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IODC - Communication > Working w/ Children > Flashcards

Working w/ Children Flashcards

1
Q

How many children display disruptive behaviour?

A

20-25%

Correlated w/ age and type of procedure

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2
Q

How can distress be manifested?

A

Verbal: crying, moaning, screaming
Behavioural: flinching, blocking

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3
Q

How can contribute to disruptive behaviour?

A

Early experience: classic conditioning/ observation

Pain experience: sensitivity/ pain threshold

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4
Q

How can first impressions help behaviour?

A 
Positive approach - meet child in waiting room
Use first name
Position self same level
Be encouraging
Use play and the environment
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5
Q

What are non-pharmacological ways of dealing w/ behaviour?

A 
Effective communication
Tell-show-do
Distraction
Positive reinforcement
Stop signals
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6
Q

What are pharmacological ways of dealing w/ behaviour?

A

Pain control: topical, local, conscious sedation, GA

Evidence doesn’t reduce anxiety

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7
Q

What is behaviour shaping?

A

Reinforcement is strengthen pattern of behaviour - increase chance of behaviour being displaced in future

+ve reinforcement

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8
Q

What is systemic desensitisation?

A

Exposure to hierarchy of fear producing stimuli

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9
Q

What is sedation?

A

Technique in which use of drug produces state of depression on central nervous system
Allows tx to be carried out and verbal contact can be maintained

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10
Q

What is GA?

A

Technique which produces loss of consciousness

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11
Q

What is physical intervention?

A

Any manual method of physical or mechanical device, material and equipment which immobilises or reduces pt ability to move freely

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12
Q

What is guidelines for physical intervention?

A

Restraining device not acceptable un UK
Least acceptable behavioural management technique
Inappropriate use of restrictive physical intervention may give rise to criminal charges

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13
Q

How can developmental milestones be used in dentistry?

A

Allows better understanding to how children develop, how to effectively communicate and be aware of any potential developmental problems

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14
Q

What are the physical, cognitive and sensory milestones of a baby (6mnths)

A

Physical - lift head, head follow movement, reach and grab
Sensory - like moving object, focus eyes, distressed sudden noise
Cognition - laugh and vocalise, cry, understand cause and effect

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15
Q

How to interact with baby - 6 months

A

Allow baby to touch object - learn via touch
Allow baby to hold/play object
Face-face communication
Introduce things slowly and demonstrate all objects make sound

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16
Q

What are (P,C,S) milestones of baby - 12 months?

A

Physical - crawl, point to object, pick of onject
Sensory - visual memory, respond to name
Cognitive - speak 2-6 words, understand simple instruction

17
Q

How to interact baby - 12 months?

A 
Provide interesting environment
Use baby name
Provide simple instruction
Encourage role play
Reassurance 
Use familiar items e.g teddy
18
Q

What are (P,C,S, E) milestones of toddler - 2 years?

A

Physical - able bodies
Sensory- listen to convo
Cognitive - speak 200+ words
Emotional/social - express how feel, clingy and independent

19
Q

How to interact w/ toddler - 2 years?

A

Provide simple instruction
Use toys, books to gain interest and explain
Encourage to express feelings

20
Q

What are (P,C, S, E) milestones of pre-school -5 years?

A

P- increased agility and co-ordination
S- increased attention
C- fluent speech
E - likes/ dislikes

21
Q

How to interact w/ pre-schooler?

A

Encourage simple task (brush teeth)
Involve child
Explain, encourage q’s
Respond via praise/ reward

22
Q

What are (P,C,S,E) milestones of child - 8/12yrs?

A

P- rapid growth and development
C- can remember, think and reason, abstract ideas
E - sensitive to criticism, increased self-conscious

23
Q

How to interact child - 8/12?

A

Encourage talk about feelings

Provide information - informed choices (shared decision making)

24
Q

What are (P,C,S,E) milestones of adolescent -13/16yrs?

A

P- puberty, rapid growth
C - plan ahead, think possibilites
E - self conscious, anxious, socially skilled

25
Q

How to interact adolescent - 13-16yrs?

A

Avoid criticism
Detailed explanation tx
Information provision
Approaching age can give informed consent

26
Q

What communication skills can be aimed towards children?

A
  1. Child specific - simple language, easy understood words

2. Tell-show-do

27
Q

Summary of tx children?

A 
Establish supportive environment 
Demonstrate interest 
Listen
Encourage: support
Use open, exploratory q's
Explore childs perspectives 
Adjust language
28
Q

What are the benefit of parent being absent?

A

Improved compliance and gain childs attention

29
Q

What are benefits of parent being present?

A

Enhance effective communication between dentist, child and parent
Minimise anxiety and achieve +ve experience

IODC - Communication (4 decks)

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