Presentation on

• Submitted to : Dr. Anjuman Ara Akter Dr. AKM Asad PolashDr. Shahina ShoheliDepartment of Orthodontics &Dentofacial Orthopedics Dental Unit,Rajshahi Medical College

Prepared by:

Name: Md. KamruzzamanBatch: 23rd B.D.S.Roll No. : Session:2011-2012

'Patient and Parent counseling.'

Patient and Parent Counseling:

Patient and parent counseling plays very important role in curative, preventive or promotional dental health activity.

A dental surgeon is responsible to provide services which involves the practical use for the benefit of the patient of theoretical scientific knowledge. By counseling for prevention of dental disease, a dental surgeon is doing more service to the patient than by doing extraction, filling or making dentures. The counseling is a true art of communication.

Definition of Counseling:A Relation in Which a professional or

trained individuals attempts to help another, so as to understand and solve his or her difficulties in psychological adjustment.

Counselor may also advice opine and instruct in order to direct another's judgment or conduct.

Objective of Counseling:1. Information :

Parent and patient should be informed and made realize that health is a valuable asset. Scientific knowledge about disease and its prevention should be disseminated. Patient will take interest in prevention of diseases.

2. Motivation:Patient must be motivated about health

awareness and proper treatment. Patient must leave their bad oral habits which are detrimental to dental health and treatment. As part of motivation patient may be shown photos and videos of successful treatment.

3. Guidance:The people should be guided and their

doubts should be removed. Proper guidance should be given during treatment and after for better oral hygiene.4. Encouragement for preventive measure:

Patient should be encouraged to adopt preventive measure all time.

Type of Patient counselling:

1.Directive Counselling:In this decision are taken by counsellor for patient.2. Non directive counselling:In this the counsellor helps the patient in taking decisions. This has produced best result.3. Interpretive Counselling:This is a Highly complicated psychotherapeutic approach which is not used by dental surgeon. It is used by a qualified and specially trained psychologist or psychiatrist.

Place of Counselling:

For counselling there should be a special room with comfortable atmosphere equipped with audiovisual aids etc.

Counselling should not be done in dental operatory to avoid subconscious fear of the dental equipment's etc. in patient‘s mind. It should not be done in front of other patients as discussion of food habits is a very personal matter.

Contents Of Counselling:

• Patient should be instructed to maintain good oral hygiene.

• Treatment plan should be discussed with patient in details. It’s advantage and

disadvantage should be also discussed• Patient should be made aware of all other possible

treatments.• Incase of children instruct the parent not to voice

there own fear in front of children.• Parents should never use dentistry as a threat or

punishment.

Who Should give counselling:Professional Qualification:

Professionally qualified persons with good impressive personality and good knowledge of the subject are successful counsellors . preferably a dental surgeon should do the counselling and he or she is professional authority and has the prestige and status the patient respects. His or her advise will have greater significance and importance for the patient.

Personality Qualification:Personality qualification is also very important for the

counsellor. Counsellor should be sincere, honest and sympathetic who should have the ability to put patient at ease by his or her friendly manners. Patient should feel free to talk and discuss his or her dental, dietary and oral hygiene problems.

Successful counselling session:In a counselling session patient should be

given new information and should motivated to follow it. The counsellor must develop a brief case history and ascertain the cause of present discomfort and illness. He or she must gain the confidence of the patient must establish rapport, before giving advice and help to the patient.A. Listen to patient:

A counsellor should be a good listener. By listening many important points can be noted which may help in diagnosis and management of the patient.

B. Let the patient complete what he or she wants to say:

Do not cut the patient statement in half way.

C. Maintain eye to eye contact with the patient:

The facial expression of the patient provides many clues which helps in his or her management. Eye to eye contact provides feedback about a patient unspoken feelings and reaction to their advice.

D. Communicate with patient at his or her level.

E. Encourage to take own decisions:Let the patients take his or her

decisions

F. Make learning effective:Learning should be made effective.