Term
| What part of the DH process of care does a patients health history help you determine? |
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Definition
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Term
| What else does assessment include? |
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Definition
1.vitals
2.medical/dental history
3.EO/IO examination
4.Periodontal/dental examination
5.Radiographs
6.Indices
7.Risk assessments |
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Term
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Definition
| information gathered by observations of and statements made by the patient-cheif complaint |
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Term
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Definition
| Clinical examination data |
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Term
| What is the personal information you take while you gather health history? |
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Definition
-name, address, phone number
-DOB
-Marital status
-weight/height
-name and contact info for physician
-name and info of insurance |
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Term
| How does age effect a patients risk for medical condition and disease? |
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Definition
| The older the person, the more at risk they are for these |
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Term
| What is one of the most important aspects of medical history? |
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Definition
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Term
| Why is it important to find out information about the health of close family? |
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Definition
1.provides information about predisposition to certain diseases
2.maybe provide information about cultural beliefs related to health care |
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Term
| Why would you want to gather information about your patients lifestyle? |
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Definition
| to determine how that might impact their oral health |
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Term
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Definition
| the patient should state in their own words while they are seeing treatment |
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Term
| Symptoms of periodontal problems |
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Definition
| itchy gingiva, pressure in gingiva |
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Term
| Signs of periodontal disease |
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Definition
| bleeding, halotosis, tooth mobility |
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Term
| If CC involved something other than periodontal disease then what? |
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Definition
| That must be treated first |
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Term
| Purpose of history taking(5) |
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Definition
1.Ensure proper patient care
2.identify need to modify care
3.to know about medical conditions so you can monitor them
4.To know about medications that impact oral health
5.to promote and enhance communication |
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Term
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Definition
| determines if patient can safely tolerate planned procedure |
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Term
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Definition
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Term
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Definition
| RBC's not providing proper oxygen to cells |
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Term
| What are the different types of anemia? |
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Definition
1.Microcytic anemia(iron deficiency
2.marcocytic anemia(folate and vitamin B12 difficency)
3.Hemolytic(sickle cell) |
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Term
| Which type of anemia needs a med con? |
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Definition
| Hemolytic(Sickle cell)- because it impacts wound healing |
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Term
| Does someone who has a total joint replacement have to take antibiotics before going to the dentist? |
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Definition
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Term
| Bleeding disorders(hematopoietic) |
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Definition
| conditions of the blood clotting system,in which bleeding is prolonged and excessive |
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Term
| What is an examples of an inherited bleeding disorder? |
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Definition
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Term
| What medications and disease cause excessive bleeding? |
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Definition
| coumadin and plavix, liver disease |
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Term
| Do you need a med con for bleeding disorders? |
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Definition
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Term
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Definition
| stable or unstable angina results fron narrowing of the arteries |
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Term
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Definition
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Term
| Do you need a med con for patients with angina? |
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Definition
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Term
| Myocardial infarction(heart attack) |
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Definition
| occurs when area of the heart muscle dies or is permanently damaged because of an inadequate supply of oxygen |
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Term
| How long should you wait after a uncomplicated heart attack to go to a dental exam? |
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Definition
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Term
| Do you have to get a med con for former heart attack patients |
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Definition
| depends on patient(med con possible) |
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Term
| What is a coronary bypass? |
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Definition
| restore patency to blocked coronary arteries |
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Term
| Do you need a med con for Hypertension? |
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Definition
| Possible, if it is high (at least 160/100) |
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Term
| Rheumatic fever/heart murmur |
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Definition
| infection resulting from strep and can involve heart, joints, skin, and brain |
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Term
| Is a med con necessary for Rheumatic fever/heart murmur? |
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Definition
| Possible to determine need for premedication, based on AHA guidelines |
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Term
| New AHA guidelines for premedication(4) |
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Definition
1.artifical heart valves
2.History if ineffective endocarditis
3.specific congenital heart defects
4.cardiac transplant that develops a problem in a heart valve |
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Term
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Definition
