Prev. Dental Hygiene
Dental Hygiene Diagnosis
Identification of an existing or potential oral health problem that a dental hygienist is qualified and licensed to treat.
Interprofessional Team
A group of healthcare professionals and their patients who work together to achieve shared goals. The team can consist of the Dental Hygienist, Dentist, =Physician, Nutrionist, Smoking Cessation counselor, nurse practitioner, etc.
Public Health Supervision
Allows DH to provide care without authorization of a dentist according to protocols established by state laws and regulations when the DH is delivering the services in alternative settings.
Documentation
Complete and accurate recording of all collected data, interventions planned and provided, recommendations, and other information relevant to client care and treatment
Definitive Care
Complete care; end point at which all treatment required at the time has been completed.
Evidence-based care
Providing oral care based on relevant, scientifically sound research.
Independent Contractor
this DH may own equipment and lease space in a dental office or clinic under contractual arrangement, usually made with a dentist. Rather than being paid a salary and having the overheads paid by the Dentist or other, the DH is self employed.
Client, Environment, health and oral health, dental hygiene actions
What are the FOUR MAJOR CONCEPTS of the paradigm for the discipline of Dental Hygiene as defined by the ADHA?
Dental Hygienist's
licensed preventive oral health professionals who have graduated from accredited dental hygiene programs in institutions of higher education.
ASA I
-Able to walk one flight of stairs without distress. -ADL/IADL level=0.
ASA V
-ESRD -Hepatic -Infectious Disease -Terminal Cancer
ASA III
-Must stop walking EN ROUTE -Chronic CAD conditions -Controlled ID-DM -Chronic pulmonary diseases -HTN -ADL/IADL level = 2 OR 3
ASA IV
-Unable to walk stairs -UNSTABLE CAD -HTN "extreme" -Uncontrolled Seizures -Uncontrolled DM
ASA II
-Well controlled chronic conditions -URI's -Healthy Pregnant woman -Allergies -ADL/IADI level = 1
Modifiable Risk Factors
A determinant that can be modified by intervention, thereby reducing the probability of a disease.
Instrumental activities of Daily living
A measure of the ability to perform more of the complex tasks necessary to function in our society; tasks that requires a combination of physical and cognitive ability.
Conceptual Model
A school of thought within a discipline.
Risk Factor
An attribute or exposure that increases the probability of a disease, such as an aspect of personal behavior, environmental exposure, or an inherited characteristic associated with health-related conditions.
Dental Hygiene Care Plan
An organized presentation or list of interventions to promote health or prevent disease of the patient's oral condition. The plan is designed by the Dental Hygienist and consists of services that the dental hygienist is educated and licensed to provide.
Direct Access
DH Are able to provide services they determine appropriate without specific authorization.
Intervention
DHYG services rendered to clients as identified in the dental hygiene care plan. These services may be clinical, educational, or health promotion related.
Implementation
Delivery of dental hygiene services based on the dental hygiene care plan while minimizing risk and optimizing oral health.
OSCAR Oral, Systemic, Capability, Autonomy and Reality.
Developed by the American Academy of Oral Medicine to provide a convenient, systematic approach identifying dental, medical/pharmacologic, functional, ethical, and fiscal factors that need to be evaluated and weighed when planning treatment for GERIATRIC individuals or those with DISABILITIES.
Environment
Factors other than dental hygiene actions that affect the clients attainment of optimal oral health.
Educational
In the Responsibilities of the Dental Hygiene CLINICIAN, what is represented below: Methods employed in both preventative and therapuedic aspects of clinical dental hygiene care to explain concepts regarding oral disease and health, to demonstrate self care techniques, to reinforce learning, to evaluate understanding and to determine ability to perform desired behaviors (e.g teaching toothbrushing and flossing.)
Therapeutic
In the Responsibilities of the Dental Hygiene CLINICIAN, what is represented below: Methods employed to arrest or control oral disease (e.g scaling and root planing periodontally involved teeth.)
