Special Care Flashcards
reasonable adjustments
changing the way things are done, changing physical or adding aids/services to make more accessible
visually impaired pt
give modifications within dental practice
no obstacles, clearly lit, assistance in navigation, explain chair movements and procedures, braille, slow speaking and communication
wheelchair pt
accomodations in environment
ramps, lifts, ground floor surgery, wide corridors/doorway, accessible parking, low reception
hearing impaired pt
modifications
portable induction loop, BSL interpreter, visual aids, send information in text/email rather than over the phone, quiet tx environment
acquired causes of visual impairment
cataracts, diabetic retinopathy, glaucoma
techniques to support brushing in an older person
watch show do
modified bass technique
putty to mold around toothbrush - allowing easier holding/movements
brush with aspiration
priorities for oral health management in pt with dementia
elimination of infection, control of OH, education
IDENTIFY AND RETAIN KEY TEETH, HIGH QUALITY RESTORATIONS
PREVENTATIVE REGIME
mid stage dementia, management of cervical caries
GIC releasing fluoride, inhalation sedation
risks in older people with GA
mortality risk, CV and respiratory risk, cognitive impairment, functional decline
adults with incapacity principles
benefit, past and present wishes, consult relevant others, least restrictive, encourage residual capacity
who can provide capacity assessment in accordance to AwI Act 2000
general medical practioner, consultant under pt care, dentist with further training
common psychiatric conditions
BPD, bulimia, anorexia, anxiety, schizophrenia, depression
pt with psychiatric disorders often have poor OH, name contributory factors
lack of care in OH, side effects of medications such as xerostomia, lack of education, cannot access dentist
barriers to dental care for a schizophrenia pt
may be an inpatient, may be going through an acute episode, rely on carers/family to bring to practice, do not trust the dentist
legislation in the UK to ensure practices are built to allow all people equal access
Equality Act 2010, disability discrimination act 2004
what are the differences in definitions of disability in the medical and social model
medical - defines disability as something that needs fixed or cured medically
social - not just caused by impairment but by inequalities, access, barriers
how to communicate with a pt with cerebral palsy who cannot use sign language or pen/paper
visual aids, talking matt, simple yes/no questions, involve caregivers
how to safely position pt in wheelchair to allow safe dental examination
two person tansfer, hoist, turn table, transfer chair
aspects of cerebral palsy affecting access to mouth
involuntary movements, spasms, limited range of motion, dysphagia, sensory issues, muscle weakness
non-pharmacological aids to improve mouth access
bite blocks, mirror retaction, bedi shield, open wide mouth rest
characteristics of down syndrome
small nasal pasage, facial flattening, small ears, low muscle tone, upward slanting eyes, enlarged tongue
genetic change responsible for DS
extra copy of chromosome 21 [trisomy 21]
medical aspects of DS resulting in lack of capacity
difficulty making decisions, communicating decisions, understanding, retaining memory of decisions
what is the difference between welfare guardian and welfare power of attorney
WG is appointed by court, WPOA is appointed by adult before capacity lost
WG controls health, financial and WPOA only controls health
