1 - Behaviour management techniques Flashcards

1
Q

What are the 2 broad categories of behaviour management?

A
  • pharmacological
  • non-pharmacological
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2
Q

What are the different pharmacological options for behavioural management?

A
  • LA techniques
  • pre-medication
  • inhalation sedation
  • intravenous sedation
  • GA
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3
Q

What drug is used in inhalation sedation?

A

Nitrous oxide

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4
Q

What drugs are used in intravenous sedation?

A
  • propofol
  • midazolam
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5
Q

What is the aim of behaviour management?

A

To instil a positive attitude towards going to the dentist and engaging in dental treatment

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6
Q

What can be beneficial when talking with 1-3 year olds?

A

Choice of two

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7
Q

What can be beneficial when talking with 3 year olds?

A
  • praise for adhering to your request
  • distractions to capture their attention
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8
Q

What can be beneficial when talking with 4-5 year olds?

A
  • encourage them to take responsibility for sitting in chair
  • labelled praise
  • direct commands
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9
Q

What can be beneficial when talking with 8-12 year olds?

A

Discuss the need to engage in independence

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10
Q

What can be beneficial when talking with adolescents?

A
  • be non-judgmental, non-preaching to develop better rapport
  • treat as their own person
  • discuss non-dental topics
  • emphasise self-dental care to maintain smile
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11
Q

What contributes to good communication with patients in paediatric care?

A
  • lower yourself to their level
  • use names repeatedly
  • avoid dental jargon in younger ages
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12
Q

Define dental anxiety.

A

Anxiety/fear over an unknown danger

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13
Q

Define dental fear.

A

Fear of known danger

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14
Q

Define dental phobia.

A

Fear of known danger, more amplified than dental fear

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15
Q

What are some signs and symptoms of dental fear and anxiety?

A
  • breathlessness, perspiration, palpitations
  • interferes with concentration, catastrophising
  • avoidance of treatment/appointments, aggression
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16
Q

What are factors that affect child and adolescent dental anxiety?

A
  • PMH
  • PDH
  • SH factors
  • parental anxiety
  • parenting style
  • parental presence
  • child awareness of dental problem
  • behaviour of dental staff
  • child temperament
17
Q

How is dental anxiety and fear measured?

A
  • MCDASf
  • modified child dental anxiety scale - faces
18
Q

What is modelling?

A
  • role modelling to demonstrate to child that the dentist isn’t scary
  • works well with a sibling of a similar age
  • can use dentist, nurse, parent or cuddly toy
19
Q

How does voice control affect behaviour management?

A
  • young children respond well to tone
  • improves compliance
  • use a “school teacher voice”
20
Q

How does tell-show-do work?

A
  • tell, explain the procedure using age appropriate language
  • show the demo (can be modelling)
  • do, perform the procedure without delay
20
Q

What is enhanced control?

A
  • allows patient a degree of control over your actions
  • rest signals
  • “sometimes I won’t be able to stop”
  • structured and timed treatment
  • “where would you like to start”
  • “this or that”
20
Q

What is an example of positive reinforcement used in dentistry?

A
  • dental passports
  • stickers
  • verbal praise
20
Q

What are examples of distraction techniques?

A
  • music
  • ceiling projectors
  • video glasses