Pain Management Theory of Pain Control Indiana HB 1172 (Signed 3/24/08) PAIN & ANXIETY MANAGEMENT Patient Anxiety in addition to Pain Components of Pain

Pain Management Theory of Pain Control Indiana HB 1172 (Signed 3/24/08) PAIN & ANXIETY MANAGEMENT Patient Anxiety in addition to Pain Components of Pain www.phwiki.com

Pain Management Theory of Pain Control Indiana HB 1172 (Signed 3/24/08) PAIN & ANXIETY MANAGEMENT Patient Anxiety in addition to Pain Components of Pain

Antal, John, Contributing Writer has reference to this Academic Journal, PHwiki organized this Journal Pain Management Theory of Pain Control 1. Clinical attire- scrubs 2. Cell phones off during class 3. Restrooms- by main entrance & women’s locker room 4. Continental breakfast in addition to snacks at 3:00 p.m. 5. Vending Machines 6. Parking- Riverside Hall lot or lot across the street

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Indiana HB 1172 (Signed 3/24/08) This bill allows dental hygienists to administer local anesthesia under direct supervision in addition to exp in addition to s the current law to allow prescriptive supervision in hospitals, clinics, fixed charitable institutions, public health settings in addition to correctional institutions. Under prescriptive supervision, the physical presence of a dentist is not required, but the dentist must have examined the patient in addition to prescribed the patient care within the previous 45 days. Website to register as long as NERB Local Anesthesia Exam: http://www.nerb.org/b/c in addition to idate-manuals-nerb-b.html

PAIN & ANXIETY MANAGEMENT “Dental fear or anxiety affects approximately three-fourths of the total world’s population.” Darby/Walsh Patient Anxiety in addition to Pain -To recognize a patient’s anxiety in addition to pain is an integral component of the dental hygiene care plan Components of Pain -Pain perception- neurologic experience -Pain reaction- interpretation in addition to response to the pain message

Dental Phobia -Situation is avoided or endured with intense anxiety -Interferes with normal routine Dental Fear in addition to Anxiety -Dental fear is defined as an unpleasant mental, emotional, or physiologic sensation derived from a specific dental-related stimulus -Dental anxiety is nonspecific, unease, apprehension, or negative thoughts about what may happen during a dental appointment Dental Fear in addition to Anxiety -The effects of fear on the body include dilated pupils, increased respiration, heart rate, blood pressure, etc. These effects are a result of the sympathetic nerve endings producing epinephrine

Psychogenic -A patient’s anticipation leading up to an injection may lead to hyper-ventilation in addition to /or syncope -Thorough review of medical history in addition to discussion with the patient may give the professional the insight to reduce or prevent negative psychogenic responses Tell me about your previous dental experiences Previous bad experience. Fear of the needle. Heard of bad experiences from family or friends. 50-80% of dental fear in addition to anxiety happens during childhood/ adolescence. Patient Fear of Dental Procedures -Underst in addition to ing in addition to acknowledging a patient’s fear of the needle or a specific dental procedure may help to reduce their anxiety

Sensory Cues -In treatment areas keep instruments, needle, in addition to the syringe out of patient’s sight -The syringe should be passed behind the patient’s head so the needle is not seen Behavior Management Techniques Tell-show-do Behavior modeling Distraction Relaxation therapy Guided imagery Progressive relaxation Systematic desensitization Hypnosis Need specialized training Management of the Patient -Build patient trust -Communication -Tell-show-do

Traditional Pain Control Methods Topical anesthetics Desensitizers Nitrous oxide-oxygen sedation Local anesthetics IV sedation Sedatives/anti anxiety meds General anesthesia PAIN MANAGEMENT QUIZ 1. The onset of 50-80% of dental fear in addition to anxiety happens: a. During childhood/adolescence b. During adulthood c. After the first dental procedure d. After a person hears of bad dental experiences from others The effects of fear on the body include dilated pupils, increased respiration, heart rate, blood pressure, etc. These effects are a result of the sympathetic nerve endings producing: a. Endorphins b. Epinephrine c. Acetylcholine d. Seratonin

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3. Pain is always physiological, never psychological. a. True b. False 4. What two behavior management techniques must a dental hygienist be specially trained as long as a. Distraction, guided imagery b. Relaxation therapy, guided imagery c. Systematic desensitization, hypnosis d. Hypnosis, progressive relaxation 5. Sensory cues may cause dental fear in addition to anxiety. What can be done to reduce this a. Showing the syringe/needle to the patient b. Not telling the patient you’re going to give them an injection c. Let the patient hold the syringe/needle first d. Passing the syringe/needle behind the patient’s head so it isn’t seen

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