Preventative
In the Responsibilities of the Dental Hygiene CLINICIAN, what is represented below: Methods employed to prevent oral disease and promote health (e.g applying topical fluoride to teeth.)
Oral
In treatment planning with Oscar, which is the issue for the following factors of concern: -Teeth, restorations, prosthesis, periodontium, pulpal status, oral mucosa, occlusion, saliva, tongue, alveolar bone.
Autonomy
In treatment planning with Oscar, which is the issue for the following factors of concern: -Decision-making ability, dependence on alternative or supplemental decision makers.
Capability
In treatment planning with Oscar, which is the issue for the following factors of concern: -Functional ability, self care, caregivers, oral hygiene, transportation appointments, mobility with the dental office.
Systemic
In treatment planning with Oscar, which is the issue for the following factors of concern: -Normal age changes, medical diagnosis, pharmacological agents, interdisciplinary communication.
Reality
In treatment planning with Oscar, which is the issue for the following factors of concern: -Prioritization of oral health, financial ability or limitations, significance of anticipated life span.
Planning
In which step of ADPIE does the hygienist present and document the dental hygiene care plan to the patient?
Compromised Therapy
Initial therapy and continued periodontal maintenance provided as the therapeutic end point in cases where the severity and extent of the disease or the age and health of the patient preclude optimal results of periodontal therapy.
Dental Hygiene Actions
Interventions that a DH can initiate to promote oral wellness and to prevent or control oral disease.
Evaluation
Review and assessment of the outcomes of dental hygiene care.
The Dental Hygiene Diagnosis
The Chapter Outline: I.Basis for Diagnosis II.Diagnostic Statements III. Diagnostic Models.
The Periodontal Diagnosis
The Chapter Outline: I.Current Periodontal Status II.Case Type III.Classification of Periodontal Disease. IV. Parameters of Care
Considerations for Providing Care
The Chapter Outline: I.Role of the patient. II. Tissue conditioning. III. Preprocedural Antimicrobial Rinsing. IV. Pain and Anxiety Control. V. Maintenance During Dental Therapy. VI. Four-Handed Dental Hygiene
Assessments
The Chapter Outline: I.The Chief Complaint II.Risk Factors III.Patient's Overall Health Status IV. Oral Healthcare Knowledge Level of the patient. V. Patient's Self Care Ability VI. Documentation of Self Care Data.
The Dental Hygiene Prognosis
The Chapter outline: I. Criteria for various prognosis II. Factors that Determine prognosis III. Expected Outcomes
decoding
The ability to decipher a message
Cultural Competence
The awareness of cultural difference among all populations, respect of those differences and application of that knowledge to professional practice.
Assessment, Diagnosis, Planning, Implementation, Evaluation, Documentation
There are 6 steps in the dental hygiene process of care. Which one is listed in the correct order?
Convey empathy
The client begins telling you about her experience of being abused as a child. This information is making you uncomfortable. Which action would be appropriate.
Health and Oral Health
The clients state of being as it exists on a continuum from optimal wellness to illness and fluctuates over time as the results of biologic, psychologic, spiritual, and developmental factors.
Client
The concept of this word refers to the potential or actual recipients of DHYG care, and includes persons, families, groups and communities of all ages, genders, socio-cultural and economic states.
Evidence-Based Practice
The conscientous, explicit, and judicious use of current best evidence in making decision about the care of individual clients. The pactice of evidence-based DHYG requires the intergration of individual clinical expertise and client preferences with the best available external clinical evidence from systematic research.
Assessment
The critical analysis and evaluation or judgment of a particular condition, situation or other subject of appraisal.
Planning
The establishment of realistic goals and outcomes based on clients needs, expectations, values, and current scientific evidence to plan dental hygiene interventions to facilitate optimal oral health.
Diagnose
To identify or recognize a disease or problem.
