comp pt final

  1. when is the best appt time for elderly?
  2. when is the best appt time for arthritis pts?
    late morning or afternoon
  3. when is the best appt time for diabetic pt?
    after meals and meds
  4. how do you prevent ulcers during an appt with a pt with spinal cord injuires?
    shift eight every 20 min for 15-20 seconds to maintain circulation
  5. what are frequent congenital malformations of a disabilities pt?
    cleft lip/palate, malformed jaws/teeth, tooth defects like amelogenesis/dentogeinis imprefecta or enamel hypoplasia
  6. what are the two main oral diseases of a disabilities pt?
    • caries
    • perio infection
  7. what dentifrice is recommended to a pt with disablities?
    fluoride, if pt cannot control saliva, rinse or expectorate then dentifrice should NOT be used
  8. what are examples of self care aids to help a disabilities pt?
    toothbrush- handles or lengtheners added, power toothbrush
  9. what is the roll of the hygienist for a pt that is completely helpless and pts head cannot be elevated?
    train and motivate caregiver to provide daily care plan
  10. what instructions should be given to caregiver of a homebound pt for xerostomia?
    • swab mucosa with saliva substitute
    • lemon and glycerin swabs contraindicated due to acie and drying effect
  11. what are frequent oral lesions of a homebound pt?
    mucosal soreness, ulceractions, candidiasis, glossitis, xerostomia
  12. _____ infection is found in ___% of terminally ill pts; can be life threatening in immunocompreomised pts; once recognized it is easily treated w/ antifungal meds
    • candidiasis
    • 79
  13. with a homebound pt what are the common causes of xerostomia
    • meds
    • dehydration
    • mouth breathing
  14. t/f a pt with a spinal cord injury should not be treated until stablized unless it is an emergency
  15. what are the symptoms of a spinal cord injury pt?
    depends on location of damage to brain as well as degree or extent of involvement
  16. what is a TIA?
    transient ischemic attack-little strokes may lasts minutes to hours and leave no permanent damage
  17. __/__ of those who survive a stroke have some sort of disability
  18. what side of the face and body is affected by a stroke?
    opposite that of the brain injury
  19. what syptoms does a person with right hemiplegia have?
    more difficulty with verbal communication and are more apt to be cautious, anxious and disorganized
  20. what symptoms does a pt with left hemiplegia have?
    difficulty with acton requiring physical coordination and may respond impulsively with overconfidence
  21. what is the greatest risk that leads to stroke?
  22. t/f comp pt sucks
  23. t/f I am very well prepared for an emergency becasue of comp pt
    FALSE-less prepared because of this class
  24. what can panos be evaluated for?
    calcifications in the coratid artery
  25. where are calcifications of the carotid artery observed on a pano?
    inferior and posterior to the inferior border of the mandible
  26. what is the dh care after a CVA?
    not advised until 6 months after strok
  27. when is development altered and a risk for a cleft lip?
    early in 1st trimester
  28. what vitamin can be taken to prevent cleft lip/palate?
    folic acid
  29. what is one of hte most common craniofacial anomalies?
    cleft lip/palate
  30. what is facial muscle weakness?
  31. t/f cerbral palsy is curable
    false not curable
  32. what disease has these oral manifestations:problems opening mouth, swallowing, chewing, abnormal facial muscle formation, malocclusion, mouth breathing, tongue thrusting, attriotion due to bruxism, fractured teeth from falling, caries due to difficulty in OH, periodontal in fection due to gingival hyperplasia.
    cerebral palsy
  33. what two things should be avoided with glaucoma?
    • tilting head bac (increased pain and pressure)
    • glare of light (photosensitivity)
  34. hyperopia
  35. what type of OHE should be given for a visually impaired pt?
    give detailed verbal instructions and have pt touch everything
  36. t/f blindness can be secondary to diabetes
  37. what are four communication types for hearing impairment?
    • speech (lip read)
    • manual (sign language)
    • writing
    • speakin
  38. if using an ultrasonic with a pt with a hearing aid what must be done?
    turn off hearing aid (sound can be amplified)
Card Set
comp pt final
care of pt with disabilities