Explain The Barriers Of Communication In Nursing
Barriers of communication and management:
Gender: It is generally easier and more comfortable to treat patients of the same gender. When there is a situation of a dentist and patient of the opposite gender of the same age group, it is important to maintain a professional relationship. Till today, gender roles exist between males and females. With some people males are viewed to be the dominant sex. Stereotyping creates a battle of sexes that can foster barriers of communication.
To manage, one should look towards the patient as just that, a patient. She is looking for a treatment of some sort and you are the one that can help with that. This would hinder away any stereotypical or emotional ideas that would come in the way of effective communication. …show more content…
Jargon: Part of the training of dentists includes learning many unusual and technical terms. This new vocabulary, though useful and precise within the profession, is merely confusing jargon to those outside of it. It confuses the patient, a receptionist in this case, and its use may be condescending towards and/or intimidating for the patient. Dentists and technical staff should use words that are clear, accurate, and more common. Common dental words such as restoration (filling), dentition (set of teeth), occlusion (how the teeth come together) and medical words like hyperemia (increased blood flow), osseous (bone), and anticoagulant (blood thinner) are examples of jargon that should be avoided. (http://www.dentalcomfortzone.com/jargon-confuses-patients/)
Emotion: This patient presents with nervousness, and this may have a host of potential isssues that can make it harder to communicate. A few examples include:
• Distracted thinking: You may find yourself thinking anxious things, or find yourself overly focused on the way you feel, or find yourself stuck on a thought you're trying to shake. Regardless of what the issue is, distracted thinking makes it very hard to hold onto a conversation, and your ability to communicate is impaired as a result.
• Overthinking: When you're nervous while talking to someone else, it's not uncommon to overthink each and every word you're about to say in an effort to make sure that you say the right thing. But since communication has to be natural in order to work, trying to rethink everything you're about to say can actually make it harder to say what you mean.
• Tongue stumbling: It's not uncommon for some automatic body movements to become less automatic because your brain focuses in on the action. Eventually, this makes it harder to move your tongue correct to the point where you stumble over your words.
(http://www.calmclinic.com/anxiety/impairs-communication)
These various aspects would cause trouble with listening, understanding, and effectively communication across their problem to the dentist.
A way to manage this patient would be to talk, talk, talk.
Some patients like to know nothing about what you are doing, others want to know every little step. Either way you have got to talk, communication is at the very heart of helping the nervous patient relax and feel ok with the situation. Choose your words really carefully, reframe any part of the process that you know will stress them out. E. g. anaesthetic is not injected, we simply let it soak in r—e—a—l—l—y slowly – sounds a heck of a lot less threatening and if it is pain free then it will boost the patient’s confidence in your skills. If the patient does not want to know anything about the technicalities that is fine, but make sure you still chat to them throughout.( …show more content…
http://www.dentalanxiety.net/articles/dental-anxiety/)
Treatment options:
Our patient information:
• 28 year old female
• Self-conscious
• Receptionist
• Painful, carious lesion on the 12, involving the pulp.
• Patient will do anything to save the tooth.
Treatment options:
• Extraction
• Root canal treatment
Extraction:
Tooth extraction is a simple surgical procedure that is performed under certain guidelines, and for certain reasons. As with this patient, the patient never reported any underlying diseases, so if extraction is done, antibiotic prophylaxis does not need to be given. If the patient however reported any immune suppressed disease or heart diseases, prophylaxis would be given, to prevent the open wound from getting infected.
Indications for tooth extraction: (http://emedicine.medscape.com/article/82774-overview)
• A tooth that has severe caries and can not be restored.
• Overcrowding of arches, requiring orthodontic work.
• A very mobile tooth with periodontal disease.
• Cracked teeth from trauma.
• Supernumerary teeth.
• For aesthetics.
• Teeth next to a pathologic lesion, eg a tumor, that needs to be removed.
Contraindications for extraction: (http://emedicine.medscape.com/article/82774-overview)
• Local contraindications include: a tooth near to an area that has experienced heavy radiation, proximity to a malignant tumor which could facilitate its spread, an area of infection, an area close to a fracture as well as if the person suffers from limited mouth opening.
• Systemic contraindications: biphosphonate treatment for cancer, uncontrolled diabetes, end stage kidney disease or liver disease, leukemia, strokes, heart diseases or lymphoma. Pregnancy in the first and last trimester, as well as a lot of caution in haemophilliacs.
Procedure:
Because the tooth is in an aesthetic area, it needs to be replaced. This can be done by the following:
• An immediate partial denture, and once the wound has healed, an implant done.
• Immediate partial denture and a bridge.
