Care of Patients with learning disabilities in the day surgery setting

2002 ◽  
Vol 3 (3) ◽  
pp. 22-29
Author(s):  
Joanne Bratchell

ABSTRACTThe shift in the philosophy of care for people with learning disabilities from institutional care to living in the community has placed greater demands on generic health services. Alack of training and appropriate skills have been identified as problem areas for health care providers who may be required to care for this group of people. The dental health of people with learning disabilities has shown no improvement over the last fifty years despite advances in dental treatment. Requests for dental care present practitioners with ethical and legal problems due to a reduced capacity to give informed consent. The provision of dental care for patients with learning disabilities in the day surgery unit of a local hospital is critically evaluated and recommendations are then made as to how current practice may be improved with reference to the findings of current literature.

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Guy Tobias

Background: First infections of COVID-19 pandemic occurred in December 2019 in China and then spread rapidly all over the world. In February 2020, the first Corona case was diagnosed in Israel, since then, three national lockdowns have been imposed. Israeli Ministry of health published guidelines for dental treatment during times of social distancing which include: 1) Questioning patients prior to admittance. 2) Increasing intervals between appointments. 3) Restricting number of people permitted in the waiting room to prevent crowds. 4) Wearing masks at all times. 5) Wearing long sleeve waterproof surgical gowns, goggles / face shield. Methods: Data from 54 dental clinics (MaccabiDent health maintenance organization) were collected between March and October 2020 regarding: 1) Number of treatments performed. 2) Number of health care providers participating in the procedures. 3) Number of patients with positive COVID-19 results. 4) Number of healthcare workers positive for COVID-19. 5) Number of paramedical and administrative staff positive for COVID-19. 6) Number of patients treated by dentists who later turned out to be infected by the virus. Results: 1,079 dentists and 354 dental hygienists worked during the study period, and performed 1.29 million procedures of these, seventy eight dentists treated 99 verified COVID-19 patients. 17 dentists (1.58%) tested positive for the virus. Conclusion: By following guidelines, the risk of transmission of coronavirus is minimal in the dental setting. Practical Implications: This article reinforces the evidence regarding the importance of education and following guidelines regarding infection control for dental professionals employed in public clinics.


2020 ◽  
Vol 5 (2) ◽  
pp. 350-360
Author(s):  
Wandania Farahanny ◽  
Ika Andryas ◽  
Rini Octavia N ◽  
Olivia A Hanafiah

One of pandemic effect is that people being afraid to have their regular dental treatment and tends to have their own medication. Dentist and dental nurses as workerin public health provider also afraid on doing dental treatment on a reason highly contamination and transmission of the virus. Delaying aerosol generating procedures is found as the only choice, except for emergency case. However, the uncertainty of pandemic era and dental treatment needs, urge the health workers to have innovation in dental treatment service.  Using mobile dental clinic Dinas Kesehatan Kabupaten Langkat di Puskesmas Sambirejo is a solution. The implementation of service activities in mobile dental clinic are mainly in self Protection equipment, SOP in  Standart Precaution, sterlisation and aseption and also patients admision flow in pandemic era for health care providers as a way to improve their knowledge in handling patient in pandemic era. The delay of action in dental procedur can be solved by facilitating mobile dental clinic according to standard health protocol. Instead of only reaching rural area, this mobile dental clinic can also be used in narrow building with limited space. The SOP protocol can also be used by dentis and dental nurses to control infection in mobile dental clinic. This article tries to support government in raising the degree of mouth and dental health services in pandemic era.


2011 ◽  
Vol 22 (6) ◽  
pp. 511-516 ◽  
Author(s):  
Carolina Paes Torres ◽  
Jaciara Miranda Gomes-Silva ◽  
Thalita Siqueira Mellara ◽  
Lívia Pasqualini Carvalho ◽  
Maria Cristina Borsatto

Epidermolysis bullosa (EB) is a heterogeneous group of rare genetic disorders characterized by marked fragility of the skin and mucous membranes in which vesiculobullous lesions occur in response to trauma, heat or no apparent cause. The recessive form of EB presents the greatest oral alterations including repeated blistering and scar formation leading to limited oral opening, ankyloglossia, tongue denudation, microstomia, vestibule obliteration and predisposition to oral carcinoma. Routine dental care may cause bullae formation on the lips and oral mucosa. Together with the ingestion of soft and frequently carbohydrate food, these anomalies lead to a high caries risk. This paper documents a case of a child diagnosed with recessive dystrophic epidermolysis bullosa (RDEB); describes the phases and difficulties of dental treatment and the measures that dentists and health care providers should adopt in order to provide a safe and effective dental treatment as well as earlier prevention to these patients.


