Planning for Dental Hygiene Care Chapter 23

Question 1

what are some patient interview data?

Answer 1

• chief complaint
• oral problem identification
• comprehensive personal/social
• medical and dental health histories

Question 2

what are physical assessment data?

Answer 2

• vital signs
• extraoral/intraoral tissue examination
• dental/periodontal chartings

Question 3

What are the characteristics of a dental hygiene diagnosis?

Answer 3

• Focuses on client conditions, behaviors, or risk factors
  related to oral health and disease
• Focuses on client conditions, behaviors, or risk factors
  related to oral health and disease
• Focuses on client conditions, behaviors, or risk factors
  related to oral health and disease
• Focuses on client conditions, behaviors, or risk factors
  related to oral health and disease

Question 4

Making a dental hygiene diagnosis includes identifying the following:

Answer 4

• Problems or unmet needs that can be met through dental hygiene care
• Factors contributing to or causing the unmet needs (causes and risk factors)
• Evidence to support the dental hygiene diagnosis (signs and symptoms)

Question 5

what is preliminary diagnosis?

Answer 5

When the dental hygienist identifies oral disease such as gingivitis or early periodontitis

Question 6

What does the dental consultation and referral indicate?

Answer 6

if a client displays signs and symptoms of an oral disease that requires diagnosis and treatment by the dentist

Question 7

What does a medical consultation and referral indicate?

Answer 7

if a client displays signs and symptoms of systemic conditions that require diagnosis and treatment by a physician

Question 8

To recognize significant data, consider the following: (using standards to validate diagnoses)

Answer 8

• Oral and systemic health status that deviates from normal limits
• Behavior or condition indicating a developmental lag or risk to health or personal safety

Question 9

Diagnostic statements:

Answer 9

• provide a basis for planning interventions within scope of DH practice.
• Reflect expected outcomes of DH interventions. Identify patient responses that are changeable by DH interventions.
• Exclude diagnoses that require treatments legally defined as dental practice.

Question 10

A diagnosis should be accompanied by noting:

And Examples:

Answer 10

• Factors that led to the condition or at-risk problem
• Objective signs observed by the hygienist
• Subjective symptoms reported by the client

Examples:
• Halitosis as result of bacterial biofilm on tongue
• Cervical hypersensitivity on#20 buccal as result of recession
• Generalized gingivitis due to generalized moderate bacterial biofilm

Question 11

What are the common errors in writing a Statement

Answer 11

• Using emotional terms
• Including a dental or medical diagnosis •Presenting the cause as the diagnosis
• Presenting signs and symptoms as the diagnosis rather than in terms of the client’s unmet needs

Question 12

What are factors that determine prognosis

Answer 12

• Assessment data regarding current disease status
• the patient’s risk factors
• the patient’s commitment to personal care and prevention regiments
• interventions with the potential to reverse a patient’s oral problem
• treatment alternatives
• evidence from the scientific literature

Question 13

Periodontal Status: Type 1

Answer 13

Gingival Disease:

inflammation of the gingiva characterized by changes in color, form, size, position of margin, with bleeding on probing.

Question 14

Periodontal Status: Type 2

Answer 14

Early Periodontitis:
progression pf inflammation into the deeper periodontal structures with bone loss and connective tissue attachment; sub gingival calculus and measurable pocket depth with bleeding on probing.

Question 15

Periodontal Status: Type 3

Answer 15

Moderate Periodontitis: A more advanced state of the preceding type, with increased destruction of the periodontal structure; mobility and fremitus

Question 16

Periodontal Status: Type 4

Answer 16

Advanced Periodontitis: inflammation with increased probing depths with bleeding, major loss of bony support, furcation invasions, and possible evidence of trauma; mobility and fremitus, and other signs and symptoms.