Flashcards
Dental public health IV (100 Flash cards)

Cards in this deck (100)
- 1Vaccines at birth to 11 yearsBirth- HEP B
2/3 months- DTAP, POLIO
6 months- INFLUENZA
12-15 months- MMR, VARICELLA (chickenpox)
24 months- HEP A
11+ years- HPV
- 22 types of epidemiological studiesDescriptive
Analytical
- 32 types of analytical studiesExperimental
Observational
- 42 types of experimental studiesClinical trial
Community study
- 52 types of observational studiesCohort
Case control
- 65 A's of evidence based dentistryAsk
Acquire
Appraise
Apply
Assess
- 7PICO Clinical Question?Population
Intervention
Comparison
Outcome
- 85 types of biasConfirmation- to fit own belief
Confounding- outside factors
Selection- study population not true representative
Information/measurement- distortion
Reporting- wrong hypothesis publication
- 9Dental Fluorosis IndexNormal
Questionable- white flecks
Very mild- <25% of tooth surface (SNOW CAPPING)
Mild- 25-50%
Moderate- >50%
Severe
- 10Define Patient-Centered Care *will be on test*Health care that establishes a partnership among practitioners, patients and their families to ensure that decisions respect patient's *wants*, *needs* and *preferences* and that patients have the education and support they need to make decisions and participate in their own care.
Its' 1/6 fundamental aims of the US health care system.
Provider role; clinical assessment, patient education, support/empowerment.
- 11Define a Paradigm- a pattern or model
- could be compared to a window through which people see the world
- fixed behavioral mindset
- 12What are the classic models of communication?- LINEAR; a one way process
- INTERACTIVE; provide info and receive response
- TRANSACTION; multiple stage of two-way conversation
- 13What is the preferred model of communication?- CONSTRUCTIVE model
- Moving away from Transactive Model
- Two-way process, however, the focus is not on the style of communication but about the *constructive result that effective communication brings*
- 14Define Interpersonal Communication *will be on the test*The exchange of information, feelings and meaning through verbal and non-verbal messages (usually face-to-face)
*the primary form of communication in patient-centered care*
- 15What are 5 communication myths?1. You must be right
2. Communication will solve any problem
3. More is always better
4. Communication can break down
5. Communication is inherently good
- 16What are 9 channels of non-verbal communication?- Facial display - Use of smell
- Eye behaviors - Use of space
- Body movement - Physical appearance
- Touch behaviors - Use of time
- Use of artifacts
- 17What are the 3 primary functions of facial behavior?1. Identity
2. Attractiveness
3. Emotion
- 18What non-verbal channel communicates more than any of the others?The FACE

- 19Describe eye behaviors.*The eyes communicate more than any other part of the face*
Eye contact can connote; honesty, attraction, confidence, intimidation.
- 20What are some examples of body movement communication?- Charlie Brown slouch
- Hand gestures (point, give, chop, show)
- 21What are 5 forms of meaning that touch conveys?1. Affection
2. Caregiving
3. Power and control
4. Aggression
5. Ritualistic - ex; the handshake
- 22What 2 phenomena are affected by smell?1. Memories
2. Sexual attraction
- 23What is the "halo effect"?Attributing positive qualities to physically attractive people.

- 24What is the self verification theory?People prefer those that resemble the person they want to be.

- 25How is the use of time a non-verbal channel of communication?The way we use time (ex; being on time vs. being late) sends others messages of value and power.

- 26Describe non-verbal communication.- *Our primary form of communication. Over 70-90%*
- Is always present
- Harder to fabricate (subconscious)
- Believed over verbal communication
- 27Describe verbal communication.- *The most recognized form of communication*
- Approx. 10-30% of communication
- 28What are some components of verbal communication?- Speed
- Volume
- Tone
- Breathing
- 29Define rapport.A close and harmonious relationship in which the people or groups concerned understand each other's feelings or ideas and communicate well.
- Poor rapport with a patient can lead to inaccurate elicitation of med hx and chief complaints.
- 30Describe empathic listening.The ability to get inside another person's frame of reference. You look through it, you see the world the way they see the world, you understand their paradigm, you understand how they feel.

