what are seven common oral problems for the homebound pt
need for routine dental check up
losing weight and not eating enough because of oral problems
tooth ache or pain and abscess or swelling
loose uncomfortable or lost dentures
what are 8 barriers to accessing traditional dental service systems
pt health attitudes and beliefs
pt daily pain or discomfort levels
ageism or other negative attitudes of practitioners
limited availability of practitioners who provide home based services
when providing a pt with care in any situation what is the rule to follow
know before you go
what are four things to help you know before you go?
review records and forms
contraindications to treatment
consultation with physicians
consultation with pt, parent or caregiver
what is the most successful way to communicate with the homebond pt?
direct approach with gentle firmness
t/f the homebound pt has an increased risk for dental disease because of effects of medications, poor oral hygiene and high carb diet
t/f it is best to have people in the room to help distract the homebound pt while you work
what is one of the best ways to establish rapport
listening attentively and socializing
t/f the overhead light should be extinguished during procedure and the use of a gooseneck floor lamb is better to produce better shadows in the mouth
false-extinguish overhead to REDUCE shadows
what is defined as the role of a DH in the care of a terminally ill pt is to provide comfort care and to educate pt and their caregivers about the importance of daily oral care with an emphasis on symptom relief and a clean oral environment
what is it called when a DH is providing relief but no cure
t/f for a terminally ill pt the goal is to provide long term preventive care.
false short term palliative care
what are four types of oral infection often found in terminally ill patients?
mucosal soreness and ulceration
what % of terminally ill pt have candidiasis?
t/f candidiasis can become life threatening in an immunocompromised pt
how is candidiasis treated?
a potentially homebound pt may include:
E. all of the above
a rule for providing pt care in any situation is what?
B. know before you go
t/f handicapped is defined as a person who has a disadvantage from an impairment or disability that limits or prevents fulfillment of a role that is within their normal range. Disability is defined as a person who has a lack of ability to perform an activity that is within their normal limits
both statements are true
a progressive disorder of the central nervous system characterized by loss of postural stability, slowness of spontaneous movement, resting tremor and muscular rigidity. Defines what illness?
hyperreflexia is a risk in pts who have suffered spinal cord injuries from which spinal vertebra and above?
t/f medicare pays for dental services
what is used for care planning of the homebound pt