Chapter 16 Flashcards
1
Q
Dental nutritional counseling was developed to do what?
A
Prevent or minimize dental disease.
2
Q
What do patients know?
A
- Most pt. fail to recognize the relationship between overall nutritional status and eating habits and their dental health.
- They don’t understand the connection between what, when, and how they eat and their health.
- They do have a vague understanding that sugar causes cavities, but how diet relates to the health of the soft tissues and periodontium is not common knowledge.
3
Q
Who can benefit from counseling?
A
- Almost everyone
- Certain groups are more at risk: Elderly, teenagers, single and independents, infants, toddlers, and school-aged children, adults that diet or take multiple medications, and pt. who have had a change in dental status.
4
Q
When do you determine the need to counsel a patient?
A
during the data collection phase
5
Q
What are clues to look for to determine if a patient needs counseling
A
- New or recurrent caries
- Tooth loss
- Skin lesions
- Atrophied lingual papilla
- Burning tongue
- Pale or gray mucosa
- Angular Cheilitis
- Greasy, scaly skin around nose
- Inadequately functioning salivary glands
- Difficulty chewing or swallowing
- ill-fitting dentures
- Sores under appliance
- Loss of lamina dura
- Polypharmacy
- Marginal erythema
6
Q
Gain Consent
A
- If any of the clues are found during assessment, explain the need for counseling.
- Explain relationship between finding and diet
- Patient has to be ready to make a change.
7
Q
Collecting dietary Information
A
- 24-hour recall
- 3-day food record
- 7-day food diary
- computerized diet assessment
8
Q
24-hour food recall
A
- Best for quick inquiry
- Ask patient to list all foods consumed in a 24-hour period
- Ask the patient if this is typical
- Easy to accomplish while waiting for a doctor check.
9
Q
3- and 7-Day Diet Diaries
A
- More in-depth studies
- Should include at least one day of the weekend.
- Patient keeps track of foods eaten on a daily basis.
- After analysis, counsel one-on-one
10
Q
Computerized Diet Assessment
A
- More general than dental related
- Analyzes nutrient content of food.
- Online programs.
11
Q
Barriers to eating well
A
- Jobs dictate odd hours of eating
- Eating alone
- Fixed income
- Convenience
12
Q
Counseling technique
A
- Direct Approach
- Nondirect Approach
13
Q
Direct Approach
A
Clinician is dictator and patient is passive
-Ineffective
14
Q
Nondirect Approach
A
Patient is in control and clinician is facilitator
- Also called Patient-centered technique
- Most effective
15
Q
Tips for effective counseling
A
- Be nonjudgemental
- Use eye contact and nod head
- Provide feedback as to your understanding
- Use open body language
- Offer encouragement
- Sandwich criticism between two positive statements
