DEN 120 Exam 2 Study

What are the 3 types of communication?

Verbal, non-verbal and media

Only 7% of communication is ???communication.

Verbal

What does non-verbal communication consist of?

Body language, facial expressions, appearance, volume, pitch, temp and cadence

What does verbal communication consist of?

Talking, brail, sign language and writing

What type of communication uses technology and tolls to convey information?

Media

A communication block that occurs when clinician assumes the pt knows what the clinician is thinking...

Ineffective communication

What can cause a lack in the patients trust in dental care and cause pt. to misunderstand information?

Ineffective communication

The most patient complaints stem from ?????

Ineffective communication

Where we as the clinician convey empathy, interest, recognize pt. needs, listen carefully and use understandable language....

Effective communication

True/False? Writing for a patient who has a hard time hearing is an example of effective communication.

True

What are some reasons why people interpret information differently from others?

Life experiences, beliefs, gender, and physical limitations

What percent of communication is body language?

55%

What percent of communication is verbal?

7%

What percent of communication is tone of voice?

38%

How many seconds does it take to be judged on educational background, likability, and level of success?

60 seconds

After how many minutes are we judged on reliability, intelligence, and friendliness?

5 minutes

What is it important to convey in order to leave a good first impression?

Confidence and professionalism

The study of distance/personal space that can be influenced by environmental and cultural factors?

Proxemics in communication

What is the body space for the intimate zone?

1-18 inches

What is the body space for the personal zone?

1.5-4 feet

What is the body space for the social zone?

4-12 feet

What is the body space for the public zone?

Greater than 12 feet

North America, Northern Europeans and Asians fall into the (low or high) contact category?

Low

Mediterrians, Arabs and Latinos fall into the (low or high) contact category?

High

What should we do before even placing our hand on a patients shoulder?

Consider recor of the pt. and ensure you can touch them

What are some reasons one may be scared of dental care?

Anticipated pain, previous experiences, and fear of the unknown

The helping relationship is one that is established for the ......

benefit of the patient

The helping relationship helps the pt. ??? and ??? optimal health.

achieve and maintain

Who is the consumer of dental care?

The patient

Systemic and accurate assessments of oral health, to be informed clearly, have all questions answered by one who is reliable and knowledgeable, and respected confidentiality, quality care and consent are all things ???? expect when receiving dental care.

patients

What are the two types of care?

Paternalistic and patient-centered care

Belief that health decisions are best left in the hands of those providing health care...

Paternalistic

Assumes that there are 2 experts; the health care providers and the patient...

Patient care

Traditional or PC care? Patient is quiet/passive

Traditional

Traditional or PC care? Care is quality of life centered

PC care

Traditional or PC care? Patient may or may not adhere to the treatment plan

Traditional

Traditional or PC care? Patient is more likely to adhere to treatment plan

PC care

Traditional or PC care? Patient is the recipient of treatment

Traditional

What are the 2 types of tasks?

Therapeutic and Communication tasks

Which task contains the 2 F's and what are they?

Therapeutic; fixing the problem and finding the problem

Fixing the problem...

Treatment

Finding the problem...

Diagnosis

What tasks contains the E4 model and what are the 4 E's?

Communication tasks; engagement, empathy, education and enlistment

Establishes an interpersonal connection between the patient and clinician:

Engagement

Hygienist’s understanding of and concern about the patient’s thoughts and feelings:

Empathy

Delivers information to the patient..pt learns something:

Education

Invites the patient to actively participate in decision making and acknowledges that the patient controls much of what can happen in their dental care treatment plan:

Enlistment

A person centered counseling with open questions and answer discussions that promotes healthy behavioral changes related to things like drug addiction, tabacco use, oral hygiene, diet, medication and weight/diabetes management...

Motivational Interviewing

Motivational interviewing emphasizes the ??? between the clinician and the pt.

partnership

Motivational interviewing communicates ??? to the pt.

acceptance

Motivational interviewing ??? the patients experience and wisdom.

evokes

What is the 3 step process to achieve the goal of creating a partnership between the pt and clinician?

Elicit-provide-elicit

What step in the E-P-E process does this quote fall into? "So what have you heard or been told about gum disease?"

Elicit

What step in the E-P-E process does this quote fall into? "Research indicates that..." or "some of my patients tell me that a water irrigator is easier to use than dental floss"

Provide

What step in the E-P-E process does this quote fall into? "What questions do you have?"

