The school nurse at a public high school recently noticed an…
The school nurse at a public high school recently noticed an increase in students smoking before and after school. The nurse begins the Continuous Quality Improvement (CQI) process by performing an assessment. What is the next CQI step the nurse should take?
Read DetailsCase #5: MIKE Patient Profile: The patient is a 40 year old…
Case #5: MIKE Patient Profile: The patient is a 40 year old male, 5’10’’, 215 lbs. Blood pressure today is 118/68. Pulse is 68. Medical history reveals a history of depression and anxiety. He currently takes a tricyclic antidepressant. No allergies that he knows of. Chief Complaint: I have taken really good of care of my teeth. This is my first filling in my life and I am kind of nervous. Clinical Findings: #30 has a carious lesion on the occlusal surface Diagnosis: Generalized healthy, Caries Active, Deposit 1 Supplemental Notes: Works as a mail man.
Read DetailsCase #2: SARAH Patient Profile: The patient is a 76 year old…
Case #2: SARAH Patient Profile: The patient is a 76 year old female, 5’1’’, 150 lbs. Blood pressure is 120/84. Pulse is 62. Her medical history reveals angina (controlled), diabetes type II (A1c 8.2), high cholesterol, and depression. She currently takes Novolog (insulin), Lipitor, Elavil (tricyclic antidepressant), and Nitroglycerin as needed. Allergy to sulfa. Chief Complaint: I do not like the dentist. Clinical Findings: Xerostomia, Periodontal assessment reveals 4-6 mm pockets in posterior teeth with moderate bleeding on probing, bilateral crepitus of TMJ, jaw gets tired, mandibular anteriors sensitive to touch and cold Diagnosis: Localized Stage III Periodontitis Grade C (Diabetes modifier), Caries Active, Deposit 2 Supplemental Notes: Retired teacher, widowed. #3 and #20 extracted due to fractures after RCT, history of caries and orthodontia Treatment Plan includes SRP for #2, 4, 13, 14, 15, 19, 29, 30, 31.
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