- 31—1. To learn - informational
2. To evaluate - critical evaluation
3. To comfort - empathic listening
- 32What are 7 barriers to effective listening?- Pseudolistening
- Selective listening
- Informational overload
- Glazing over
- Rebuttal tendency
- Closed-mindedness
- Competitive interrupting
- 33Define pseudolistening.Using feedback behaviors to give the false impression that you are listening.

- 34Define selective listening.Listening only to the points you want to hear.

- 35Define information overload.Being overwhelmed by the large amount of information you experience daily

- 36Define glazing over.Daydreaming while you should be listening.

- 37Define rebuttal tendency.The propensity to argue inwardly with a speaker and formulate your responses prematurely.

- 38Define closed-mindedness.Refusal to even listen to ideas with which you disagree.

- 39Define competitive interrupting.Interrupting others in order to control the conversation.

- 40What are 3 misconceptions about listening?1. Hearing is the same as listening
2. Listening is natural and effortless
3. All listeners experience the same thing
- 41How do we elicit an accurate Chief Complaint and Medical Hx?- Establish rapport
- Empathetic listening
- Active listening; O.A.R.S
- 42What are 3 components of behavior change?1. Rapport
2. Empathic listening
3. Motivational interviewing
- 43What is "O.A.R.S"?O; open-ended questions
A; affirmation
R; restating
S; summarize/paraphrase
- 44What are some keys to building rapport?- Smiling
- Emotional contagion
- Stereotype Content Model
- Self-Verification Theory
- Mere-Exposure Effect
- Mirroring
- Spontaneous trait transference
- Triadic closure
- Gain-loss Theory
- Pratfall Effect
- Self-disclosure
- Reciprocity of liking
- Pygmalion effect
- Humor
- 45What is the Stereotype Content Model?People trust those and are more likely to mimic those they perceive as warm and competent.

- 46What is the Mere-Exposure Effect?People prefer things that appear more familiar to them.

- 47What is mirroring?The practice of conscious or unconscious mimicking of another to build rapport.
Example; people who act different around their high school friends.
- 48What is spontaneous trait transference?People begin to associate adjectives you use about others with yourself. Example; if you complain about someone, the negativity is associated with you.

- 49What is traidic closure?People are more likely to trust and befriend their friends' friends

- 50What is the Gain-Loss Theory?Comments make more of an impact the less you give them.

- 51What is the Pratfall Effect?People like competent people that will admit mistakes.

- 52Describe self-disclosure.*Very powerful technique for increasing relatedness*. People feel closer to those that have disclosed personal feelings.

- 53What is Reciprocity of Liking?People like those who they think are like them.

- 54What is the Pygmalion Effect?People treat others in a way that models their expectations.

- 55What are models of behavioral change?Models for understanding what motivates a person's change in behavior.

- 56Define conditioning.A process by which behavioral change is made as a result of introducing a stimulus for change.

- 57What are some models of behavioral change?- Health Belief Model
- Stages of Change Model
- Social Cognitive Theory
- Contemporary/Community Health Theory
- ABC Behavior Theory
- 58Describe the Stages of Change Model.Used to predict if a person is ready to consider or make a change within their life. The belief that each change occurs in the following stages;
- Pre-contemplation
- Contemplation
- Action
- Maintenance
- 59Describe the Contemporary Community Health Model.Belief that the following community factors has a strong influence on ones behavior;
- Social Awareness
- Culture
- Economics
- Environment
Used to enact political change to address the behavior of the public. Ex; water fluoridation and vaccinations.
- 60Describe the ABC Behavior Theory.Belief that a learned behavior can be explained by;
- A; antecedent
- B; behavior
- C; consequences - the result
Often used as a behavioral strategy to change behavior. Ex; Patient's swollen gingiva influences him to floss.
Can also explain bad behavior - ex; drug abuse provides pain relief etc.
- 61Describe Classical Conditioning/Pavlovian Conditioning.The practice of creating learned behavior through stimuli. A neutral stimuli attached to an unconditioned response forms a conditioned stimulus that elicits a conditioned response.

