1. Case #28 Hospice I provided an example of how the ppt is suppose to be however using THIS case

2. Demographics 87yo Caucasian male who resides in Angela Hospice Center Asked his dental office if he could have his teeth cleaned before he died. RDH is sent to the center to treat the patient.

3. Medical History History of severe cardiac problems and pulmonary disease. High blood pressure and difficulty breathing. He also has a very constricted aortic valve. As a patient of a hospice center he is not being treated for his blood pressure or pulmonary problems but is being kept comfortable.

4. Medications Ativan Roxanol™ (Morphine Sulfate 20 mg/mL). Past history of multiple blood pressure and respiratory medications but is no longer taking them.

5. Dental History The patient has not been a regular patient at his dental office. He has not been to the office for 5 years except a visual exam since he has been a resident of hospice. His missing teeth are. #1, 3, 4, 5,12, 13, 14, 16, 18, 19, 21, 30 and 32. He has a full gold bridge on #30-31 with an occlusal rest on fractured and decayed #29. Tooth #17 is horizontally verted and coated in calculus

6. Pictures

7. Radiographs

8. Periodontal History The patient had a high plaque level and OHI was poor. He has 4-5mm pockets on all posterior teeth Tissue is erythematic Moderate bleeding when his teeth are brushed.

9. Periodontal Charting No charting done. The patient is in the active phase of dying with no good prognosis of oral healing. Visual diagnosis indicates severe periodontitis.