SPECIAL CARE DENTISTRY – ROLE OF THE CARER Flashcards
1
Q
who may have a carer
A
- sensory impairment/ LD/cognitive impairment
- adult with moderate to severe mental health condition
- adult with progressive neurological condition eg dementia
- adult with physical disability eg advanced multiple sclerosis, stroke
- adult with short term memory problems
2
Q
carers roles
A
- help in managing finances
- supporting to organise and attend medical appointments
- shopping
- transport
- medications (inc preparing and administering)
- making meals
- feeding
- movement and handling
- personal care eg washing ect
- company
- communication
- exercise
- respite (so family members can
3
Q
why are carers important
A
- advocacy
- support communication
- familiarity and trust
- know patient likes, dislikes and routine
- understanding what is important to pt
- safety
4
Q
practical barriers to carers providing OH
A
- perceived lack of time
- inadequate training
- lack of readily available oral care equipment
- resistant behaviour
- high care staff turnover, undermining oral health training
5
Q
social barriers to careres providing OH
A
- lack of confidence
- perceived to be invasive and worries about patient dignity/privacy
- feeling embarrassment or repulsion about the task
6
Q
principles of MCA
A
person assumed to have capacity until established
persons ability to make decisions must be optimise
pts are entitled to unwise decisions
an act done must be made in best interest
decisions must be in the least restrictive option
7
Q
assessing capacity
A
undestand
retain
weigh up
comminicate
8
Q
best interest decision making
A
serious medical treatment must need others involved in the decision
but clinition is the decision maker
9
Q
advocacy services
A
if no close friends or family see if they have
- a lasting power of attorney
- court appointed deputy
- existing advocate
if not
- refer to IMCA service
used for when serious decision but no family or freids
