History Taking - Diet PDF

History taking - Diet Benjamin Tighe FCSP GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.1.8 Describe the properties of relevant medicines and therapeutic agents and discuss their application to patient management 1.2.2 Recognise the import...

History taking - Diet Benjamin Tighe FCSP GDC Learning Outcomes 1.1.3 Explain general and systemic disease and their relevance to oral health 1.1.8 Describe the properties of relevant medicines and therapeutic agents and discuss their application to patient management 1.2.2 Recognise the importance of and record a comprehensive and contemporaneous patient history Intended learning outcomes Outline the relevance of the pa1ent’s diet history to providing oral healthcare Describe how to take a diet history e;ec1vely Iden1fy good and bad diets and give appropriate advice Why do we take a diet history? Why do we take a diet history? Caries risk assessment High in sugar TSL risk assessment High in acids Perio risk assessment High in saturated fats Iden1fy poten1al safe guarding issues Reduced food/water volume What factors might impact someone's diet? What factors might impact someone's diet? Finance Educa1on Access to food Who cares for the dependant? Average weekly spending on food in 2020-2021 £69.20 £1.37 per person, per meal, per day Content Ask What do you tend to eat at meal times? Frequency Ask How many meals do you have a day? Do you snack throughout the day? Do you have set meals? Frequency Diet sheets Drinks Ask What do you drink throughout the day? Do you drink tea and coffee? Does it have sugar in? Any fizzy drinks (inc carbonated water)? If you have fizzy drinks, when do you have them? Do you use a straw? Hot drinks vs Cold drinks Paeds Ask Does the child have a bottle? What is in the bottle? What does [child] tend to snack on? When the child is not in your care, what do they eat? Teens Ask Do you eat anything extra throughout the day? What about once you’ve finished school / college? Elderly Ask Hydration – how much are they drinking? Are they able to eat ok? Alcohol Ask When do you drink alcohol? What alcohol do you drink? Diets Ask What is the diet? What do you have to do? What does it contain? What diNculOes might you encounter when taking a diet history? Problems taking a Diet History Embarrassment, shame, stigma Patient omits a significant issue due to not realising its relevance Patient concerns about confidentiality Language incompatibilities Patient mental and physical impairment Summary Summarise the Dental history taken Direct to eat well plate Be realistic in expectations Be conscious of finance and education Remember – no judgement. Further reading https://www.ons.gov.uk/peoplepopulationandcommunity/personalan dhouseholdfinances/expenditure/bulletins/familyspendingintheuk/apr il2020tomarch2021 https://www.gov.uk/government/publications/the-eatwell-guide https://www.dentalhealth.org/diet-and-my-teeth