Non-Pharmacological Interventions in Clinical Practice

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Questions and Answers

What does the OARS technique stand for in communication skills?

Objective, Assessment, Recommendation, Summary

Open questions, Affirmations, Reflections, Summaries (correct)

Observe, Acknowledge, Respond, Summarize

Options, Acknowledgements, Responses, Solutions

Which technique is primarily used to assist children in understanding dental procedures?

Positive reinforcement

Demonstration

Guided imagery

Tell-Show-Do (correct)

What is the primary purpose of using distraction techniques in patient care?

To encourage dialogue

To shift focus from unpleasant experiences (correct)

To assess their attention span

To entertain the patient

Guided imagery is a technique used to achieve what outcome?

Distract patients with visual imagery Signup and view all the answers

Which method is NOT effective in reducing anxiety for patients?

Using ‘just relax’ statements Signup and view all the answers

When using positive reinforcement, what should be ignored?

Inappropriate behavior Signup and view all the answers

Which age-appropriate communication method is important when interacting with children?

Utilizing a glossary of terms Signup and view all the answers

What is the goal of using non-verbal skills in communication?

To convey messages without words Signup and view all the answers

What aspect of communication is crucial for all age groups and patient types?

Maintaining a consistent tone of voice Signup and view all the answers

The Tell-Show-Do technique should include which of the following for effectiveness?

Demonstrating the procedure Signup and view all the answers

What is the primary aim of non-pharmacological interventions in behavior management?

To manage behavior and instill positive attitudes Signup and view all the answers

Which of the following is NOT an intended learning outcome of the non-pharmacological interventions session?

Conduct advanced surgical procedures Signup and view all the answers

What role do non-pharmacological interventions play regarding dental anxiety?

They help reduce mental distress related to dental procedures Signup and view all the answers

Which professional body has provided guidance related to non-pharmacological interventions?

British Society of Paediatric Dentistry Signup and view all the answers

What is a characteristic of non-pharmacological interventions?

Focus on non-medical techniques to enhance patient compliance Signup and view all the answers

At what stage of care are non-pharmacological interventions typically employed?

In routine clinical situations Signup and view all the answers

What was one of the findings from systematic reviews on non-pharmacological interventions?

They are shown to be effective in adults for reducing mental distress Signup and view all the answers

Which aspect of clinical practice is enhanced by non-pharmacological interventions?

Communication and behavior management Signup and view all the answers

What type of approach is primarily emphasized in the context of non-pharmacological interventions?

Non-medical and behavioral strategies Signup and view all the answers

Why is it important to understand the signs of dental anxiety in patients?

To enhance treatment effectiveness through appropriate management Signup and view all the answers

What is a primary benefit of enhancing control for patients during dental visits?

Patients gain a sense of control. Signup and view all the answers

Which method involves learning by observing someone significant to the patient?

Modeling Signup and view all the answers

How can structured time impact a patient's experience of a dental procedure?

It can increase patient tolerance. Signup and view all the answers

What is a suitable approach for preparing a young child for a dental visit?

Using a video of a dental visit. Signup and view all the answers

Which statement is true regarding the application of non-pharmacological interventions (NPI)?

A combination of interventions is often needed. Signup and view all the answers

Which procedure might require different preparatory techniques when dealing with a 6-year-old patient?

Placement of a fissure sealant. Signup and view all the answers

What role does developing trust through rehearsal play in patient care?

It establishes better rapport. Signup and view all the answers

What is an outcome of using a countdown for a dental procedure?

It provides clearer expectations. Signup and view all the answers

Why might some interventions in dental care require more thought and conversation before application?

Because not all patients respond similarly to interventions. Signup and view all the answers

What can be an effect of a well-timed reassurance during a procedure?

It can boost patient confidence. Signup and view all the answers

Which of the following is NOT mentioned as a non-pharmacological intervention?

Electroconvulsive Therapy Signup and view all the answers

What is one of the upcoming topics in Year 2 Psychology related to the content?

Paediatric Oral Health Care Signup and view all the answers

Which of the following types of interventions are highlighted for their evidence-base and guidelines?

Non-pharmacological interventions Signup and view all the answers

What is the purpose of the workbook and glossary of terms mentioned?

