Rheumatology Flashcards
Describe the key features of your General Dental Practise design and the facilities you must consider providing to allow those with limited mobility, or a physical impairment, to access your General Dental Practise? In relation to:
(i) Access to the building
- disabled parking
- any kerbs/pavements
- ground level access
- ramp access
- lift
- grab rail
Describe the key features of your General Dental Practise design and the facilities you must consider providing to allow those with limited mobility, or a physical impairment, to access your General Dental Practise? In relation to:
(i) Access to the dental surgery
- height of reception desk
- adequate space for wheelchairs in waiting area
- door width
- accessible toilet
- door opening
- corridors free from obstacles
- level threshold
Are you aware of any legislative framework which exists to enable the access and provision of care for all individuals and groups of people?
(i) List the key pieces of legislation
The Equality Act 2010
- legal framework to protect those from discrimination for reason of: disability, race, sexual orientation, religion, age, pregnancy, trans-sexuality.
Are you aware of any legislative framework which exists to enable the access and provision of care for all individuals and groups of people?
(i) Provide a brief overview of the legislations impact on healthcare providers and the patients
- concept of reasonable adjustment
- making it easier for someone to show that they have difficulty carrying out their day to day activities
- protecting from indirect discrimination
- positive action (when something is done specifically to help someone who has a protected characteristic)
- employers can NO LONGER ask direct questions about disability (unless there is a good reason)
Attempt to define and explain the concept of reasonable adjustments as per The Equality Act 2010:
Any step which can be reasonably taken to prevent any provision, criterion or practise, or any physical feature of its premises from putting a disabled person at a disadvantage in comparison with a non-disabled person
What factors are to be weighed up in determining reasonableness of adjustments made (as per The Equality Act 2010)?
- how effective the adjustment is in preventing the disadvantage
- how practical it is
- the cost of making the adjustment
- the potential disruption caused
- the time, effort and resources involved
- the availability of financial or other help
Suggest one example of a reasonable d’ajustement which a dentist might make to a dental practise?
Providing a ramp in addition to the stairs up to the practise
Suggest one example of an adjustment which would be unreasonable to make to a dental practise:
A lift in a practise which is in an old tenement building
Your patient is unable to transfer to the dental chair by herself, consider the feasible options which care available to air her transfer?
- hoist
- banana board
- reclining wheelchair
- turn table
- wheelchair recliner
- stand aid
What are the signs and symptoms of rheumatoid arthritis?
- pain or aching in more than one joint
- stiffness in more than one joint
- tenderness and swelling in more than one joint
- same symptoms on both sides of body
- weight loss
- fatigue
- weakness
- fever
What are the risk factors for development of rheumatoid arthritis?
- age
- women
- genetic factors
- smoking
- early life exposures (to smoking or lower income children)
- obesity
How is rheumatoid arthritis treated?
- DMARDs (disease modifying antirheumatic drugs)
- biological response modifiers
What are the complications of rheumatoid arthritis?
- pain
- premature heart disease
- obesity
- employment
Give an example of a DMARD drug?
Methotrexate
What are some complications of Sjogrens disease?
- tooth demineralisation and caries
- gingival changes
- difficulty with chewing
- impairment of denture use
- swallowing difficulties
- oral malodour
- altered taste
- mucosal dryness and sensitivity
