Question Description
I need help with a Law question. All explanations and answers will be used to help me learn.
CASE 26: Just Clean His Teeth
Linda Boyd
MCPHS University, Massachusetts
Mary Fordham, RDH, works in a busy general office and sees a
large number of patients who are in need of initial nonsurgical
periodontal therapy. Upon reviewing the medical history of a new
patient, Mr. Donald, the patient reports he has “borderline
diabetes.” Further questioning reveals that he is under no treatment
for diabetes such as oral medications, dietary or lifestyle
modifications, or insulin. Mr. Donald is unable to provide
information on his hemoglobin A1c (Hb A1c) and does not
remember the last time it was checked. Mary continues on with
vital signs, risk assessments, and an intraextra oral examination and
determines a full-series of radiographs is needed because Mr.
Donald has not been to a dentist in 20 years. Continuing with a
comprehensive periodontal examination, Mary finds the patient has
generalized bleeding on probing with localized areas of exudate
with 4 to 6 mm pocket depths suggesting generalized moderate
chronic periodontitis.
At this point, Dr. Perry enters the operatory to complete the
dental examination and review the assessment data. Dr. Perry and
Mary discuss the diagnosis and treatment plan for the periodontal
disease and Mary suggests that a consultation with the primary
care provider is needed before continuing with periodontal care
because Mr. Donald does not know his Hb A1c
. Mr. Donald gets
upset and says he just wants his teeth cleaned, and it has nothing to
do with his “borderline diabetes.” Dr. Perry placates Mr. Donald by
saying that it is not necessary to consult with the primary care
provider and that Mary will go ahead and perform the nonsurgical
periodontal therapy.
Explanation & Answer
check the assignment
Running Head: NON-SURGICAL PERIODONTAL
Non-Surgical Periodontal
Name
Institution
1
NON-SURGICAL PERIODONTAL
Non-Surgical Periodontal
The association between diabetes and chronic periodontal disease has been long
established. In the case of Donald the last time he visited a doctor he was diagnosed with
diabetes. However, he was no longer under medication or treatment. When Mary was carrying
some assessment on his situat6ion she concluded that information from the primary caregiver is
i...
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