DEH 1005 Week 9 Flashcards

Dental Hygiene Process of Care

What is the purpose of the Dental Hygiene Process of Care?

• Individualizes patient care

• Identifies risk factors

• Prevents and manages disease through dental hygiene interventions

What does ADPIED stand for?

• Assess

• Diagnose

• Plan

• Implement

• Evaluate

• Document

What is the first step in ADPIED?

Assessment

What information is collected during the assessment phase?

• Medical history

• Dental history

• Subjective data

• Objective data

• Clinical findings

• Risk factors

What is subjective data?

Information reported by the patient (symptoms, concerns, medical history)

What is objective data?

Information the clinician observes or measures (radiographs, probing depths, blood pressure, plaque levels)

What is the first thing completed during assessment?

The patient’s medical and dental history

What is a dental hygiene diagnosis?

The interpretation of assessment data to identify oral health problems and behaviors that can be treated within the dental hygiene scope of practice

Can a dental hygienist diagnose cavities?

No. Cavities require a dental diagnosis by a dentist.

What is the purpose of the dental hygiene diagnosis?

• Forms the basis of the care plan

• Justifies proposed treatment

• Guides implementation and evaluation

What is the purpose of the dental hygiene care plan?

To select interventions that meet the patient’s oral health needs

Who is the care plan presented to?

1. The dentist (for integration into the comprehensive treatment plan)

2. The patient (to explain treatment, time commitment, and obtain informed consent)

What occurs during implementation?

The dental hygienist carries out the treatment plan through preventive and therapeutic interventions

Examples of implementation

• Fluoride application

• Scaling and root planing (SRP)

• Laser therapy

• Patient education

What is the purpose of evaluation?

• Determine whether treatment was effective

• Decide how to proceed with care

• Establish continuing care intervals

Why is documentation the final step of ADPIED?

It creates a permanent legal record of every phase of patient care

Documentation should include:

• Assessment data

• Dental hygiene diagnosis

• Care plan

• Treatments provided

• Patient education

• Evaluation

• Patient response

• Recommendations

• Tools used during treatment

How does PPSC documentation relate to ADPIED?

PPSC documentation templates are organized in the same chronological order as ADPIED (Assess, Diagnose, Plan, Implement, Evaluate, Document)

What should always be documented if a patient refuses treatment?

• Treatment recommended

• Risks, benefits, and alternatives discussed

• Patient’s refusal

• Patient understanding

• Informed refusal when appropriate

What is the most important documentation rule?

“If it isn’t documented, it didn’t happen.”