Immediate partial denture and later an implant:
Here, prior to the extraction, the dentists sends impressions to the lab for a partial denture to be constructed. On the day of the extraction the denture is delivered. After the wound has healed the patient returns for the implantation procedure to commence.
Advantages: the patient can return to work, as the aesthetics are not affected.
Disadvantages: the partial denture increases bone resorption, and immediately it will cause slight discomfort to the patient.
Immediate partial denture and bridge:
Here the same procedure as above is carried out with regard to the partial denture. And once the wound has healed, the patient will get a tooth supported porcelain-metal-fused 3-unit bridge.
Advantages: good aesthetics, lasts long, does not invade the bone like an implant so less chance of infection and it is not removable.
Disadvantages: cleaning becomes a challenge, it is very expensive, it can damage adjacent teeth if not done correctly.
Immediate partial denture:
Here a partial denture is created and delivered to the patient on the day of extraction.
Advantages: cost effective, no waiting, aesthetics.
Disadvantages: removable
Cost:
Immediate denture Immediate denture and implant Immediate denture and bridge
R2500 R10 500 R10 100
Root Canal Treatment: (http://www.webmd.com/oral-health/guide/dental-root-canals)
Root canal treatment is when the nerve and pulp is removed from a severely decayed tooth to prevent further infection, inflammation and possible abscess formation.
Indications for root canal treatment:
• Severe pain
• Sensitivity to cold or heat
• Swelling and tenderness
• Discolouration of the tooth
Advantages: relieves pain and discomfort without losing the tooth, in the long run it is more cost effective than an implant.
Disadvantages: when the blood and nerve supply is removed from a tooth the tooth will become more prone to breaking because it becomes non-vital, root canal treatment can have complications as discussed below.
Complications:
• Accessory canals can become infected if they are not found and not treated.
• If there is a crack that is undetected in the root bacteria can reenter causing infection.
• If the canal or restoration does not provide an adequate seal, the tooth can be reinfected.
Procedure:
• Diagnostic radiographs are taken.
• The tooth is opened and the canals are cleaned out using files and sodium hypochlorite to flush it.
• Thereafter the canals are filled and a temporary restoration is placed on the
crown.
• After 2 weeks, the patient returns to see if the tooth is free of infection and thereafter if not a permanent restoration will be placed.
• If reinfected, the canal will have to be recleaned.
• The options for a permanent restoration are: Amalgam, Composite or a Porcelain crown.
Gender: It is generally easier and more comfortable to treat patients of the same gender. When there is a situation of a dentist and patient of the opposite gender of the same age group, it is important to maintain a professional relationship. Till today, gender roles exist between males and females. With some people males are viewed to be the dominant sex. Stereotyping creates a battle of sexes that can foster barriers of communication.
To manage, one should look towards the patient as just that, a patient. She is looking for a treatment of some sort and you are the one that can help with that. This would hinder away any stereotypical or emotional ideas that would come in the way of effective communication. …show more content…
Jargon: Part of the training of dentists includes learning many unusual and technical terms. This new vocabulary, though useful and precise within the profession, is merely confusing jargon to those outside of it. It confuses the patient, a receptionist in this case, and its use may be condescending towards and/or intimidating for the patient. Dentists and technical staff should use words that are clear, accurate, and more common. Common dental words such as restoration (filling), dentition (set of teeth), occlusion (how the teeth come together) and medical words like hyperemia (increased blood flow), osseous (bone), and anticoagulant (blood thinner) are examples of jargon that should be avoided. (http://www.dentalcomfortzone.com/jargon-confuses-patients/)
Emotion: This patient presents with nervousness, and this may have a host of potential isssues that can make it harder to communicate. A few examples include:
• Distracted thinking: You may find yourself thinking anxious things, or find yourself overly focused on the way you feel, or find yourself stuck on a thought you're trying to shake. Regardless of what the issue is, distracted thinking makes it very hard to hold onto a conversation, and your ability to communicate is impaired as a result.
• Overthinking: When you're nervous while talking to someone else, it's not uncommon to overthink each and every word you're about to say in an effort to make sure that you say the right thing. But since communication has to be natural in order to work, trying to rethink everything you're about to say can actually make it harder to say what you mean.
• Tongue stumbling: It's not uncommon for some automatic body movements to become less automatic because your brain focuses in on the action. Eventually, this makes it harder to move your tongue correct to the point where you stumble over your words.
(http://www.calmclinic.com/anxiety/impairs-communication)
These various aspects would cause trouble with listening, understanding, and effectively communication across their problem to the dentist.
A way to manage this patient would be to talk, talk, talk.
