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33 Cards in this Set
- Front
- Back
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what is most common oral cancer?
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SCC
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75% of oral cancer patients do this...
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smoke
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name some oral conditions associated with smoking...
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stomatitis
melanosis leukoplakia hairy tongue ging perio delayed wound healing halitosis staining |
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name some oral conditions associated with smokeless tobacco...
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keratosis ("pouch"
recession hairy tongue caries leukoplakia root caries |
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t or f:
Bidis and Kreteks have more nicotine, tar, & CO than reg. cigarettes. |
TRUE
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What is a kretek?
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made in indonesia, flavored, popular with youth... brown/black
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What are Bidis?
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popular in india and asia. have to do with cloves
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Hookah?
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no stain
no smell more nicotine health risks similar to cigarettes risk of infectious disease by mouthpiece |
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what percent of our pt.s smoke
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30%
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what percent of pts are interested in quitting?
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70%
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what is the sucess rate for self quitters?
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5-10%
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How many times will the average tobacco user try to quit?
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8 times!
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how long does a breif in office cessation counseling session take?
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3 minutes
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50 % of patients who use tobacco report what?
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being asked about their tobacco use
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pts who receive counseling are twice as likely to quit than those who dont
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true
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Physical affects of nicotine
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Stimulates: norepi, seratonin, & dopamine involved
Makes you dependent and more is needed to satisfy over time Withdrawl-cravings, irritability, insomnia, anxiety |
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What happens after quitting?
20 minutes 12 hours 2 weeks 1-9 months 1 year 5 years 10 years 15 years |
heart rate/bp drop
CO level drops circulation & lung function improve shortness of breath decreases risk of CAD cuts in half stroke risk decreased lung, oral, bladder, cervical, pancr. CA decreased Risk of CAD is that of non-smoker! |
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what do we need to do to help them quit?
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address the issue
advise of harm advise to quit inform of options/assistance document |
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not addressing tobacco use is seen as...
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Negligence
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Name 3 tobacco cessation pharmacotherapies
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NRT (nicotine replacement therapy)
Zyban (wellbutrin) Chantix |
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Name types of NRT
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gum
lozenge patch nasal spray inhaler |
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what are resources for quitting?
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1800quitnow
askadviserefer.org smokefree.gov quitnet.com |
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2nd hand smoke on kids
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SIDS
resp. infections asthma cleft palate/lip increased caries low birth weight/pre term ear infections miscarriage |
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2nd hand smoke on adults
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cardiovascular problems
CAD lung cancer asthma |
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5 A's of smoking cessation counseling
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Ask
Advise Assess Assist Arrange |
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the 5 A's were set in place to..
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establish clinical guidelines
assist clinicians in providing resources aid in success & establishment of cessation programs |
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what is risk management?
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a program designed to protect financial resources of an office from legal activity
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what is risk management also known as?
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quality assurance
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negligence
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failing to do what is considered what a reasonable and prudent practitioner would do under the same circumstances
(standard of care) |
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malpractice
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"bad practice"
negligence that causes harm |
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contributory negligence
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pt contributed to negligence
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what to do to avoid malpractice
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informed consent
hhx & dhx records complete, accurate, legible document all tx options and prognosis document all pt complaints, comments, and cc chart in ink--don't alter it initial chart entries don't discard records (7 yrs) use uniform chart entry syst. keep a copy document phone calls, referrals, Rx doc. cancellations, late, changes in appt. enter dates of xrays and models enter post op directions given note type of materials used educate on their part in success in tx |
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abandonment
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discontinuation of pt once it has been established
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