SMITH Q2 latest update 2024 study guide complete
HISTORY - Taken at initial appt
-Finding are considered & actions taken based upon findings
- Must be done prior invasive
-Consultation w/ p MD sometimes necessary
- Even emergency TX is postponed until accurate information is ...
HISTORY - Taken at initial appt
-Finding are considered & actions taken based upon findings
- Must be done prior invasive
-Consultation w/ p MD sometimes necessary
- Even emergency TX is postponed until accurate information is given
SIGNIFICANCE OF MEDICAL HISTORY - Dental procedure may be complicated or be
complicated by existing conditions
-Tissue response can influence by general health factors
- P state of health in a constant flux
WHAT ARE INVASIVE PROCEDURES -Anything that can potentially draw blood from
gums
-Manipulation of gums
EXAMPLES OF INVASIVE PROCEDURES - Probing
-Ultrasonic S
- Anesthesia
- Polishing
WHAT ARE NON-INVASIVE PROCEDURES - Read prevention survey
- O.E (oral exam)
- See visually or supragingivally
- dental charting
- Xrays
WHAT IS THE PURPOSE OF MEDICAL HISTORY - Provide info that is relevant to
etiology.
- Reveal conditions that need premed or clearance, adaptations
-Help ID possible unrecognized conditions
-Permit appraisal of general heath/ nutrition
-Insight to emotional, psychological factors, attitudes and prejudices
-Baseline & subsequent
, -medicolegal
-Id Cultural beliefs/ practices
- ethics/ racial influences
WHAT ARE THE TYPES OF HISTORY PREPARATION METHODS - questionare
- interview
- combination
ADEQUATE BASIC HISTORY -logical sequence
- quick special needs ID
-space to record P own words
-space to note attitudes/knowledge displayed by P
-provided in P language when possible
- Supplementary Topic
INTRODUCTION TO P -explain why MH is being taken and the correlation of dental
health and overall health
-to build rapport w/ p
QUESTIONNAIRE TYPES OF ORIENTATIONS? - system oriented
-disease oriented
- symptom oriented
- culture oriented
ADVANTAGES OF QUESTIONNAIRE - broad in scope
-timesaving
-p has time tho think
-written in P words
DISADVANTAGES OF QUESTIONNAIRE - Impersonal
_inflexibel
INTERVIEW SETTING - taken only in the appt area not reception
- eye to eye w/ P
- open ended vs. close ended
- friendly, non-judgmental
- Culturally sensitive
-Structure w/ places to check and add comments stated by P
-Familiar to form so that you focus on P & their responses
INTERVIEW ADVANTAGES - personal contact
-flexible
INTERVIEW DISADVANTAGES -Time consuming
-important items omitted
-P might hold back
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