Flashcards in Behaviour Management Deck (14):
What are the main basis for behaviour assessment and management?
-Motor, cognitive, language development
-Behaviour assessment scales
What are the learning theories?
-Creates association between otherwise non-related things (e.g. needles and white coats)
-Reward/punishment reinforces and discourages certain actions
-Modelling, learning by copying others (imitation and observation)
What aspects of operant conditioning can you take advantage of?
-Younger children are more susceptible to operant conditioning
-The more consistent the enforcement, the greater the likelihood for desirable outcome
-Praise child if they do what you ask, be inventive, consistent and age appropriate
How can operant conditioning be misued?
-Promising bigger and bigger rewards for child to behave while they are misbehaving
-Cuddles after tantrums
What are some useful and inappropriate enforcers?
-Motivational advice for OH practices
-non-verbal actions (smiles, cuddles, hi-fives)
-Tangible rewars (Toys, etc.)
-Food or drink such as sweets or a botle
Which is more effective between punishment and reward?
What are some examples of modelling behavioiur?
-Live model (parent, sibling)
-Peppa Pig, Playschool
How is a child's behaviour assessed after procedure?
(Good rapport, interested & enjoyng dental procedure)
(Accepts procedure but at times cautious)
(Reluctant to accept procedure, some tears)
(Refusal of procedure, crying forcefully or fearful)
What is used to assess child's behaviour on first impression from waiting room?
-Relaxed, minimal apprehension, enthusiastic
-Can be treated by simple behaviour shaping approach
-Applies to most children
-Behaviour problems but has capability to perform
-Cooperatively with appropriate behaviour modification
Lacing in cooperative ability/pre-cooperative
What is the max appointment time allowed in clinics?
What are some behaviour management techniques?
-Pre-appointment behaviour management
(Pleasant waiting room, receptionist reassurance, books, videos, internet, etc.)
(Get parent to demonstrate first)
(Pt told what will be done, shown by simulation what will happen, then procedure done at a pace pt can accept)
(Project sense of authority, tone of voice critical, facial expression must reflect tone)
(triplex used with LA, wriggling toes, suggestive imagery/imagine yourself at the beach)
(Attempt to get older children to identify and alter belief)
(Tangible or social reward to desired behaviour), must be instant, specific and consistent
(Work through variouis levels of anxiety from least to most)
(Punishment, not used now)
(move child from potentially cooperative to cooperative via reinforcing cooperative behaviour and retracing steps if misbehaviour occurs), uses all other techniques
What euphemisms can be used for children?
Magical water: LA
Wind/tickle spoon: triplex
Tooth button: clamp
Vacuum cleaner: suction
Little fingers: forceps
Rubber raincoat: rubber dam
Coat hanger: Frame
Fire engine: ??????
Robot tooth: Stainless steel crown
What are some ways you can give the child controL?
-Ask for breaks
-Stop when child appears uncomfortable