- 62Describe Operant Conditioning.Behavior is followed by a series of consequences that increase or decrease behavior.
+ve reinforcement; ex, post-tx toys
-ve reinforcement; ex, removal of handcuffs
+ve punishment; ex, spanking
-ve punishment; ex, grounded from TV
- 63Describe Social Cognitive Theory.Belief that change is influenced by social environment and cognitive factors. Used to teach a behavioral change. These include;
- Self efficacy
- Behavioral modeling
- Social reinforcement
Ex; a dentist provides OHI to a patient who then models it back.
- 64Describe the Health Belief Model.Belief that behavioral motivation is influenced by;
- Perceived susceptability to a problem (internal vs. external LOC)
- Severity of consequences
- Perceived costs or benefits to change
- Action stimuli/cues that prompt or remind them of the behavior
Ex; a person is more like to change their oral habits if they believe they may develop periodontitis.
- 65What are 5 pitfalls to behavioral change?- Being the expert
- Interrogating
- Blaming
- Taking sides
- Using communication terminators
- 66How can you reduce defensiveness?- Use provisional language rather than certain messages
- Use descriptive language rather than judgmental/evaluative language
- Avoid accusations and blame
- Avoid -ve evaluative terms
- Avoid "preaching"
- Don't focus too much on your own way of seeing things
- 67What are 3 fundamental techniques in handling people?1. Don't criticize, condemn or complain
2. Give honest and sincere appreciation
3. Arouse in the other person an eager want
- 68What is motivational interviewing?A process for recognizing and eliciting behavioral change that includes;
- Measuring a person's readiness
- Providing patient education
- Empowering behavioral change
- 69What are the components of "change talk"?- The readiness ruler
- Confidence/evocative questions
- Explore decision balance
- Elaborative talk
- Querying extremes
- Looking back
- Looking foward
- Exploring values and goals
- Using hypotheticals
- 70Describe R.E.D.S.R; roll with resistance - avoid arguing
E; express empathy
D; develop discrepency - helps pts seethe consequences of behavior compared to desired results
S; support self-efficacy
- 71Describe P.A.C.E.P; partnership, work collaboratively
A; acceptance of pt autonomy and beliefs
C; compassion, do what is best for the pt
E; evocation, most change comes from pt's own discovery
- 72What are some components of Professional Communication?- Begin with the positive
- Provide objective feedback (vs. emotional)
- Help others find the answer
- Show praise & appreciation
- 73Define "Culture".The customary beliefs, social norms, and material traits of a racial, religious or social group.

- 74What is cultural competence?A social continuum of accepting, understanding, facilitating care for cultural differences. Ones culture capacity can range between destructiveness, blindness and competence.

- 75What are some cultural comparisons? *will be on the test*- Individualistic vs. Collectivist culture
- High-Context vs. Low-Context culture
- High-Power-Distance vs. Low-Power-Distance culture
- Masculine vs. Feminine culture
- Monochronic vs. Polychronic culture
- Uncertainty-Avoiding vs. Uncertainty-Accepting culture
- 76What is "cultural appropriation"?The adoption of part of one dominant culture by members of another. Primarily seen as exploitation rather than appreciation.

