Relationship of Oral and Systemic Health Clinical Case #2

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Question 1 of 3

1. Question
Virginia is a 65-year-old woman who visits her community health clinic for a routine check-up. She has a history of Type 2 diabetes, obesity, hyperlipidemia, and hypertension. The health care team understands the importance of a team-based, collaborative approach to monitor her oral health and systemic health conditions.

What should the primary health care team do to maintain a climate of mutual respect?
- Promote the interests of dentists at the center of interprofessional oral health care delivery. To maintain a climate of mutual respect and shared values, it is important to place patient and population interests at the center of interprofessional health care delivery.
- Allow dentists to disclose private and confidential dental information without the patient’s authorization. To maintain a climate of mutual respect and shared values, it is important to respect the dignity and privacy of patients while maintaining confidentiality in the delivery of team-based care.
- Value the dentist’s expertise and contributions in managing oral and systemic health conditions.
- Prevent the dentist from raising ethical dilemmas concerning general health care. To maintain a climate of mutual respect and shared values, it is important that the health care team work together to manage ethical dilemmas that may arise specific to interprofessional care delivery, and that all team members demonstrate high standards of ethical conduct.
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Question 2 of 3

2. Question
While you are conducting an oral health history to assess Virginia’s oral health status, she reports that she brushes her teeth twice a day and that her gums bleed occasionally. She does not use dental floss. She also states that her last dental visit was “several years ago” and has not returned due to a lack of dental insurance.

As a primary care clinician, how would you appropriately assess and address this patient’s oral and systemic health care needs?
- Avoid explaining the roles of the dentist and social worker on the team. To appropriately assess and address the health care needs of patients, it is important that all members of the health care team understand and clearly explain the roles and responsibilities of other team members, and how the team works together to provide comprehensive care.
- Foster an independent relationship between the patient and the social worker. To appropriately assess and address the patients’ health care needs, it is important to build interdependent relationships with other professions to improve health care and outcomes.
- Develop strategies to meet the patient’s oral health care needs independently from the social worker and dentist. To appropriately assess and address patients’ health care needs, it is important to engage diverse health care professionals in developing interprofessional strategies to meet specific patient care needs.
- Recognize your limitations in oral health knowledge and skills.
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Question 3 of 3

3. Question
When you examine Virginia’s mouth, you notice that she has a loose tooth and her gums are red and swollen. You explain to Virginia the importance of good oral health in relation to managing her diabetes and counsel on improved hygiene, including regular brushing and flossing. The nurse shows Virginia proper brushing and flossing techniques. You recommend that she see a dentist as soon as possible. Because you work in a community health center (CHC) with co-located dental facilities, you ask that an appointment be arranged with the dentist when Virginia is finished with your visit. Because she does not have dental insurance, she will meet with the social worker as well to discuss the cost of the dental visit and potential opportunities to cover some of those costs.

How would you communicate with Virginia and other health care providers in a way that supports a patient-centered team approach to oral and systemic health care?
- Communicate health information to the patient using discipline-specific terminology. To communicate with the patient and other health care providers in a way that supports a team approach, it is important to avoid using discipline-specific terminology when possible. Both the patient and the social worker may not understand the significance of periodontitis, especially as it pertains to diabetes management, so using terms such as “inflamed gums” or “sugar control” are more useful in communicating the urgency with which dental care is needed. Communicate information with patients, families, and health care team members in an organized and understandable manner.
- Withhold sharing different ideas and opinions to the social worker. To communicate with the patient and other health care providers in a way that supports a team approach, it is important to for health care professionals to listen actively, and encourage the sharing of ideas and opinions from other team members. Team members express their knowledge and opinions in a clear and respective manner.
- Ensure common understanding of health information, treatment plans and care decisions between the patient, social worker and dentist.
- Delay providing instructive feedback to the social worker about his teamwork. To communicate with the patient and other health care providers in a way that supports a team approach, it is important to provide all team members with timely, instructive feedback about how their performance affects the team’s performance. Also, it is important to respond to the feedback from others in a respectful manner.
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The Relationship of Oral and Systemic Health

Relationship of Oral and Systemic Health Clinical Case #2

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