SPECIAL CARE DENTISTRY – PATIENT’S PERSPECTIVES

Question 1

special care dentistry is concerned with

Answer 1

improvement of oral health of individuals and groups in society who have an impairment or disability which may be

Question 2

physical assistants for those in special care

Answer 2

• wheelchair access
• ramp/wide doorways
• hoist
• stand aid/turner
• access to dental chair from each side
• knee break chair
• bariatric facilities
• side boards

Question 3

MCA 2005

Answer 3

presume capacoity
invididuals supported to make own decisions
unwise decisons can be allowed
best interests
less restrictive options (GA considered the most restrictibve)

Question 4

MCA states a person cannot make the decison themsevles if

Answer 4

• understand the information relevant to the decision
• retain the information
• use or weight up the information as part of the process making the decision

Question 5

what happens if there is lack of capacity

Answer 5

best interest meetings held
idenfity all relevant circumstances
find out persons view
avoid discrimination
assess whether person may gain capacity  

try to consult

• anyone previously named by the individual
• anyone engaged in caring for them
• close relatives and friends
• any attorney appointed under a Lasting Power of Attorney or Enduring Power of Attorney
• any deputy appointed by the Court of Protection to make decisions for the person

Question 6

advanced decision

Answer 6

• legally binding decision that allows someone 18+ while still capable to reduced specificied medical treatment for a time in the future when they may lack capacity to consent or to refuse that treatment

Question 7

lasting power of arrotney

Answer 7

• someone appointed by the individual to enable to make deficiosn about health/welfare and financial descions or both

Question 8

independant mental capacity advocate

Answer 8

• person appointed to support a patient who lacks capacity with best interest decisions where there are no close family or friends
• to speak up and support the pt in decision making

Question 9

court of protection

Answer 9

• oversees operation of MCA and issues with, inc financial and serious healthcare matters
• concerns those who lack mental capacity to make their own decisions
• resolves serious disputes about best interest decisions

Question 10

how can you manage pts

Answer 10

clinical holding
sedaiton
GA

Question 11

diet and pts

Answer 11

those with LD have increase risk of being overweight

Question 12

issues with OH

Answer 12

• dexterity
• access (malocclusion, involuntary movements, facial deformity)
• co operation
• flavour aversion
• swallow impairment
• training of carers
• gag reflex

Question 13

commincation

Answer 13

The process of creating, interpreting and negotiating meaning. It may be aural, visual or even physical.

Question 14

communication models

Answer 14

1) linear
- uni directional transfer of a message no feedback
2) interactive
- two way exchange of information includes feedback, contact and noise
3) transactional
- simultaneous communication whereby a message is created between 2 or more people

Question 15

reasons for limited communicaiton opportunities

Answer 15

limited range of interactions 
oral/muscualr impairments
delays in speech
limted language use
illness
difficulty establishing rapport

Question 16

advanatges of symbols and photo communication

Answer 16

• can aid pts with communication impairments understand information
• can help people tell you what they need and make choices where people do not communicate verbally or their speech can be hard to understand
• increases independent, self expression and participation