Wilkins Chapter 25: The Dental Hygiene Care Plan

Sequence

A continuous or related series of things (such as dental hygiene interventions) following in a certain order or succession.

The rationale of a written dental hygiene care plan

-Focuses on individualized patient needs and risk factors -Prioritizes the sequence of planned treatment and education -Provides a checklist to ensure all planned interventions are accomplished

Objectives of written plan

-Plans for patient care needs based on data assessment -Is flexible and realistic -Contains treatment and education goals -Provides interventions and recommendations based on scientific evidence

Description of written care plan

-Predicated on the dental hygiene diagnosis -Composed of integrated plans for care and control of perio disease, caries control, management of risk factors, & preventative interventions -Integrated into a total treatment plan that incorporates patient's needs

Plan for caries control includes:

-Remineralization program -Fluorides -Dental sealants -Dietary control of fermentable carbohydrates

Purposes for explaining the plan to the patient

-To provide the patient with information needed to give informed consent for treatment -To reinforce the patient's role in setting and reaching oral health goals

The 10 components of a written care plan

1. Demographic data 2. Assessment findings & risk factors 3. Periodontal diagnosis & status 4. Caries risk status 5. Diagnostic statements 6. Planned interventions 7. Expected outcomes 8. Evaluation methods 9. The appointment plan 10. Re-evaluation

The 3 parts of a dental hygiene care plan

1. Description- predicated on the dental hygiene diagnosis 2. Rationale- focus on individualized patient needs and risk factors 3. Objectives- plans care for patient needs; is flexible and realistic

Information disclosed to obtain informed consent

1. Diagnosis 2. Treatment 3. Alternatives 4. Consequences 5. Prognosis

The five areas of information you discuss with the patient when obtaining informed consent

1. Diagnosis 2. Treatment 3. Alternatives 4. Consequences 5. Prognosis

The oral environment assessment looks at:

1. Oral mucosa 2. Teeth 3. Periodontal supporting structures 4. Patient's individual health

The reasons for preparing a well-sequenced dental hygiene care plan

1. To provide evidence-based, individualized patient care 2. To eliminate or control etiologic and predisposing disease factors 3. To eliminate signs & symptoms of disease 4. To promote oral health & prevent recurrence of disease

Factors that affect the sequence of care

1. Urgency (discomfort or pain) 2. Existing etiologic factors 3. Severity and extent of the condition 4. Individual patient requirements

Total treatment plan

Sequential outline of the essential services and procedures that are carried out by the dentist, the dental hygienist, and the patient to eliminate disease and restore the oral cavity to health and normal function.

It's every patient's right to possess knowledge that:

-Aid the patient in making optimal decisions -Allow shared decision making with the oral care provider while treatment is being planned

Three individual patient requirements that require significant adaptations in written DH care plan

-Antibiotic premeditation -Systemic diseases -Physical disabilities

The findings that indicate severity of gingival/periodontal infection

-Changes in color, size, shape, or consistency -Probing depths -BOP (bleeding on probing) -Mobility of teeth -Clinical attachment loss/bone loss

Informed refusal

A patient's decision to refuse recommended treatment after all options, potential risks, and potential benefits have been thoroughly explained.

Informed consent

A patient's voluntary agreement to a treatment plan after details of the proposed treatment have been presented and comprehended by the patient.

Implied consent

Is granted by the patient's presence in the dental chair; only applies to nontreatment procedures, such as data collection, and treatment planning

A factor that might affect the sequence you select for quad scaling and root planing in a DH care plan

Patient complaint of pain associated with a periodontal abscess

Dental hygiene care plan

The services within the framework of the total treatment plan to be carried out by the dental hygienist.

Phase IV Maintenance

This phase consists of: -Appointments for continuous care and supervision -Refining biofilm control techniques

Preliminary phase

This phase consists of: -Assessment data collection -Emergency care (pain, biopsy)

Phase I Therapy

This phase consists of: -Dental biofilm removal -Introduction of additional preventative measures -Calculus removal -Correction of restorative and prosthetic irritants -Restorative caries control

Phase III Restorative

This phase consists of: -Final restorations -Fixed/removable prostheses

Phase II Surgical

This phase consists of: -Periodontal -Endodontic -Implant placement

Prioritize

To arrange in order of importance.

Intervention

To happen or take place between other events; to intervene, as with a specific treatment.

True

True of false? The primary objective of the dental hygiene plan for periodontal therapy is to restore and maintain health of the periodontal tissues.

False

True or false? Dental hygiene care is planned to address the needs of only one part of the oral cavity.

True

True or false? Informed consent can be lacking even when a document has been signed if the patient has not had the opportunity to comprehend and evaluate the risks and benefits of the suggested treatment.

Consent

Voluntary agreement to an action proposed by another.