Flashcards in Fundamentals Quiz 1 Deck (58)
Purpose of Personal, Dental, and Health Histories
Collecting and recording personal, dental, and health histories will provide information that the dental hygienist needs to assess risks and contraindications that may influence treatment planning and determine the need for supportive medical consultation.
The personal, dental, and health histories are legal documents that enable hygienist to:
• Understand patient concerns, attitudes, and goals for the dental visit;
• Establish patient rapport;
• Document baseline information regarding a patient's complete health status;
• Identify key risk factors that affect the provision of dental hygiene care;
• Determine the need for a medical consultation;
• Prepare preoperative and postoperative care plans for the prevention of medical emergencies;
• Facilitate medical and dental diagnoses of various symptoms and conditions;
• Recognize special physiologic states, such as pregnancy or menopause;
• Identify patient’s social determinants of health;
• Manage risks, and minimize potential litigation.
Using a _____ ____, ____ ____ ____ is recommended as the dental hygienist creates a dialog to establish a ____ relationship with the patient that will promote quality care.
1. Culturally sensitive, patient centered approach
The ___ ____ can uncover patient perceptions, motivation, and value of dental care
The ___ ____ provides information relating to past experiences, recognizes chief complaints, and guides treatment modalities.
The ___ ____ identifies existing medical conditions that may influence clinical procedures and outcomes or identify the need for prophylactic antibiotic premedication.
During the psychologic, systemic wellness, and oral evaluations, the foundation for __ ___making develops.
A __ ___ __ includes documentation, building rapport through patient-centered interviewing, and verifying key elements to guide care planning.
complete Health History
A preferable design health history includes a clearly-demarcated area, usually at the top of the form, to identify ___ ___ information.
Critical Medication at top of form includes
High-risk med alerts
prophylactic antibiotic premedication
The __ __ health history is the first step in building rapport and trust with a patient. One of the primary objectives is to form __ ___ - ___ parternship
2. Dental Hygienist- Patient Partnership
The Dental Hygienist- Patient partnership maintains a mutual goal of
the patients overall well being
Potential barriers to effective communication
- Presence of a physical or mental disability
- Low level of health literacy (basic reading and math)
Patient Risk Factors/Social Determinants of health
Can affect a patients willingness or ability to seek dental care
poor living conditions)
process to elicit the patient's emotions and personal health agenda that allows for a better understanding of the psychosocial context for disease.
- Shifts the focus to patient concerns, anxieties and perceptions of disease
5 Steps in patient centered Interviewing are:
1) establishing a private setting
2) elicit the patients chief concerns/setting agenda for appointment
3) using open-ended questioning to help the patient express herself or himself
4) using active listening and response techniques
5) briefly summarizing the interview for accuracy, clarification, confirmation
Interview should occur in a private setting unless the patient is ____ or a ___ is needed
Theme in patient-centered interviewing is asking what???
"What has brought you in today?"
Enables the clinician to obtain a deeper understanding of the patients concerns, improves the therapeutic relationship, and increases patient and provider satisfaction.
Motivational Interviewing Techniques
modify patient behavior during the interview process promotes better communication and elicits change talk
a technique that encourages patients to discuss their desires, abilities, reasons, and need for dental care.
During the health history interview, the dental hygienist should observe the ____, ____ ____, ___ ____as part of the patient assessment process.
use of eye contact
nonverbal communication, and body language
Patients experiencing stress, fear, and anxiety during the dental visit may be at risk for medical emergencies such as ___, _____, _____
vasovagal syncope (a common cause of fainting), cardiac arrhythmia (irregular heart beat), or hyperventilation (rapid or overbreathing).
____and __ ____ techniques and protocols should be part of the interview process and incorporated into the dental hygiene care plan as a strategy to avoid a medical emergency
patient-centered interview is an opportunity for the dental hygienist to apply effective verbal and nonverbal communication skills while adhering to two ethical obligations:
1) Honest Listening without prejudgment
2) hoenst responses without bias
Back Channeling means
using words inlcuding "I see" or gestures such as nodding with attention/demonstrates active listening
The use of __ ___ questions require the patient to offer more than a yes or no response
open ended questions
contain demographic information, the patient's chief complaint, and the personal, dental, and medical or health histories.
Comprehensive Health History