Some patients like to know nothing about what you are doing, others want to know every little step. Either way you have got to talk, communication is at the very heart of helping the nervous patient relax and feel ok with the situation. Choose your words really carefully, reframe any part of the process that you know will stress them out. E. g. anaesthetic is not injected, we simply let it soak in r—e—a—l—l—y slowly – sounds a heck of a lot less threatening and if it is pain free then it will boost the patient’s confidence in your skills. If the patient does not want to know anything about the technicalities that is fine, but make sure you still chat to them throughout.( …show more content…
http://www.dentalanxiety.net/articles/dental-anxiety/)
Treatment options:
Our patient information:
• 28 year old female
• Self-conscious
• Receptionist
• Painful, carious lesion on the 12, involving the pulp.
• Patient will do anything to save the tooth.
Treatment options:
• Extraction
• Root canal treatment
Extraction:
Tooth extraction is a simple surgical procedure that is performed under certain guidelines, and for certain reasons. As with this patient, the patient never reported any underlying diseases, so if extraction is done, antibiotic prophylaxis does not need to be given. If the patient however reported any immune suppressed disease or heart diseases, prophylaxis would be given, to prevent the open wound from getting infected.
Indications for tooth extraction: (http://emedicine.medscape.com/article/82774-overview)
• A tooth that has severe caries and can not be restored.
• Overcrowding of arches, requiring orthodontic work.
• A very mobile tooth with periodontal disease.
• Cracked teeth from trauma.
• Supernumerary teeth.
• For aesthetics.
• Teeth next to a pathologic lesion, eg a tumor, that needs to be removed.
Contraindications for extraction: (http://emedicine.medscape.com/article/82774-overview)
• Local contraindications include: a tooth near to an area that has experienced heavy radiation, proximity to a malignant tumor which could facilitate its spread, an area of infection, an area close to a fracture as well as if the person suffers from limited mouth opening.
• Systemic contraindications: biphosphonate treatment for cancer, uncontrolled diabetes, end stage kidney disease or liver disease, leukemia, strokes, heart diseases or lymphoma. Pregnancy in the first and last trimester, as well as a lot of caution in haemophilliacs.
Procedure:
Because the tooth is in an aesthetic area, it needs to be replaced. This can be done by the following:
• An immediate partial denture, and once the wound has healed, an implant done.
• Immediate partial denture and a bridge.
Immediate partial denture and later an implant:
Here, prior to the extraction, the dentists sends impressions to the lab for a partial denture to be constructed. On the day of the extraction the denture is delivered. After the wound has healed the patient returns for the implantation procedure to commence.
Advantages: the patient can return to work, as the aesthetics are not affected.
Disadvantages: the partial denture increases bone resorption, and immediately it will cause slight discomfort to the patient.
Immediate partial denture and bridge:
Here the same procedure as above is carried out with regard to the partial denture. And once the wound has healed, the patient will get a tooth supported porcelain-metal-fused 3-unit bridge.
Advantages: good aesthetics, lasts long, does not invade the bone like an implant so less chance of infection and it is not removable.
Disadvantages: cleaning becomes a challenge, it is very expensive, it can damage adjacent teeth if not done correctly.
Immediate partial denture:
Here a partial denture is created and delivered to the patient on the day of extraction.
Advantages: cost effective, no waiting, aesthetics.
Disadvantages: removable
Cost:
Immediate denture Immediate denture and implant Immediate denture and bridge
R2500 R10 500 R10 100
Root Canal Treatment: (http://www.webmd.com/oral-health/guide/dental-root-canals)
Root canal treatment is when the nerve and pulp is removed from a severely decayed tooth to prevent further infection, inflammation and possible abscess formation.
Indications for root canal treatment:
• Severe pain
• Sensitivity to cold or heat
• Swelling and tenderness
• Discolouration of the tooth
Advantages: relieves pain and discomfort without losing the tooth, in the long run it is more cost effective than an implant.
Disadvantages: when the blood and nerve supply is removed from a tooth the tooth will become more prone to breaking because it becomes non-vital, root canal treatment can have complications as discussed below.
Complications:
• Accessory canals can become infected if they are not found and not treated.
• If there is a crack that is undetected in the root bacteria can reenter causing infection.
• If the canal or restoration does not provide an adequate seal, the tooth can be reinfected.
Procedure:
• Diagnostic radiographs are taken.
• The tooth is opened and the canals are cleaned out using files and sodium hypochlorite to flush it.
• Thereafter the canals are filled and a temporary restoration is placed on the
crown.
• After 2 weeks, the patient returns to see if the tooth is free of infection and thereafter if not a permanent restoration will be placed.
• If reinfected, the canal will have to be recleaned.
• The options for a permanent restoration are: Amalgam, Composite or a Porcelain crown.