chapter 21: nutritional asses and education for dental patients

what do you need to check during patient assessment?

1. health history

2. psychosocial history

3. dental history

what are barriers of asking for health history?

1. perceived irrelevance

2. apprehension

3. confusion

4. recall

what should you ask regarding dental history?

1. past/present dental treatments

2. behaviors (bruxism, biting nails)

3. tobacco/alcohol use

4. fluoride history

5. snacking patterns

what should you look for in a physical appearance assessment?

1. weight

2. hair/nails/skin color and tone

3. mobility

what are examples of extraoral/intraoral assessment?

soft tissue changes, plaque, dry mouth

what is considered a significant weight loss?

10% of usual weight over 6 months

how should you question your patients?

using open ended questions

what is OARS interviewing?

O: open ended questions

A: affirmations - validate them

R: reflection - rephrase what you hear

S: summarize

what is internal motivation?

motivation stems from within, from personal interest

what is external motivation?

motivation stems from rewards, punishment, social pressure

what does goal setting need to be?

measurable and observable