1
Q
Define special needs
A
No universally agreed upon definition
- Medical, mental, physical or developmental condition or disability
- Issues with access to or provision of health services requiring accomodation
2
Q
What % of dentists routinely treat SN patients
A
<10
3
Q
What are the three models of disability
A
- Medical-disability is a feature of that person and calls for intervention
- Social- Disability is a problem created by unaccomodating physical environment/ societal attitudes
- Biopsychosocial- Disability is outcome of interaction between physical and contextual factors
4
Q
Prevalence of people with disabilities
A
- Hard to gage true prevalence between disabilities are not just a conditions but also interactions between medical status and environment
- 100 million
5
Q
Moat prevalent unmet health need in kids with SN
A
dental
6
Q
Oral health in people with disabilities
A
- Poor OH
- More prevalent and severe periodontitis
- Increased untreated caries (not increased caries rate)
7
Q
Trends leading to greater demand for dental care in SN population
A
- Change in societal attitudes
- Deinstitutionalization
- Increased life expectancy
8
Q
Describe person-first language
A
-Person’s name/pronoun comes before the disability
doesn’t modify the person
9
Q
When did the large institutions for people with DD close
A
1970’s
10
Q
Why have the large institutions for the mentally ill closed
A
- Post WWII societal attitudes (reduced stigma)
- More effective outpatient care
- Changes in insurance favoring outpateint care
11
Q
Challenges in mainstreaming people from institutions
A
- Lack of structured care system
- Unavailable dental provides
- Decreased access to care
- Autonomy leading to decreased utilization
- Autonomoy leading to poor daily care and diet
12
Q
People with spacial needs have a higher incidence of what other co-morbidities
A
- CVD
- Diabetes
- Oral health disease
- Seizures
- PSychiatric issues
13
Q
Management of co-mordibities in patients with SN are
A
- Inability to communicate symptoms
- Carriers to care
- Limited psychical acitivty
- Increased obesity
- Self management of diseases might be imposible
- Limted knoledge by caregiver