| heart muscle is compromised and no longer functioning to full capacity |
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Term
| Do you need a med con for patients with congestive heart failure? |
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Definition
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Term
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Definition
-maintains normal heart rythm
-caution with use of electronic instruments such as ultrasonic scalers because of electromagnetic interference |
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Term
| Does someone with a pacemaker need a med con? |
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Definition
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Term
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Definition
-disorder of heart rhythm
-vascoconstricters should be used with caution
-stress may upset this condition |
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Term
| Does a patient with arrhythmia need a med con? |
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Definition
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Term
| What kind of drugs/medications do you want to make sure the patient tell you that they are taking?(3) |
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Definition
1.Current Medications
2.List of over the counter meds taken on regular basis
3.List of herbal supplements used |
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Term
| What is the basic questions you will as about each drug a patient is on? |
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Definition
1.Name
2.Dose
3.How many times per day
4.When they started it |
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Term
| Benefits of taking medication |
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Definition
| relieve symptoms such as lowering blood pressure, curing infections, or relieving pain |
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Term
| Risk of taking medications |
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Definition
1.Possibility of harmful interaction between med and certain food, beverage, diatary supplement, or anther med
2.Chance that the med will not work as expected
3.Possibility that medication will cause additional problems |
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Term
| What is an example of an endocrine disorder? |
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Definition
| diabetes, thyroid disease |
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Term
| Do you need a med con for endocrine disorders? |
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Definition
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Term
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Definition
| high levels of blood sugar caused by too little insulin, resistance to insulin, or both |
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Term
| What kind of complications arise with diabetes? |
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Definition
| Multiple complications including more severe periodontal disease |
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Term
| How do diabetic patients check their blood sugar? |
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Definition
1.blood sample is taken
2.blood is put on monitor to check glucose levels
3.if glucose levels are too high, insulin is injected, if they are too low carbohydrates are ingested |
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Term
| What is one way to administer insulin? |
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Definition
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Term
|
Definition
1.Hyperthyroid (bigger concern)
2.Hypothyroid (most common) |
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Term
| An example of a neurological disorder(Fits) |
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Definition
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Term
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Definition
| Brain disorder involving recurrent seizures resulting in episodes of disturbed brain function caused by abnormal electrical excitation |
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Term
| Does someone with a neurological disorder such as epliepsy need a med con? |
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Definition
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Term
| What is an example of a gastrointestinal disorder? |
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Definition
-GERD, gastroesophageal refulx disease
-inflammatory bowl diseases |
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Term
| What is GERD, gastroesophageal reflux disease? |
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Definition
| food or liquid travels back up form stomach into the esophagus |
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Term
| How does GERD, gastroesophageal refulx disease effect a patients health? |
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Definition
| increases their risk for esophageal cancer and caries |
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Term
| Does someone with GERD, gastroesophageal refulx disease need a med con, and what is one thing we need to ask them before we begin treatment? |
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Definition
| No med con, and we need to ask if we may lay them back in the chair |
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Term
| What is one thing used to treat gastrointestinal disorders and how can those effect patients? |
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Definition
| proton pump inhibitors, they increase the risk for osteoporosis |
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Term
| What are some inflammatory bowl diseases? |
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Definition
-Crohns disease
-Celiac disease
-Diverticulitis |
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Term
| What information do you want to gather about hospital admissions? |
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Definition
1.Why they were there
2.Did they have any operations |
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Term
| What are three examples of immunological disorders? |
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Definition
1.rheumatoid arthritis
2.Systemic Lupus Erythematosus
3.HIV/AIDS |
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Term
| What is rheumatoid arthritis |
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Definition
| autoimmune inflammatory disease that primarily effects the joints and surrounding tissues |
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Term
| Do you need a med con for a patient that has rheumatoid arthritis? |
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Definition
| Possible med con because of medications they may be taking |
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Term
| What is Systemic Lupus Erythematosus? |
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Definition
| Chronic inflammatory autoimmune disorder that may effect organ systems including the skin, joints, and internal tissues |
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Term
| What is a symptom of Systemic Lupus Erythematosus? |
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Definition
| Butterfly rash on the face of patient |
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Term
| Do you need a med con for Systemic Lupus Erythematosus? |
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Definition
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Term
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Definition
| viral infection that gradually destroys the immune system, resulting in opportunistic infections |
