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protection from health risks
The need to avoid medical contraindication related to dental hygiene care; and to be free from harm or danger involving the integrity of the body structures and environment around the person. Included also is the need to be protected from health risks related to dental hygiene care
Freedom from Fear and Stress
The need to feel safe and to be free from fear and emotional discomfort in the oral health care environment, and to receive appreciation, attention, and respect.
Wholesome Facial Image
The need to feel satisfied with one’s oral- facial features and breath.
Skin and Mucous Membrane Integrity of Head and Neck
The need to have an intact and functioning covering of the person’s head and neck area, including the oral mucous membranes and periodontium, which defends against harmful microbes, provide sensory information, resist injurious substances and trauma, and reflect adequate nutrition.
Biologically Sound and Functional Dentition
The need for intact teeth and restoration that defend against harmful microbes, provide for adequate function, and reflect appropriate nutrition and diet.
Conceptualization and Problem Solving
The need to grasp ideas and abstractions to make sound judgements about one’s oral health.
Freedom from Head and Neck Pain
The need to be exempt from physical discomfort in the head and neck area.
Responsibility for Oral Health
The need for accountability for one’s oral health as a result of interaction between one’s motivation, physical capability, and social environment
Human Needs
Tensions in a person’s system (physiological or psychological) that motivate goal-directed behavior until the need is fulfilled.
human behaviors
: Actions influenced by culture, attitudes, emotions, values, and beliefs. They can be common/unusual or acceptable/unacceptable.
Maslow’s Hierarchy of Needs:
Prioritizes needs from basic (physiological) to self-actualization. Emphasizes understanding where a person is in the hierarchy to relate to them.
Carl Rogers
Advocated for client-centered therapy, where individuals are active participants in their care and decision-making.
Darby and Walsh (1991):
Adapted nursing models to create the Human Needs Conceptual Model for dental hygiene, focusing on client-centered care and quality of life.
Darby and Walsh Human Needs Conceptual Model
A client-centered model recognizing that everyone has needs.
Focuses on unmet needs that can be addressed through dental hygiene care.
Emphasizes the connection between oral health and overall well-being.
Recognized by the World Health Organization (WHO).
Paradigm
A widely accepted view or framework that shapes a discipline.
4 key elements of a paradigm
Client: The recipient of care, with unique needs and motivations.
Environment: Influences both the client and hygienist (e.g., culture, socioeconomics).
Health and Oral Health: Seen on a continuum; higher need fulfillment = higher wellness.
Dental Hygiene Actions: Interventions to help clients meet their needs.
5. What is the Client-Centered Care Approach?
The client is an active participant in their care.
The dental hygienist collaborates with the client to set goals and make decisions.
Emphasizes respect, autonomy, and individualized care.
Integration of Human Needs Model with Paradigm and ADPIE: Assessment
Identify unmet needs through data collection.
Integration of Human Needs Model with Paradigm and ADPIE: Diagnosis
: Determine which human needs are deficient.
Integration of Human Needs Model with Paradigm and ADPIE: Planning
Set goals and select interventions based on needs.
Integration of Human Needs Model with Paradigm and ADPIE: Implementation
Carry out interventions collaboratively.
Integration of Human Needs Model with Paradigm and ADPIE: Evaluation
Measure success in meeting needs and adjust care.