1. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 22 Patients with Special Needs

2. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs What are “special needs”? –Mental disabilities –Emotional disabilities –Physical disabilities –Cultural differences –Language differences

3. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Principles of nondiscrimination –Americans with Disabilities Act (1990) Preparation for visit Communication Tools and education Pediatric patients

4. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Aids for patients who cannot grasp and hold. A. Adjustable Velcro strap with pocket. B. Handle of a fingernail brush attached to a toothbrush. C. Rubber tubing attached to the handle of a toothbrush.

5. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Aids for patients with a limited grasp. A. Toothbrush inserted into a bicycle handle grip. B. Toothbrush inserted into a soft rubber ball. C. Toothbrush in a soft rubber ball inserted into a juice or soda can.

6. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Older adults –Effects of health conditions –Effects of nutrition and habits –Scheduling considerations –Moving and positioning considerations

7. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Older adults (cont’d) –General treatment considerations –Considerations for dental prostheses –Possibility of elder abuse –Other resources

8. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Pregnant patients Vision- and hearing-impaired patients Patients with terminal diseases Patients with no or limited English Movement-impaired patients

9. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Positions during pregnancy. The supine position allows the weight of the fetus to bear down on the major vessels. A. Pillow or blanket roll. B. Patient turned farther to the left. Not position of the uterus in cross sections.

10. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Wheelchair transfer.

11. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Patients with mental retardation –Intellectual/cognitive disability –Coexisting disabilities Patients with developmental disabilities –Cerebral palsy –Autism Patients with psychosocial challenges

12. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Patients with special needs Medically compromised patients –Neurological disorders –Pulmonary disorders –Cardiovascular disorders –Blood disorders –Endocrine disorders –Other health conditions

13. Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Diabetic gingivitis.