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Term
| What are some opportunistic infections that may present themselves in the final stages of HIV/AIDS |
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Definition
1.pneumocystosis
2.Kaposi's sarcoma(kaposi's lesions) |
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Term
| Does someone with HIV/AIDS need a med con? |
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Definition
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Term
| What does your CD4 count have to be to have AIDS? |
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Definition
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Term
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Definition
| Increased levels of bilirubin give skin and whites of eyes a yellowish tinge |
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Term
| What does liver disease cause? |
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Definition
| cirrhosis, scarring and dysfunction of the liver |
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Term
| do you need a med con for jaundice or liver disorders? |
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Definition
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Term
| What do kidney disorders do? |
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Definition
| Conditions that effect the kidneys |
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Term
| What is an example of inherited kidney disorder? |
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Definition
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Term
| What is an example of a aquired kidney disorder? |
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Definition
| uncontrolled diabetes or high blood pressure |
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Term
| Do you need a med con for kidney disorders? |
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Definition
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Term
| Should you treat a patient who has received dialysis earlier that day? |
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Definition
| No, never treat anyone on day of dialysis |
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Term
| What happens to gingival inflammation during menstruation? |
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Definition
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Term
| What are two things that women are at risk of during menopause? |
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Definition
1.osteoperosis
2.alveolar bone loss during and after menopause |
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Term
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Definition
| Thinning of bone tissue and loss of bone density |
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Term
|
Definition
|
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Term
| Cerebrovascular accident(CVA/TIA) |
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Definition
| stroke, blood flow supply to the brain is interrupted causing brain cell death |
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Term
| What are two things that cause stroke? |
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Definition
1.blood clot, bleeding in the brain
2.atherosclerosis-plaque build up in arteries) |
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Term
| Do you need a med con for a stroke? |
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Definition
| yes and it has to be at least 6 months since the stroke before we see them |
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Term
| What are the symptoms of Polycyctic Ovary Disorder(PCOS)? |
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Definition
| characterized by irregular menstrual cycles, multiple small ovarian cysts(polycystic ovaries), mild hirsutism(excessive hair), and infertility |
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Term
| Women who have PCOS often have what other disease? |
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Definition
| diabetes with insulin resistance |
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Term
| What are some examples of psychiatric disorders?(5) |
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Definition
1.dementia
2.depression
3.manic depression
4.schizophrenia
5.obsessive-compulsive disorders |
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Term
| What is radiation therapy used for? |
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Definition
| used to provide temporary relief of symptoms, or to treat malignancies that cannot be removed with surgery |
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Term
| What is another word for targeted therapy? |
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Definition
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Term
| What is one thing that intravenious drug use increases your risk for? |
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Definition
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Term
| What patients should we not use vascoconstricters on and why? |
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Definition
| active cocaine or methamphetamine users, because it mat cause arrhythmias or hypertension |
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Term
| What does tobacco use increase a patients risk for?(5) |
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Definition
1.cancer
2.cardiovascular disease
3.pulmonary disease
4.periodontal disease |
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Term
| Chronic Obstructive Pulmonary disease (COPD) |
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Definition
|
|
Term
| What are COPD's? What is the main cause of them? |
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Definition
| lung disorders resulting in blocked air flow, caused by smoking |
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Term
| How long we we have to wait to treat someone with TB? |
|
Definition
| until the doctor says they are no longer contagious |
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Term
| Do you need a med con for TB? |
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Definition
Yes, for active TB
For nonactive, no |
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Term
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Definition
| reduces ability to expire or completely empty the lungs, increases mucus secretions in the lungs |
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Term
| Where should you put a patients inhaler while you treat them? |
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Definition
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Term
| What does sleep apnea increase your risk for? |
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Definition
|
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Term
| What are two risk factors for sleep apnea? |
|
Definition
| obesity and large neck circumference |
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Term
| What are four decisions you have to make after obtaining a health history? |
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Definition
1.ASA physical status classification
2.Use of PDR/drug books
3.Antibiotic premeditation
4.Medical consultation |
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Term
| List of disorders that require med con(15) |
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Definition
1.Sickle Cell
2.bleeding disorders
3.Heart attack-if in last 6 months
4.Hypertension
5.heart murmur
6.Congestive heart failure if symptomatic
7.Diabetes
8.Thyroid disease
9.Rheumatoid arthritis-b/c of meds
10.Lupus Erythematosus
11.HIV/AIDS
12.Liver disorders
13.Kidney disorders
14.Stroke
15.Tuberculosis |
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