PMHP Flashcards
GDC Principles 1-5
- put patient interests first
- communicate effectively with patients
- obtain valid consent
- maintain and protect patients’ information
- have a clear and effective complaints procedure
GDC Principles 6-9
- work with colleagues in a way that is in patients’ best interest
- maintain, develop and work within your professional knowledge and skills
- raise concerns if patients are at risk
- make sure your personal behaviour maintains patients’ confidence in you and the dental profession
consent must be these 6 things
voluntary still valid specific to treatment appropriately informed have capacity no pressure or coercion
5 factors of capacity
ability to decide to make a reasoned decision ability to understand will later remember ability to communicate
what changes at age 16
presumption of capacity from age 16 unless proven otherwise
parental responsibility ends at age 16
when is consent not required
- emergency clinical setting
- treatment must be least restrictive of patient’s choices
- continue to provide care if incapacitated then explain to them once capacity regained
consent can be
implied or explicit
implicit consent
sufficient for minor procedures
explicit consent
required for major or invasive procedures
when do you need written consent
for GA or conscious sedation - written consent must be filed safely and pre treatment steps must be recorded also
causes for complaint
deficiency in clinical standard confidentiality breach consent not obtained lack of professionalism inappropriate conduct
negligence
the omission to do something which a reasonable practitioner would do, or doing something which a reasonable practitioner would not do
clinical negligence
- dentist owed a duty of care
- that duty/standard of care was breached
- this caused/materially contributed to damage
- this damage was reasonably foreseeable and have negative consequences and effects
* all of the above must be met for it to be considered true negligence
dental fear
normal reaction to threatening stimuli in dental environment
dental anxiety
sense of apprehension that something dreadful is about to happen and sense of loss of control
dental phobia
severe anxiety manifested by reaction to objects / procedures e.g. LA or sound of handpiece
aetiology of dental anxiety
negative experiences family/peers media representation of dentistry expectation of pain/discomfort poor knowledge of modern analgesia
dental anxiety treatment
anxiety diminishing style - acknowledge their anxiety / gain trust / realistic info / prove predictability
specific pharmacological support - benzodiazepine / nitrous oxide sedation
coping strategies - distraction / relaxation
dental health problems - depression
low mood / anhedonia / lethargy
neglectful OH, tricyclic antidepressants = xerostomia, poor immune system = increased chance of periodontal disease
severe = poorer OH, higher incidence of edentulism, comfort eating so higher sugar intake
dental health problems - anxiety
high corticosteroid problems - prone to getting acute necrotising ulcerative gingivitis
lower tooth brushing frequency
hyposalivation common
dental health problems - stress
either constriction or dilation of salivary ducts
constriction - plaque build up
dilation - salivary derived calculus
TMD often present, myofacial pain syndrome, bruxism
dental health problems - anorexia nervosa + bulimia
AN - intentional restriction of food and increased exercise
B - Russel’s signs of calloused hands from vomiting and lingual erosion of teeth
dental health problems - burning mouth syndrome
burning sensation of oral mucosa (tongue, hard palate, lips), xerostomia, may be post-menopausal
globus hystericus - mental perception of having a lump in the throat
often present with anxiety and depression
CBT helps
