Communicating in Dental Practice Stress: Free Dentistry and Improved Patient Care

Titelblatt
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Inhaltsverzeichnis
Foreword
Acknowledgements
Chapter 1: Introduction
	What Makes this Book Different?
	Section 1: Communication
	Section 2: Patients
	Section 3: Dental Health Education in Practice
Chapter 2: Basic Communication Skills
	Aim
	Outcome
	The Importance of Clinical Communication Skills
	Questioning
		Open Questions
		Focused Questions
		Closed Questions
	General Guidelines for Questioning
	Explaining
	Listening
		Level/Position
		Proximity
		Posture
		Eye Contact
		Non-Verbal Reinforcers of Speech
	Conclusions
	Further Reading
Chapter 3: Advanced Communication Skills
	Aim
	Outcome
	Obtaining Consent
	Breaking Bad News: General Principles
	General Principles for Handling Complaints and Solving Problems
	Conclusions
	Further Reading
Chapter 4: Communicating in Special Dental Situations
	Aim
	Outcome
	Defining Special Needs
	Are Patients with Special Dental Needs Treated in General Practice?
	Communicating with Older People
		Hearing impairment
		Visual impairment
	Communicating with People with Learning Disabilities
	Communicating with People with Mental Illness
	Communicating with People from Ethnic Minorities
	Communicating with the Homeless Patient
	Conclusions
	Further Reading
Chapter 5: Understanding and Finding Solutions: The Dentally Anxious Patient
	Aim
	Outcome
	Dental Anxiety: A Perpetual Problem?
	Assessment of Dental Anxiety
	Behavioural Management and Dental Anxiety
	Tell-Show-Do
	Hypnosis
	Biofeedback
	Relaxation
	Long-Term Follow-up and Continuing Care
	Conclusions
	Further Reading
Chapter 6: Understanding and Finding Solutions: The ‘Difficult’ and Dissatisfied Patient
	Aim
	Outcome
	Defining Difficult Patients
		Vignette 1: A Case of Phantom Toothache
		Vignette 2: A Case of Dysmorphophobia
		Vignette 3: A Man with a Dry and Painful Mouth
	The Dentist-Patient Relationship and the Treatment Alliance
	Are There any Solutions?
		Self-Assessment
		Assessing the New Patient
		Treat or Refer
		In summary
	Conclusions
	Further Reading
Chapter 7: Preventive Health Principles for Dental Practice
	Aim
	Outcome
	Definitions of Health Education
	How can Practice-Based Oral Health Promotion be Achieved?
	Assessment of Need
	Assessment of Preventive Oral Health Need
	Strategies for Primary Prevention: Health Behaviour Models and Health Gains
	Strategies for Secondary and Tertiary Prevention: Health Behaviour Models and Health Gains
		Stages of Change Model
		Application for Dental Practice
		Motivational Interviewing
		The ‘Not Ready to Change’ Patient
		The ‘Ambivalent or Unsure’ Patient
		The ‘Ready to Change’ Patient
		Models for Negotiating Health Goals: The ‘ARMPITS’ Strategy
	Guidelines to Best Practice when Negotiating Behaviour Change
	Conclusions
	Further Reading
Chapter 8: Integrating Oral Health Education into Primary Dental Care
	Aim
	Outcomes
	Dental Health Education in Everyday Clinical Practice
	The Scientific Basis of Oral Health Education
		Fluoride:
		Dietary control:
		Plaque control:
		Erosion:
		Advice for denture wearers:
		Oral cancer:
	Preventing Dental Diseases in Primary Dental Care
	Preventing Dental Caries
	Preventing Periodontal Disease
	Promoting Dental Attendance
	Oral Cancer, Opportunistic Screening and Smoking Cessation
		Oral Cancer: Opportunistic Screening
		Oral Cancer: Dealing with a Positive Diagnosis
		Oral Cancer: Intervention for Smoking Cessation
	Conclusions
	Further Reading
Chapter 9: Communication, Stress and Improved Patient Care
	Aim
	Outcome
	Sources of Occupational Dental Stress
	Workload
	Time-Scheduling
	Job-Related Stressors
	Patient-Related Stressors
	Staff/Technical-Related Stressors
	Stress and Personality
	Responses to Stress
	What is Burnout?
	Coping with Occupational Stress and Burnout
	Recognition of Danger Signs: Alcohol and Drug Abuse
	Considering Change, Implementation and Coping
	Planning for Retirement
	Conclusions
	Further Reading