To add definitions and examples of non-pharmacological interventions Signup and view all the answers

Which non-pharmacological intervention is focused on gradually exposing patients to anxiety-inducing stimuli?

Systematic Desensitisation Signup and view all the answers

Which reference discusses updated non-pharmacological behavior management guidelines?

British Society of Paediatric Dentistry Signup and view all the answers

What type of interventions will be further explored regarding their application in future years?

Non-pharmacological interventions Signup and view all the answers

In the systematic review mentioned, what is identified as the primary goal of non-pharmacological interventions in dental settings?

To reduce mental distress Signup and view all the answers

What aspect of the patient experience is encouraged for reflection regarding the reception area?

Non-pharmacological interventions present Signup and view all the answers

What is one expected area of future learning according to the content?

Clinical Care Signup and view all the answers

Study Notes

Introduction to Non-Pharmacological Interventions

This presentation introduces non-pharmacological interventions (NPIs) used in behaviour management.
Learning outcomes include describing common NPIs, reflecting on their use in clinical settings.
The intended learning is about understanding and applying non-pharmacological management strategies in clinical practice.
Assessment methods include formative group discussions, workbooks and glossaries.
Summative assessments involve OSCEs, drawing on communication skills and clinical care.

Context for Non-Pharmacological Interventions

NPIs are techniques used to manage behaviour, instill positive attitudes towards oral health, and improve oral health.
NPIs are linked to Psychology, Pain Management and Communication lectures.
NPIs include patient-professional relationships, communication skills, and education.

Purpose of Non-Pharmacological Interventions

NPIs aim to reduce anxiety, manage pain, manage behaviour, and create a positive patient experience.
Pain management is considered a key purpose.
Understanding patient behaviour, signs of anxiety, and poor behaviour examples are key factors to be considered when using NPIs

Intervention Types

Interventions can be pharmacological (such as anaesthesia, conscious sedation, and medication) or non-pharmacological.
Non-pharmacological interventions include communication skills, behaviour modification, and psychotherapeutics.

Communication Skills

OARS (Open Questions, Affirmations, Reflections, Summaries) are a key communication technique.
Non-verbal communication skills are important to consider and use.
Language should be age-appropriate vs professional and a glossary of terms should be used.
Tone of voice is a key factor to consider in communication.

Communication with Children and Special Needs Patients

Communication with children and special needs must consider the patient, patient's parent/carer, and professional support staff.

Tell-Show-Do Technique

The Tell-Show-Do technique involves talking, explaining, demonstrating, modelling, and taking action.
This is a step-by-step approach for teaching tasks, and patients.

Activities

Activity 1 involves applying the tell-show-do technique for different patient scenarios, such as fissure sealant placement, local anaesthetic injection, root surface debridement, and BPE for autistic patients.
Activity 2 encourages discussing further techniques for these patient scenarios.

When to Apply NPIs

NPIs are appropriate for explaining procedures, first time clinical encounters, children, and patients with dental anxiety.
Non-pharmacological interventions are often useful for patients with special needs.

How to Apply NPIs

Applying NPIs requires combining them rather than using one single method.
Considerations should be made for each patient, and situations, as each case is unique.

Other Advanced Techniques

Other advanced techniques include systematic desensitisation, CBT, hypnosis, and clinical holding, which are more in-depth and would be applicable in Year 2 Psychology.

Environment Considerations

Students should notice any NPIs present, reflect on the impact of patients in the reception area.

Summary of NPIs

Non-pharmacological interventions include the context, evidence-base and guidelines, types, and how and when they should be applied.

Future Learning

Future learning opportunities include dental psychology, paediatric oral healthcare, and clinical care, likely to be covered in year 2 and year 3.

Workbook and Glossary

Complete a table in a workbook to add definitions, examples and situations of non-pharmacological interventions.
A glossary of terms with language appropriate terminology will be useful for understanding the interventions.

References

The presentation includes various references from relevant guidance documents, systematic reviews and other sources.

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Description

This quiz explores non-pharmacological interventions (NPIs) used in behaviour management within clinical settings. It aims to enhance your understanding of techniques that can promote positive attitudes and improve oral health. Expect to reflect on the applications of NPIs and assess your knowledge through various assessments.