Behavioural management Flashcards

Question

Positive Reinforcement

Answer 1

Praise appropriate behaviour mouth opening sitting still Timing of praise Don’t praise disruptive behaviour- withdraw praise - Don’t use bribes

Answer 2

Variation in tone, pace or volumetone, pace or volume to influence and direct child’s behaviour Bright and airy when behaviour good Even and low to calm anxiety Low and quiet if poor behaviour

Answer 3

Influencing behaviour towards desired ideal by, Planned introduction to procedures - Move through stages at the child’s pace

Answer 4

Use of a distracting stimulus to divert attention away from disruptive behaviours and potentially unpleasant sensory stimuli

Answer 5

 Cartoons  Audio tapes  TV  Virtual reality  Video games  Stories Lip holding Leg raising Talking whilst carrying out a procedure

Answer 6

 a non fearful child successfully receiving treatment  e.g. sibling  passive or participant

Answer 7

Symbolic  video/cartoon  same sex, similar age if possible  additional equipment required  passive or participant

Answer 8

Externalising  short break in a different environment before resuming treatment ContractsContracts Count downCount down  counting aloud along with procedures Stop signals

Answer 9

Hierarchy of fear provoking stimuli presented to a relaxed patient Time consuming psychologist Hypnosis

Answer 10

Preamble & hierarchy Relaxation techniques LA components Patient handles syringe - sheathed & unsheathed Operator - sheathed & unsheathed Administer

Answer 11

Pre-cooperative child Tantrums Gagging Specific phobias

Answer 12

Examine with help from parent Tell them to ask you to stop at any time Limited intervention possible GA usually required for advanced treatment

Answer 13

Knee to knee exam

Answer 14

Relaxation Breathing Chin position Care with instruments Patient watching in mirror Home practice kit Inhalation sedation

Answer 15

EDA - electronic dental anaesthesia The ‘Wand’ Computer Controlled pressure & flow injection system ‘Injex’ system – high pressure jet Desensitisation programmes Hypnosis Injex System= needle free LA

Answer 16

Consider alternative methods for caries removal include, Hand excavation – ART restoration Chemo-mechanical removal Eg Caridex or Carisolv Air abrasion Lasers Hall technique

Answer 17

Consider pharmacological adjuncts Consider the need to refer the patient. Reasons for referral:- * Specialised dentistry * Special child

Answer 18

Conscious sedation General anaesthesia

Answer 19

Colleague - More experienced - Sometimes a change of clinician is enough Specialist - Community Dental Service —Remit varies between trusts Hospital Dental Service - Consultant led service

Answer 20

Patient Details -Personal details including social history. Presenting complaint - Patient, parent and your perception - Your concerns - Details of examination, differential diagnosis and reason for referral and urgency of the referral

Answer 21

 Previous dental history  Previous medical history (include family history)  Specify what you are requesting - Advice or treatment? - Indicate what aspects of treatment are within the scope of your skills.  Your details - Remember to sign letter yourself  Enclosures - Avoids repeating and repeating and previous records aid diagnosis and treatment planning

Answer 22

When referring for treatment under GA, the referring dentist has a responsibility to and must include in the letter of referral:- That the risks associated with GA and the alternative methods of pain control have been discussed Clear justification for the use of general anaesthesia  Remember to keep a copy of your referral letter!