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Chapter 12 Dental Hygiene Process of Care for the Patient with Perio…

- - - - Planning
        
        Implementation
        
        Evaluation
        
        Documentation
- - - - the purpose is keep planning patient centered care on problems that can be treated by a dental hygienist
        
        in order to be successful the dental hygienist should know why the patient developed the condition in order to treat it correctly
    - - Dental Hygiene Care Plan : should be written interventions for the patients individual need based on the assessments and data collected during the assessment phase
      - an alternative option should be also given to the patient like if they can not afford the ideal plan
      - the dental hygiene plan should be agreed on before starting treatment, the goal or the end of treatment must be staed
      - Implementation: after a plan has been presented and accepted with a signature by the patient and doctor it is time to implement the phases of treatment. the phases can go in any order based on the patient's needs
        
        Provide health education, implement pain management, carrying out periodontal debridement , provide education on antimicrobial therapies, apply chemotherapeutic agents, undertaking coronal polishing, carrying out fluoride therapy or desensitizing therapies, teaching the patient proper care of prostheses, teaching patients care of restorative work and maintenance, providing or referring smoking cessation, proving follow up instructions and documenting the process properly
        
        Evaluation: Phase of therapy addresses the feedback on the outcome of treatment and the patient's effectiveness or compliance to treatment
        
        It is a few week after the treatment like SRP and not i is time fro the perio-maintiance
        
        Evaluation is done at each appointment to determine if the goals from previous visits were reached and if you need to return to previous treatments
        
        Documentation: the process of care is on -going so written or visual documentation is required.
        
        Intra-oral camera helps show patient before and afters of their condition it can show posative results or negative result based on the patient treatment choice or lack of
        
        Digital xrays and camera together = a comprehensive documentation for patient
        
        Document all aspects of the process of care such as progress notes that has self-care, response to tx and educational topics discussed with the patient and social and culture history can be noted as well basically everything in the assessment part of the oral hygiene care plan