Adult Oral Health Clinical Case #3

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Question 1 of 3

1. Question
James, a 57-year-old man, presents to the community clinic to establish care. He complains of a loose tooth and oral pain. He reports a history of hypertension and type 2 diabetes. He takes lisinopril and metformin. Laboratory tests and examination findings demonstrate that he is in poor glycemic control with his current medication regimen.

You are a member of a health care team that works collaboratively to provide James with appropriate and timely oral health care. Which of the following behaviors best exemplifies the mutual respect and trust that are foundational to interprofessional collaborative practice?
- Inform the patient that diabetes has no direct effect on his oral health, but seeing a dietician is important to help control his diabetes. Diabetes can worsen periodontal disease and vice versa. A dietician should be included in the patient’s care to improve his diabetic control and improve his periodontal disease.
- Involve dental and primary care providers in the management of James' oral health.
- Explain to James that a dentist will take care of his teeth but will not be involved in his overall health care. To maintain a climate of mutual respect and shared values, it is important to respect the unique cultures, values, role/responsibilities, and expertise of other health professionals.
- Explain to the patient that poorly-controlled diabetes leads to conditions that are very expensive for the health care system. To maintain a climate of mutual respect and shared values, it is important to place the interests of patients and populations at the center of interprofessional health care delivery.
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Question 2 of 3

2. Question
During the initial visit with James, you perform an oral health history. You determine that he has not had consistent access to quality health care and has only seen dental providers for acute problems. Additionally, he reports eating frequent sugary snacks and brushing his teeth infrequently. These factors place him at high risk for oral disease.

Which of the following behaviors best exemplifies the acknowledgement of roles and responsibilities of participating members of the healthcare team?
- Seek solutions to the patients’ oral health needs that primarily involve medical professionals, as to avoid interprofessional conflicts. To appropriately assess and address the healthcare needs of patients, it is important to engage diverse healthcare professionals who complement one’s own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs. In this case, dental health professionals, social workers, and other professionals might contribute to the care of this patient.
- Remind your staff that the patient centered medical home must be the anchor for any meaningful interprofessional work. Primary care teams place the interest of patients and populations at the center of interprofessional health care delivery. To appropriately assess and address the healthcare needs of patients, it is important to recognize one’s own limitations in skills, knowledge and abilities. Other health professionals should be involved in order to develop the most complete plan of care for this patient.
- Explain your role and responsibilities and how you will work as part of a team to provide the best possible care for your patient.
- Do as much as you can for James first before involving other members of the healthcare team. To appropriately assess and address the healthcare needs of patients, it is important to use the full scope of knowledge, skills, and abilities of available health professionals and healthcare workers to provide care that is safe, timely, efficient, effective, and equitable.
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Question 3 of 3

3. Question
You perform an oral examination and encounter the following. You determine that James requires the urgent intervention of a dentist for gingivitis and periodontitis.

Antonio Moretti BDS, DDS

Which behavior best exemplifies effective communication among participating members of the healthcare team?
- Encourage patient to establish care by a dentist and return to the clinic for medical treatment, as needed. To appropriately deliver patient-centered care, it is important to communicate consistently the importance of teamwork in patient-centered and community-focused care. You should help the patient understand that he will be cared for by a team of diverse professionals and help him to establish care with appropriate team members.
- Be available to discuss concerns with dental providers involved in the patients’ medical care if they choose to contact you. To appropriately deliver patient-centered care, it is important to give timely, sensitive, instructive feedback to other members of the healthcare team about their performance by responding respectfully as a team member.
- Discuss your medical findings and opinions to dental providers involved in James’ care only if he requests that you do so. To appropriately deliver patient-centered care, it is important to express one’s knowledge and opinions to team members involved in patient care with confidence, clarity, and respect, working to ensure common understanding of information and treatment and care decisions.
- Encourage dental providers to share ideas and opinions regarding the patients' care.
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Adult Oral Health

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