Chief complaint
The patients concern as stated during the initial health history preparation; may be the reason for seeking professional care; a complaint such as pain discomfort may require emergency medical diagnosis.
Patient
The potential or actual recipient of dental hygiene care, including persons, families, groups , and communities of all ages, genders and socio-cultural and economic states.
Client
The recipient of dental hygiene care.
Outcome
The results derived from a specific intervention or treatment
Assessment
The systematic collection of data to identify oral and general health status based on client problems, needs and strengths.
emotional state
The tone of one's voice can provide invaluable information about one's
Diagnosis
The use of critical decision-making skills to reach conclusions about the clients dental hygiene needs based on all available assessment data and evidence in the literature
Professional Model
This model perceives the paradigm concept of dental hygiene actions to be KNOWLEDGE BASED.
Occupational Model
This model presents the concept of dental hygiene actions as TECHNICALLY BASED.
-Assessment -Diagnosis -Planning -Implementation -Evaluation -Documentation
What are the dix hey behaviors in the Dental Hygiene Process?
corporate, researcher, educator, public health, administrator, entrepreneur, clinician
What are the seven professional roles of the Dental Hygienist as identified by the American Dental Hygienists' Association?
acknowledge the child's feelings
What is an acceptable technique for communicating with an uncooperative child?
having client voice the arguments for positive change
What is the goal of motivational interviewing?
Licensure
What is the process by which a government agency certifies that individuals are minimally qualified to practice in its jurisdiction?
therapeutic communication
Which is the process of sending and receiving messages that serve to assist the client in making decisions and obtaining health and comfort goals?
It is a review of key points
Which is the purpose of a verbal summary
General
Which level of supervision specifies that the dentist must authorize services provided by the dental hygienist but does not need to be present in the office at the time the services are rendered?
ADHP
Which practice model is the result of the Surgeon General's National Call to Action to Promote Oral Health?
Dental Hygiene Prognosis
a Judgement regarding the results (outcomes) expected to be achieved from oral treatment provided by a dental hygienist.
Activities of Daily Living
a measure of the ability to carry out basic tasks needed for self care.
Prognosis
a predication or outcome; a forecast of the probable course and outcome of a disease and the prospect of recovery as expected by the nature of the specific condition and the symptoms of the case.
Diagnosis
a statement of the problem; a concise technical description of the cause, nature or manifestations of a condition, situation or problem; identification of a disease or deviation from normal condition by recognition of characteristic signs and symptoms.
Dental Hygiene Process
a systematic approach to dental hygiene care that involves six key behaviors, or steps . -Assessment -Diagnosis -Planning -Implementation -Evaluation -Documentation
Interprofessional collaboration
a team approach to comprehensive client-centered care by multiple health professionals with different backgrounds working together to provide quality care.
Paradigm
a widely accepted worldview of a discipline that shapes the direction and methods of its practitioners, educators, administrators and researchers.
Patient-Centered
approaching services from the perspective that the client is the main focus of attention, interest, and activity. The clients values,
Differential diagnosis
identification of which one of several diseases or conditions may be producing the symptoms.
American Society of Anesthesiologists
originally developed the ASA classification to determine modifications necessary to provide general anesthetic to patients during surgical procedures.
Independent dental hygiene practitioner
owned their own business, or independent practice, and provides preventative oral healthcare services to the public as primary care provider where permitted by law.
Anticipatory guidance.
patient education and oral hygiene instructions that anticipate potential oral and systemic health problems associated with risk factors identified during patient assessment.
Direct supervision
practicing with a dentist present in the facility where treatment is being rendered, commonly a private dental practice.
General Supervision
requires a dentist to authorize services provided by a DH, be there is no need for the dentist to be present.
territoriality
the need to maintain one's right to personal space
Dental Hygiene
the science and practice of preventative oral healthcare, including the management and behaviors to prevent oral disease and to promote health.