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Terms in this set (232)

Case Study
Synopsis of client history
Age: 45
Sex: Male
Height: 6 ft
Weight: 230 pounds
Race: African American
Vital signs:
Blood pressure: 140/90 mm Hg
Pulse rate: 80 beats/min
Respiration rate: 16 rpm

Under the care of a physician? NO
Hospitalized within the past 5 years? YES
Reason: Broke arm while playing basketball
Has or had the following conditions:
No report of systemic problems
Current medications:
Sometimes uses a nicotine patch
Smokes or uses tobacco products?
Yes (cigarettes, about one pack per day for the past 3 years)

Medical history:
The client reports he has good health. He works out daily and takes care of his body. He shows a hypertension Stage 1 blood pressure and reports smoking one pack of cigarettes per day.
Dental history:
The client has not been to the dentist in 5 years owing to a bad experience with his last dentist. He has 2 to 5 mm of clinical attachment loss in the posterior areas and no bleeding on probing. He has signs of chronic periodontitis. The dental restorations in his mouth are in very good condition, and there are no clinical signs of dental caries. His oral hygiene appears to be good.
Social history:
The client reports that he is very active in sports and in the community.
Chief complaint:
The client is very anxious about dental treatment today.
When the diagnoses for this client are completed, which unmet human need should be addressed first?

Freedom from fear and stress
Freedom from pain
Skin and mucous membrane integrity of the head and neck
Biologically sound and functional dentition
Case Study
Synopsis of client history
Age: 45
Sex: Male
Height: 6 ft
Weight: 230 pounds
Race: African American
Vital signs:
Blood pressure: 140/90 mm Hg
Pulse rate: 80 beats/min
Respiration rate: 16 rpm

Under the care of a physician? NO
Hospitalized within the past 5 years? YES
Reason: Broke arm while playing basketball
Has or had the following conditions:
No report of systemic problems
Current medications:
Sometimes uses a nicotine patch
Smokes or uses tobacco products?
Yes (cigarettes, about one pack per day for the past 3 years)

Medical history:
The client reports he has good health. He works out daily and takes care of his body. He shows a hypertension Stage 1 blood pressure and reports smoking one pack of cigarettes per day.
Dental history:
The client has not been to the dentist in 5 years owing to a bad experience with his last dentist. He has 2 to 5 mm of clinical attachment loss in the posterior areas and no bleeding on probing. He has signs of chronic periodontitis. The dental restorations in his mouth are in very good condition, and there are no clinical signs of dental caries. His oral hygiene appears to be good.
Social history:
The client reports that he is very active in sports and in the community.
Chief complaint:
The client is very anxious about dental treatment today.
The client's assessed blood pressure was 140/90 mm Hg. Given the client's race, weight, smoking behavior, and periodontal health status, what systemic disease is this client most at risk for?

Respiratory disease
Renal disease
Diabetes mellitus
Cardiovascular disease
Case Study
Synopsis of client history
Age: 45
Sex: Male
Height: 6 ft
Weight: 230 pounds
Race: African American
Vital signs:
Blood pressure: 140/90 mm Hg
Pulse rate: 80 beats/min
Respiration rate: 16 rpm

Under the care of a physician? NO
Hospitalized within the past 5 years? YES
Reason: Broke arm while playing basketball
Has or had the following conditions:
No report of systemic problems
Current medications:
Sometimes uses a nicotine patch
Smokes or uses tobacco products?
Yes (cigarettes, about one pack per day for the past 3 years)

Medical history:
The client reports he has good health. He works out daily and takes care of his body. He shows a hypertension Stage 1 blood pressure and reports smoking one pack of cigarettes per day.
Dental history:
The client has not been to the dentist in 5 years owing to a bad experience with his last dentist. He has 2 to 5 mm of clinical attachment loss in the posterior areas and no bleeding on probing. He has signs of chronic periodontitis. The dental restorations in his mouth are in very good condition, and there are no clinical signs of dental caries. His oral hygiene appears to be good.
Social history:
The client reports that he is very active in sports and in the community.
Chief complaint:
The client is very anxious about dental treatment today.
The client's apparent lack of knowledge about how smoking affects periodontal and systemic health status would fall under which unmet human need?
Freedom from pain
Conceptualization and problem solving
Freedom from fear and stress
Responsibility for oral health