PMPH Flashcards
questions to ask a pt who smokes and wants to quit
how many per day
how many years
have you tried quitting before
what worked when you tried quitting before
how long did you manage to quit for
what type do you smoke
did you try any nicotine alternatives
services to refer a pt to for smoking cessation
local pharmacy
smoking cessation groups
models/approaches to give a dental student advice
3 As
- ask
- advise
- act
5 As
- ask
- advise
- assess
- assist
- arrange
advice to give pt regarding e-cigs
considered a better alternative to cigs
do not know the long term effects
keep away from children
other methods such as nicotine replacement therapy work better
they still contain nicotine and potentially other harmful chemicals
what is the most common cause of facial trauma in a female pt
domestic violence
forms of abuse that may be involved in domestic abuse
physical
emotional
financial
sexual
verbal
what process should you follow to ask about the possibility of domestic abuse and describe these
AVDR
[ask, validate, document, refer]
A - ask about abuse, when pt alone, no judgemental language, may not be ready to answer
V - validate pt, it is not their fault
D - document in notes using pt works, be specific about injuries
R - referral means signposting, pt needs to contact people themselves so give them these services
do not try to deal with issue yourself
physical signs of domestic abuse
black eyes
cuts on face
bruising ‘grab’ marks on arms
limping
strangling marks
hard to walk
hard to breathe
withdrawn
categories of pts who may be at higher risk of domestic abuse
women
women 16-24, men 16-19
mental illness
diability
long term illness
pregnant women
separated women
give the definition of dependence [smoking]
physiological and psychological dependence
cravings and withdrawals
pt tells you it is not the right time for him to quit
what do you do?
tell him that it is okay
document discussion in the notes
ask each time you see him with the same referral and methods
types of e-cigs
disposable
refillable
rechargeable
advanced personal vaporizor
general health effects of smoking
lung cancer
COPD
hypertension
coronary artery disease
stroke
pneumonia
bronchitis
oral health effects of smoking
oral cancer
xerostomia
periodontal disease
caries
staining
failure of implants
halitosis
health promotion approaches in Scotland to reduce smoking
hidden storage of products in store
harmful effects of smoking on packaging
cigarette sales 18 +
