anxiety control/patient management

Question 1

people show anxiety differently

Answer 1

1) chatty
2) grumpy
3) quiet
4) late
5) spacey
6) argumentative
7) etc.

Question 2

Not to do

Answer 2

1) machine gun questioning
2) rehearsing
3) daydream
4) redirecting
5) filtering
6) offering suggestions/fixing things

Question 3

essential skills

Answer 3

1) use pictures and models

Question 4

move past the anxiety

Answer 4

1) interrupt them at some point
2) ok, im going to put the chair down now so we can start

Question 5

nonpharmacologic control

Answer 5

1) hyponosis
2) tell show do
3) gentle touch and soft voice
4) non-threatening environment
5 )distraction techniques, slow injections

Question 6

adequate local anesthesia

Answer 6

1) PSA
2) GP
3) V3
4) nasopalatine
5) infiltration
6) IA
7) long buccal
8) infiltration
9) gow gates

Question 7

nitrous oxide

Answer 7

1) understand resp and pharm of the gas
2) titrate the gas to effect
3) always delivery over 20% oxygen in the gas
- N2O is 100x more soluble than oxygen
4) gas is both anxiolytic and analgesic

Question 8

oral sedation

Answer 8

1) benzodiapines
- valium is longer acting
- halcion is shorter acting
2) anxiolysis and sedation
3) prescribed with dental lisence

Question 9

TIVA

Answer 9

1) total intravenous anesthesia

Question 10

closed airwar general anesthesia

Answer 10

1) laryngeal mask

Question 11

pediatric

Answer 11

1) tell show do
2) parental support is essential, but shouldn’t be in the operatory
3) staff support can be quite helpful
4) sedation for anxiety provoking dental procedures may be necessary

Question 12

adult

Answer 12

1) tell show do
2) listening
3) clear explanation of procedure
4) ask them to explain the procedure about to be done

Question 13

listening attitude

Answer 13

1) emotional intelligence
2) interest in what they are thinking and feeling

Question 14

a paradigm shift

Answer 14

1) what you know to what they mean
2) desire to be known to a desire to know about the other person
3) influence to understanding

Question 15

listening principles

Answer 15

1) patients cannot evaluate the surgery, they evaluate the interactions

Question 16

listening to patients courstest and respect

Answer 16

1) people expect to be treated in a courteous fashion
2) may be pain, hostile, or unreasonable
3) view needs from their perspective

Question 17

they need to be heard

Answer 17

1) listen to their wants
2) some want pain relief and basic function
3) some want high quality and cosmetic outcomes

Question 18

active listening

Answer 18

1) physical listening
2) restatement or paraphrase
3) reflection of feelings
4) summarizing
—
1) restate what you think you heard
2) let them correct you
3) repeat it back until you get it