Environment and communication Flashcards

(48 cards)

1
Q

What can we do to create a pleasant office environment?

A
  • temperature
  • lighting
  • wall and floor coverings
  • traffic control
  • sound control
  • privacy
  • odour control
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2
Q

Temperature

A

reception area about 72F, clinical area about 68-70 F, constant air exchange

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3
Q

Lighting

A

reception area has table and floor lamps, business area has fluorescent lighting, clinical area has fluorescent, clinical and natural lighting

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4
Q

Wall and floor coverings

A

calming colours
floor covering is:
- durable carpet or vinyl flooring in reception, business and private office areas
- vinyl in clinical and laboratory areas

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5
Q

Traffic control

A

smooth transition to all areas of the office, separate areas to business, clinical and private

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6
Q

Sound control

A

minimize sound of the dental equipment

music provides distraction for dental sounds

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7
Q

Privacy

A

(administrative area for financial consulting)

  • dentist’s office
  • staff lounge
  • dental operatory
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8
Q

Odour control

A

keep it clean (smells fresh), coffee (to mask odour and provide a treat), fresh flowers must be careful with allergies so sprays etc. should not be used)

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9
Q

Things to remember about the reception area (things we can do to make it more comfortable)

A

NOT A WAITING ROOM

  • keep area clean
  • ensure adequate seating
  • maintain up-to-date reading material
  • provide a place for coats and umbrellas
  • offer a children’s corner
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10
Q

What is communication in the dental office?

A
  • the exchange of messages and information
  • reacting to information delivered
  • exchanging messages, or ideas through speech or gestures
  • involves two or more people
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11
Q

Fundamentals of communication

A
  • the sender
  • the reciever
  • the messages
  • feedback (verbal and non-verbal)
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12
Q

How do I understand the message?

A
  • sender must have organized thoughts
  • sender must speak clearly to deliver the message
  • the message must be simple and clear
  • the receiver must listen to the message
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13
Q

Basic forms of communication

A
  • verbal
  • non verbal
  • written
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14
Q

What is verbal communication?

A
  • occurs through the exchange of spoken words
  • words and ideas are transferred from the sender to the receiver
  • a response is given
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15
Q

Words

A
  • have meanings that have developed within people. words that I choose to use to communicate with you, may have a different meaning to you
  • words have both connotative and denotative meanings
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16
Q

Effective verbal communications

A
  • vocabulary - avoid dental jargon
  • intonation - rise and fall of your voice, its not what you say, its how you say it
  • clarity - keep it simple stupid
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17
Q

Non-verbal communication

A

through the use of body language to transfer ideas or thoughts

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18
Q

Non verbal communication by professional and patient

A
  • personal appearance
  • posture and gait
  • facial expression
  • eye behavior
  • gestures
  • sounds
  • territory and space
  • touch
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19
Q

What does CARE stand for?

A

C - comfort: hygienist can deal with embarrassing or emotional topics related to a patient’s health, ie. tooth loss or financial difficulties
A - acceptance: non judgmental approach to communication and care, ie. patient’s oral hygiene may seem to you to be self imposed but perhaps their appearance has deep cultural roots unknown to you
R - responsiveness: ability to reply to messages immediately after they are received, ie. patient is scheduled for a cleaning but comes in with a tooth ache, tooth ache is now priority
E - empathy: “put yourself in another’s shoes”, must understand a patient’s feelings being their statements, ie. hygienist may say to an angry patient who has lost mobility after a stroke, ‘you must be frustrated to know what you want and not be able to do it’

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20
Q

Where is the intimate zone? What are some examples?

A
  • 0-18 inches
  • performing a physical assessment
  • placing and removing dental napkin
  • intraoral procedure
21
Q

Where is the personal zone?

A
  • 18 inches-4 feet
  • sitting next to a clients chair
  • health histories
  • OHI
22
Q

What is the social zone?

A
  • 4-12 feet
  • sitting at a conference
  • ie. tobacco cessation support group
23
Q

What is the public zone?

A
  • 12 feet +
  • public speaking
  • lecturing to students
24
Q

Where do you not need permission to touch (“social zone”)?

A
  • hands
  • arms
  • shoulders
  • back
25
Where do you need permission to touch ("vulnerable zone")?
- head - mouth - lips - neck - face
26
Space invasion of the dental kind reactions can be verbal or non-verbal. Examples:
- cover face or mouth - ease away (back up) - turn head - close eyes tight (to avoid closeness) - want out quickly (verbal "are you almost done?") - fidget/look uncomfortable
27
Techniques that make or break a dental relationship
Therapeutic communication - process by which the clinician learns about patient - develops an interpersonal relationship between the patient and clinician - conveys confidentiality - enables the clinician to establish a working relationship with the patient
28
What does therapeutic communication start with?
- a brief social interaction - meesages are superficial, automatic responses (ie. good morning, nice day today) - lays the foundation for a closer relationship - helps the patient to feel comfortable in sharing attitudes and feelings
29
Therapeutic communication techniques
- silence - attentive listening - convey acceptance - humor - ask questions - paraphrasing - clarifying - focusing - stating observations - offering information - summarizing
30
Factors that inhibit communication
- giving an opinion - offering false reassurance - being defensive - showing approval or disapproval - asking why - changing the subject inappropriately
31
Better terminology for scale/scrape?
clean
32
Better terminology for drill?
clean out
33
Better terminology for periodontal disease?
gum disease
34
Better terminology for inflammation?
infection
35
Better terminology for restoration?
filling (silver, white)
36
Better terminology for decay?
cavity
37
Better terminology for extraction?
remove or removal, NOT PULL
38
Term for hand piece for children?
tooth tickler
39
Term for saliva ejector for children?
bubble blower, Mr Thirsty
40
Term for A/W for children?
wind and water squirter, water hose
41
Term for rubber dam for children?
raincoat
42
Term for clamp for children?
button, ring (feels tight)
43
Term for dry angles cotton rolls for children?
soft cotton
44
Term for fluoride trays?
funny soft squishy teeth
45
Better phrasing for did that hurt?
is that sensitive? or is/are that/you comfortable?
46
Better phrasing for are you okay?
You are doing great
47
Ask vs tell
asking vs telling is not a natural way to approach communication but it is the only way to get to the 'root' of a patient's needs, concerns, etc.... Try to use open ended questions vs closed ended questions
48
What are open ended questions?
- don't require a yes or no - they usually begin with why, what or how - do not lead the patient in a specific direction - increase conversation and rapport by investigating patient's needs