P1-OD-PATIENT HISTORY

1. questionnaires and forms

2. patient interviews

what are the 2 primary methods of obtaining patient history

signs

discovered by the dentist during an examination

symptoms

findings verbally revealed by the patient

1. list of diagnoses

2. patient problems

3. comprehensive patient diagnosis

what is the basis of creating a treatment plan based on?

comprehensive examination

what kind of examination for a new patient to a dental office without urgent concerns?

comprehensive examination

includes a review and analysis of the patient's health history and chief concerns, radio graphic examination of the teeth and surrounding tissues, and clinical evaluation of the intraoral and extraoral hard and soft tissues.

periodic examination

a type of exam that is performed at regular intervals, commonly during recall visits, for patients who have had a comprehensive or prior periodic examination

problem-focused examination

a type of exam that is limited to evaluating a specific problem or concern presented by the patient

gathering and recording information

which part of treatment planning often requires more time and attention than other aspects?

the patient history, clinical examination, radiographic examination, and other diagnostic aids.

four major categories of information required to begin developing a treatment plan

questionnaires and forms, and patient interviews

what are the two primary methods of obtaining the patient history?

limited information

what is the major disadvantage of using questionnaires and forms when obtaining the patient history?

questions can be individually tailored

what is the major advantage of patient interviews over questionnaires and forms?

developing a good rapport with the patient

what is the desired outcome of the interviewing process?

open and closed

what are the two general types of questions?

eye contact level should be at the same level with the patient

what should be the principle about eye contact for effective interviewing?

open-ended questions

what questions should be asked when seeking further information about positive responses to items on the health questionnaire

closed questions

what questions should be asked when you want a specific fact/answer from the patient

explain why you are asking the question

during interviewing, what should you do if the patient is hesitant to answer the question

listen more than speaking

what is the "golden rule" of interviewing

treat the chief complaint as early as possible

what is the "golden rule" of treatment planning

summarize the gathered information to the patient to confirm accuracy

what is done at the conclusion of the interview?

location

quality

severity

duration

frequency

context

modifying factors

what descriptive elements should be included in the HPI (history of present illness)?

review of systems

Whether using a preprinted questionnaire or an interview technique, the general health history should include a ___________?

(1) to recognize significant health problems that may affect dental treatment and (2) to check for new health problems

2 importance of review of systems

true

true/false

patient history also includes their nutrition and dietary habits

frequency of oral healthcare

is an important predictor of how effectively the patient will comply with future treatment recommendations

The personal history

is also a prime source of in formation about the patient's financial status, time availability for treatment, and mode of transportation to dental visits

to determine level of fermentable carbohydrates consumed

what is the goal of asking about the patient's dietary habits?

to check for undiagnosed hereditary diseases

what is the purpose for asking about the patient's family history?

patient's social, emotional, and behavioral history (personal history)

are one of the most important and challenging areas to investigate from the personal history

pack-year/s

how is the usage of cigarette smokers measured?

bleeding gums and abnormal plaque buildup

what oral complications are associated with female patients taking birth control?

drugs may be ingested by their child through the breastmilk

what is a concern with patients that are nursing?

patient may not be aware they are pregnant, and pregnancy affects drug administration

what is the concern with pregnant patients?

1. syncope

2. general anxiety

3. reaction to drugs

what are the most common problems when receiving dental care?