2020 ◽  
Vol 25 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Brianne Redquest ◽  
Yona Lunsky

Purpose There has been an increase in research exploring the area of intellectual and developmental disabilities (IDD) and diabetes. Despite being described as instrumental to diabetes care for people with IDD, the role and experiences of family carers, such as parents and siblings, are often neglected in this research. However, it is clear that family carers do not feel that they have sufficient knowledge about diabetes. The purpose of this commentary is to extend the content from “Diabetes and people with learning disabilities: Issues for policy, practice, and education (Maine et al., 2020)” and discuss how family carers can feel better supported when caring for someone with IDD and diabetes. Design/methodology/approach This commentary discusses specific efforts such as STOP diabetes, DESMOND-ID and OK-diabetes for people with IDD including family carers. Encouragement is given for health care providers to recommend such programmes to people with IDD and their family carers. It is also suggested that health care providers involve family carers in diabetes care planning and implementation for people with IDD. Findings It is hoped that if changes are made to current diabetes practices and more research with family carers is conducted, diabetes prevention and management for people with IDD will be more successful and family carers can feel more confident in providing support to their loved ones. Originality/value Research exploring the role of family carers in diabetes care for people with IDD and diabetes is very limited. This commentary makes recommendations to help family carers feel better supported in their role. It also provides areas for future research.


2018 ◽  
Author(s):  
Emily Rutherford ◽  
Roghinio Noray ◽  
Caolán Ó HEarráin ◽  
Kevin Quinlan ◽  
Aisling Hegarty ◽  
...  

BACKGROUND Escalating demand for specialist health care puts considerable demand on hospital services. Technology offers a means by which health care providers may increase the efficiency of health care delivery. OBJECTIVE The aim of this study was to conduct a pilot study of the feasibility, benefits, and drawbacks of a virtual clinic (VC) in the general surgical service of a busy tertiary center. METHODS Patient satisfaction with current care and attitudes to VC were surveyed prospectively in the general surgical outpatient department (OPD; n=223). A subset of patients who had undergone endoscopy and day surgery were recruited to follow-up in a VC and subsequently surveyed with regard to their satisfaction (20/243). Other outcomes measured included a comparison of consultation times in traditional and virtual outpatient settings and financial cost to both patients and the institution. RESULTS Almost half of the patients reported barriers to prospective use of VCs. However, within the cohort who had been followed-up in the VC, satisfaction was higher than the traditional OPD (100% as compared with 187/223, 83.9%). Significant savings in both time (<italic>P</italic>=.003) and financial costs to patients and the institution were found. CONCLUSIONS For an appropriately selected group of patients, VCs offer a viable alternative to traditional OPD. This alternative can improve both patient satisfaction and efficiency of patient care.


Dental Update ◽  
2021 ◽  
Vol 48 (2) ◽  
pp. 157-160
Author(s):  
Lakshman Samaranayake ◽  
Sukumaran Anil

COVID-19 Vaccines are currently the talk of the world. The internet is full of memes on COVID-19 vaccines - myths more than truths. In this commentary we further review some of the issues related to the success and failure of COVID-19 vaccines, and the theoretical and practical elements on vaccinations and immunity that the dental health care providers have to be knowledgeable, so as to offer advice and guidance to their team, the patients, as well as the public.


2016 ◽  
Vol 17 (5) ◽  
pp. 387-395 ◽  
Author(s):  
A. S. Hussein ◽  
R. Ahmad ◽  
N. Ibrahim ◽  
A. Yusoff ◽  
D. Ahmad

Author(s):  
Victoria V. Evstratenko ◽  
A. V Sevbitov ◽  
V. V Platonova

Drug addiction of any kind is a serious threat to patients' dental health too. It has been found out that patients, who are drug addicted, have a significantly higher frequency and severity of oral diseases: increase in frequency of caries and its complications, inflammatory-and-dystrophic diseases of periodontitis, pathologies of mucous tunic of mouth. We examined 197 persons who had drug addiction. The conducted research revealed that all 100% examined patients needed dental care; preparation of drug-addicted patients for a dental treatment must be conducted under control of narcologist, anesthesiologist and dentist.


2022 ◽  
Author(s):  
Kalyana Pentapati ◽  
◽  
Deepika Chenna ◽  
Mathangi Kumar ◽  
Medhini Madi ◽  
...  

Review question / Objective: What is the prevalence of Carpal Tunnel syndrome among dental health care providers? Condition being studied: Carpal tunnel syndrome is median nerve peripheral neuropathy which causes paresthesia, pain, and numbness in territory of median nerve (thumb, index, middle, and lateral half of the ring finger). Information sources: Pubmed, SCOPUS, EMBASE, CINAHL, Web of Sciences, Dentistry and Oral Science Source from inception to January 1st 2022.


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