patients goals?

Answer 4

• are you having problems in your mouth right now
• How do you feel about the appearance of your teeth
• How well are you able to eat w/your teeth

Question 5

Patient Desires

Answer 5

• might be difficult or impossible to achieve depending on the condition of their mouth or their means
• Dentist can influence by educating about their problems and suggest possible tx outcomes

Question 6

Patient Modifiers

Answer 6

• patients attributes that can impact treatment goals
• can influence the prognosis of any tx plan
• 2 types:
  
  • positive modifiers
  • negative modifiers

Question 7

What are some common patient modifiers?

Answer 7

• Physical ability to ambulate
  
  • to attend dental appts
• Ability to do oral self care
• Transportation
• Time to attend dental appointments
• Motivation
• Finances

Question 8

List some examples of positive patient Modifiers

Answer 8

• interest in oral health
• can afford treatment
• hx of regular dental care

Question 9

List some examples of negative patient modifiers

Answer 9

• unable to afford tx
• fear of dental tx
• lack motivation
• poor oral health
• destructive oral habits
• poor general health

Question 10

Dentists Goals and Desires

Answer 10

• can have an equal heavy impact on tx planning

Question 11

List some examples of dentist goals

Answer 11

• removing or arresting dental disease
• eliminating pain
• provide correct tx for each problem
• make sure most severe problems are treated first
• choose best material for each restoration

Question 12

Dentist Goals

Answer 12

• have altruistic goals
  
  • lead the dentist to want to create ideal treatment plan

Question 13

Ideal Treatment plan

Answer 13

• provides excellent starting point
• may not:
  
  • consider patient modifiers
  • patients tx objectives
• Can differ from another dentist

Question 14

Dentists: Modified Treatment Plan

Answer 14

• Balance patient and dentist tx objectives

Question 15

Person-Centered Treatment planning

Answer 15

• Consider patients
  
  • chief complaint
  • factors
  • goals
• when making tx plan options

Question 16

Dentist Modifiers

Answer 16

• Every dentist has factors that can influence the goal for patient care and type of treatment plan created
• astute dentist is aware of modifiers when they limit ability to make appropriate tx plan that satisfies the patients dental needs and personal desires

Question 17

list examples of dentist modifiers

Answer 17

• Knowledge
  
  • extent and level
    
    • beginning dental student
    • complacent dentist
    • lifelong learner dentist
• Technical Skills
• Tx Planning Philosophy

Question 18

How to develop your tx planning philosophy?

Answer 18

• evidence-based decision making