Elicit

Medical/dental terminology, reading ability, communication barriers and age barriers are all examples of what?

Communication roadblocks

In what year did the US reach the all time high of foreign borns? How many were there?

2010; 40 million

What percent of the US population is foreign-born?

12.9%

What group is the largest minority group in the US?

Hispanics

What percent of Hispanics are native born?

62%

What percent of Hispanics are foreign born?

38%

When dealing with a young child, it is important to:

Introduce yourself, describe procedures, give praise after procedures and be aware of their concerns and needs

When dealing with an adolescent, it is important to:

Respect their independence, speak in a friendly manner, and understand their reluctance to be honest in front of the parent

When dealing with an older adult, it is important to:

Reduce background noise, use casual topics to begin convo, allow extra time for responses, take the time to explain all info, and speak plainly to ensure the pt. is understanding

What does the word "vital" mean?

Necessary for life

What are the 4 vitals?

Body temp, pulse, respirations and blood pressure

Degree of body heat...

Temperature

Measurement of heart rate in beats per min...

Pulse

Measurement of breaths per minute...

Respiration

Measurement of force against walls of blood vessels as blood flows through them...

Blood pressure

When taking the temp with an automated device, what should you do you get an abnormal reading?

Use a traditional fluid filled to verify

Any reading over 99.5F or 37.5C:

Pyrexia

A temp that indicates a medical emergency is:

105.8F (41C)

A temp that indicates an active disease:

101F (38.3C)

What is the normal adult temperature?

96.0 to 99.6

What is the normal oral temperature?

98.6 or 37C

What is the normal adult pulse?

60-100 BPM

True/False: Women's pulse tend to run slightly higher than men

True

Greater than 100BPM

Tachycardia

Less than 50BPM

Bradycardia

Stims, loud emotions, and exercise can ??? the pulse.

Increase

Quiet emotions, sleep, illness and fasting can ??? the pulse.

Decrease

What is the normal respiration rate?

14 to 20 breaths per min

In a child, where would you watch to count the respirations?

In the abdomen

How many quarts of blood push against the vessel walls with each heart beat?

6 quarts

What is the normal BP reading?

Less than 120/80

Pressure against the vessel walls when the heart beats:

Systolic

Pressure between the heart beat when the heart relaxes:

Diastolic

Information from opinions, perceptions, and experiences:

Subjective

Information observed through hearing, sight, smell and touch:

Objective

What is HIPPA?

Health Insurance and Accountability Act

Why are medical alerts written in red?

To bring attention and proceed with caution

What are some examples of medical alerts?

Latex allergy, premed, high blood pressure, asthma and diabetes

When should medical history be updated?

Every 3 years

2g = .....mg

2000

Which ASA category? Normal healthy pt

ASA I

Which ASA category? Mild systemic disease or pregnant

ASA II

Which ASA category? Severe systemic disease

ASA III

Which ASA category? Disease constant threat to life

ASA IV

Which ASA category? A moribund patient, not expected to survive 24 hours

ASA V

What do patient health records serve as between the members and health team themselves?

Means of communication

What should be recorded promptly, uses clear-consise info/subjective date-NO OPINIONS, and be dated & signed by the clinician?

Patient record entries

All information collected during the initial examination and during all patient appointments is an official part of the....

permanent record

What includes informed consent forms; radiographs; study casts; photographs; copies of correspondence with dental specialists or medical practitioners?

Additional components

To meet the DH standard of care, what must all records include?

assessments, the dental hygiene diagnosis, dental hygiene care plan and what you do to implement the plan

True/False: Handwritten records must be written in ink

True

If a entry is recorded late, what must we do?

Make sure the new information follows the most recent entry in the patient record; is noted as a late entry; and includes the date and time that the late entry was made

What type of record can be accessed anywhere within the system by an authorized personale?

Electronic records

When did HIPPA take effect for dental offices in the US?

April 14th, 2003

What are the 3 sets of rules associated with HIPPA?

Privacy, confidentiality and security

(.....) refers to a patient’s right to keep health information private and control who can access it

Privacy

(....) refers to the responsibility that healthcare providers have to protect patients’ confidential health information

Confidentiality

(.....) refers to policies, procedures, and tools used to keep individually identifiable patient information private

Security

What are some components of the dental record?

Intraoral and extraoral documentation, dental charting, perio charting, deposit charting, occulsion, radiographic findings, DH treatment plan, and the record of treatment