Professional Documents
Culture Documents
Calming down
What has bloomed in your garden? Have
you already made a trip to England? It is a
really beautiful day today. Is it still
raining? Did you get wet?
The purpose of these seemingly irrelevant,
casual topics is to distract the patients
attention from fear or worries, and open
the space for having a chat about general
topics in order to help ease accumulated
tension. At the same time, it is necessary to
consider which topic is the most suitable
for a talk.
In paediatric patients, the following
questions may not work: What was your
school report? Is your school teacher nice
to you?
Dentists needs
To run dental practice at a standard quality level
To achieve economically adequate reward for the
work done
To fulfil the aims of preventive care
To involve a patient in decision-making on further
procedures, treatments
Asking questions
Have you come for the examination of
your teeth? Do you have any problems?
How long have you had these problems?
Have you been examined for the same
problems somewhere else? What is your
general health? Are you currently
undergoing any treatment? Do you suffer
from any heart disease, kidney disease,
hypertension? Are you using any
medication?
Listening and observing
This stage of communication is very
valuable for succeeding in work with a
patient. The patients way of expressing
himself, the terms which he is using and
which he is trying to avoid, ranking the
pieces of information, voice intonation will
give us an exact picture about to which
extent we can rely on the information,
Communication
through
mutual
distance
This means both horizontal and vertical
distances between two or more persons
(one person is sitting, the other is
standing). Generally, people as well as
other living creatures have their own living
zones in which they feel comfortable and
are displeased if these zones are disturbed.
Science that investigates this area of
problems (proxemics) distinguishes four
types of zones for man:
intimate distance 0 - 15 (30) cm
personal distance 45 (70) 100
(120) cm
social distance 150 (200) 300
(350) cm
public distance from 500 cm
2.4.
Specific
features
of
communication with paediatric
patients
Correct communication is the basic
condition in the examination and treatment
of a paediatric patient.
Every dentist will recognize this
fact when he/she treats the child in a
dentists chair as if he/she was an adult
patient and asks him to open the mouth. It
may happen and it is happening that this is
the last thing what the physician says to the
child because he/she will not get any
further.
Physician: Please open the mouth.
Child: No, I do not want to."
The child is then usually referred to
another clinic as untreatable.
Why does this happen?
Experiences of unpleasant dental
examination are shared among
people. The child heard that
something unpleasant might happen
to him/her in the dental surgery.
He/she is scared of the unknown
environment of the surgery room
and of people in white clothing.
He/she may have traumatic
experiences
which
do
not
necessarily be associated with
dental medicine.
The approach used in adult patients
will fail in a child.
Since dental examination and treatment
uses metal tools in the sensitive part of
human body and usually performs the
preparation of dental hard tissues which is
unpleasant even it is painless, the
paediatric dentist (particularly medical
student or dentist-beginner) has a very
difficult task as: