Therapy Between Patient Question & Answer Guide (With Explanation)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to therapy between patient and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves therapy between patient. A strong answer should include explanation, application, and examples.
Original Question
Therapy Between the Patient and the Dental Hygienist Hygienist: Seated in a position that allows direct eye contact, and showing empathy and respect, the dental hygienist should begin the conversation outlining the treatment for the day: Today, I will be treating the upper right quadrant (point to the upper right quadrant). Using the periodontal chart, or computerized program, discuss the periodontal involvement. As you can see from this chart, in several areas you have “periodontal pockets,” which have occurred in the past from the destruction of the supporting bone around these teeth. I will be debriding and root planing these areas with my instruments. Patient: Will this hurt? Hygienist: As I recall from our previous visit when I was assessing the status of your teeth with my periodontal probe (show probe), it seems as if you were sensitive when I was walking the probe around your gums to determine the depth of the pocket. Is this a correct assumption? Patient: Yes, it did feel uncomfortable. Hygienist: Well, fortunately I can numb up the area to provide you with the maximum comfort for the procedure. What are your thoughts to receiving a local anesthetic? Patient: Well gosh, I have had my teeth cleaned before at other dental offices and never had to get a shot. I don’t think that is necessary. Hygienist: I completely understand. Because I do not have the records from your other dental office, it is hard for me to comment on the procedures that you had in the past, or the condition of your mouth at that particular time. The type of treatment we provide is dependent upon the condition of your mouth at the time of treatment. Today your condition requires me to use my instruments a little deeper under your gums than you may have experienced in the past. I want you to be as comfortable as possible, and your comfort will allow me to successfully complete the procedure for your maximum benefit. Patient: Well, I do want the comfort, but I am scared of getting shots. Hygienist: I understand your fear of shots; many individuals feel the same way you do. Let me explain the procedure, and then you can let me know what concerns or questions you may have. First, I will apply some topical anesthetic with a Q-tip to the area to numb the tissue where the injection will take place. I will then deposit the solution slowly. Once I start depositing the solution, it will only take a couple of seconds until the area begins to become numb. Patient: Wow, it only takes a couple of seconds. Hygienist: Let me explain myself better, the injection will take longer because I will be injecting the solution slowly for better comfort to you, and to increase the safety of the injection. The tissue will begin to numb even before the injection is completed, and you will only feel a pinch for a couple of seconds. Patient: OK, go ahead with this procedure, and I will tell you if I am uncomfortable during the shot. Hygienist: It is fine if you want me to stop during the procedure, but it is best if you do not try to talk. Instead you can raise your hand, which will signal me that you want me to stop. (This is a strategy to let the patient know that you will stop if there is a concern, and it gives them the confidence to know that they are in control of the situation). OK, before we begin I will go over the benefits and risks associated with the treatment today, and any questions you may have. If you are OK with the procedures and after you sign the informed consent, we will then begin treatment. Patient: OK, that sounds good. A. Please read the dialogue, thoroughly, and answering the following questions: What do you like about this dialogue? What would you change about this dialogue? Can you visualize yourself speaking a similar dialogue? Why? or Why not? What do you think are some good ways to address patient questions or concerns?
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