SCD 1 Flashcards
what age in scotland do you have to be to legally make decisions for yourself
16
what act provides a framework for safeguarding welfare and managing finances of adults with incapacity
adults with incapacity (scotland) act 2000
part 5 of act covers medical and dental
what 5 things could make a person considered to have incapacity
AMCUR
being incapable of …
- acting
- making a decision
- communicating decision
- understanding decision
- retaining memory of decision
if making a decision on behalf of another person what 5 principles of the adults with incapacity act must be followed
decision must..
- benefit the pt
- involve the minimum amount of intervention necessary
- take account the adults wishes (past and present)
- be consulted with relevant others e.g familt
- encourage adult to exercise residual capacity
proxy
suitable substitute adult decision maker for someone without capacity
power of attorney
granted whilst a pt has capacity for someone to act on their behalf should the need arise
can be continuing (financial) POA , welfare POA or combined POA
welfare and combined can consent to dental tx
guardianship order
court appointed person to make decisions on behalf of an adult with incapacity
usually appointed for 3 years at a time
can be financial or welfare
what must be issued before treating an. adult with incapacity
certificate of incapacity
medical practitioners and dentists/nurses with extra training can issue these
what are the 2 types of oral fluoride reservoir
mineral deposits
biologically/ bacteria bound calcium fluoride
community water fluoridation
adjusting natural fluoride content in water to supply to achieve optimum caries prevention whilst minimising fluorosis risk
typically adjusted to 0.5-1.2 ppm fluoride using something like sodium silicofluoride
what is meant by prevalence and equation to work it out
number of cases in a population at a given point in time
number of cases /total number in population = prevalence percentage
what is meant by incidence and what is the equation to work it out
number of new cases developing over a specific period of time in a defined population
incidence rate = number of new cases over period/number of individuals at risk
name 3 different consulting styles
directing - delivery of advice from expert , dominant in healthcare
following - utilises listening, common in situations where sensitivity involved
guiding - complex involving pt and clinician working together to identify and achieve goals
why is fluoride good for teeth
- fluoride in fluid at plaque/tooth interface promotes remineralisation
- fluoro apatite formed is less susceptible to demineralisation
- fluoride is most effective on early carious lesions
acidulated fluoridated mouthwash
low pH stimulates demineralisation of tooth but presence of fluoride promotes remineralisation and allows fluoro apatite to be formed within tooth
other options for community fluoride delivery other than water fluoridation
fluoridated salt,
fluoridated milk,
fluoridated mouthwash
impairment
impairment - any loss/abnormality of psychological, physiological or anatomical structure at an organ or system level
what is the purpose of the equality act 2010
legally protects people from discrimination in the workplace and in wider society
(includes dental practices)
what are the 9 protected characteristics mentioned in the 2010 equality act
race, religion, disability, age, pregnancy, gender reassignment, sex, sexual orientation, marriage status
what concentration is duraphat fluoride varnish
22600 ppm
should be applied 2-4 times per year
what is the toxic dose of fluoride
estimated at 5-8mg per kg of body weight
what age of children are at greatest risk of developing flurosis
children under 3
flurosis caused by systemic ingestion of fluoride, caries benefit from topical application
disability
disability - activity restricted by impairment - inability/restricted ability to perform and activity due to the impairment
impairment leads to disability which leads to handicap
handicap
think handicapped
makes ordinary activities more difficult than they are for other people due to disability
impairment leads to disability which leads to handicap