- 77Describe the culture of Western Medicine.- Meliorism; make it better
- Dominance over nature
- Activism; do something!
- Timeliness; sooner than later
- Therapeutic aggressiveness; stronger = better
- Future orientation; newer = better
- Standardization
- 78How does non-western compare with western medicine? *see Describe the culture of Western Medicine flashcard*- Accept with grace
- Balance/harmony with nature
- Wait and see
- Cautious deliberation
- Gentle approach
- Take life as it comes
- Individualize/recognize differences
- 79What is micro-aggression?Commonplace inappropriate verbal or behavioral expression that conveys negative prejudicial slight towards another culture.

- 80What are some ways to overcome caregiver/interpreter communication?- Establish platform for communication
- Introduce everyone and define roles
- Speak slowly and in short sentences
- Pause for communication (interpreter only)
- Speak directly to patient and not interpreter/caregiver
- Practice paraphrasing to confirm understanding
- 81Summarize the patient exam in 4 steps.1. What did the patient tell you when they arrived?
2. What information do you need to gather?
3. What is your conclusion?
4. What will you do about it?
- 82What is the *#1* thing you must do when giving a verbal case presentation?Give the patient a voice by introducing them and an opportunity to express their own relevant chief complaints and concerns.

- 83What are the components of a SOAP Note?S: Subjective findings - info pt tells you
O: Objective findings - info you discover
A: Assessment - differential diagnosis
P: Plan - treatment plan & PARQ
*You cannot do a tx (P) without a diagnosis (A) and you cannot make a diagnosis, without objective findings (O)
- 84What are the benefits of a SOAP Note?- Begins with the patient's concerns (pt-centered)
- Forces you to begin thinking like a diagnostician
- A common form of inter-professional transferring communication
- Ensures proper documentation (legality)
- 85What is the difference between a SOAP and a SBAR?SOAP;
- For proper documentation
- For initial case presentation
SBAR;
- For quick situational feedback
- For inter-professional communication
- 86What are the components of an SBARS; Situation - current reason you are calling
B; Background - relevant findings
A; Assessment - what you feel the problem is
R; Recommendation - seek their guided advice
- 87What are the 4 domains of emotional intelligence?- Self-awareness
- Self-management
- Social awareness
- Relationship management
- 88What are the 5 principle codes of professional conduct?1. Patient autonomy (self-governance)
2. Non-maleficence (do no harm)
3. Beneficence (do good)
4. Justice (fairness)
5. Veracity (truthfulness)
- 89"Being aware of own strengths and limitations" relates to which emotional intelligence competency?Self-Awareness.
(accurate self-assessment)
- 90"Having presence" relates to which emotional intelligence competency?Self-Awareness.
(self-confidence)
- 91"Knowing when to seek assistance" relates to which emotional intelligence competency?Self-Awareness.
(accurate self-assessment)
- 92"Having confidence in job capability" relates to which emotional intelligence competency?Self-Awareness.
(self-confidence)
- 93"Knowing when to seek assistance" relates to which emotional intelligence competency?Self-Awareness.
(accurate self-assessment)
- 94"Having confidence in job capability" relates to which emotional intelligence competency?Self-Awareness.
(self-confidence)
- 95"Displaying a self-assurance that is visible to others" relates to which emotional intelligence competency?Self-Awareness.
(self-confidence)
- 96"Welcoming honest, constructive criticism and being open to feedback" relates to which emotional intelligence competency?Self-Awareness.
(accurate self-assessment)
- 97What is the definition of principle?A fundamental truth or proposition that serves as the foundation for a system of belief or behavior or for a chain of reasoning.

- 98"Having a sense of humor about oneself" relates to which emotional intelligence competency?Self-Awareness.
(accurate self-assessment)
- 99"Displaying emotional insight" relates to which emotional intelligence competency?Self-Awareness.
(emotional self-awareness)
- 100"Recognizing the effects of one's feelings and behavior" relates to which emotional intelligence competency?Self-Awareness.
(emotional self-awareness)
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- Praxis Flashcards: Dental public health Flashcards on Dental public health IV (100 Flash cards) , created by ACAPUN INSTITUTE on 04/08/2021.
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