Management Of Dental Patients With Cardiac Devices

5. Heart patients. Heart patients must see dentists to get dental cleanings regular to lessen their chances of heart

Ischaemic heart disease is one of the most commonly encountered systemic diseases in dental practice in the general population. Ischemic heart disease is characterized by a reduction (partial or total) in coronary blood flow. In 90% of all cases this occurs following thrombus formation secondary to an atheroma plaque that occludes the arterial lumen, though other factors such as cold, physical exercise or stress can act as co adjuvant factors or (less frequently) trigger the event themselves. Angina and myocardial infarction are included in ischaemic heart disease2.

As society continues to age, one fourth of the world will be 65 years or older, thanks to the influx of baby boomers. Due to this rapid growth in longevity, this will multiply the problem of access to care. Attention towards systemic conditions such as Alzheimer’s disease, cardiovascular disease, diabetes, and strokes are being discussed by government agencies and health care professionals. (Overview of oral health, 2017). There is evidence linking oral health to systemic health, therefore, a need for a more collaborative approach towards prevention is critical to achieve overall health for the public (Jin, 2016).

To begin, dentistry plays an integral role in the daily lives of countless individuals. Dentistry as defined by the International Council of Nurses is, "The profession of practice of providing care for the sick and inform in regards to oral hygiene." Populations around the world, and in particular Japan, are aging quite rapidly. Baby Boomers, individuals born between 1946 and 1964 are reaching retirement age as they too become older. As this demographic age becomes older, they will typically become more prone to sickness or other forms of detrimental illnesses. As such, the importance of dentistry in the coming years will be even more profound. As such, interviewing an individual within the health care industry provided valuable insights as to the overall profession, and the implications it has on society.

A dental hygienist is much more than just someone who cleans teeth. They are well rounded, educated professionals who are knowledgeable of many aspects of the dental and medical field. They are experts in dental anatomy, periodontal disease, related aspects of pharmacology, nutrition and even medical emergencies. As hygienists, we see a number of patients every day varying all different ages. With the advancements in the dental field the average age of a dental patient is now increasing. These advancements are leading to patients keeping their teeth longer, therefore coming into the dental office for more

Therefore, booking a patient in a private dental office happens sooner. Thus, with more prompt service the dental office provides much better quality of care. Dr. Drexler shares, “It is inconvenient to have the poor quality technology. A number of patients lose wages and time from work to see the dentist. In fact, a patient is willing to pay the higher fee rate for same day service” (Wexler). With this in mind, the distinction is remarkable; the author finds Universal Care most appealing. All in all, the public deserves the same level of care, no matter their circumstances. In either case, Dr. Wexler agrees “the HCO is high-quality healthcare but in society, we are at the bottom of effectiveness in providing effective healthcare to all”

Healthcare teams often work together to augment the oral health of patients prior to cardiac surgery. This is commonly referred to as dental clearance prior to cardiac surgeries in this essay; I will focus on the rationale behind dental clearance for patients undergoing cardiac valve replacement. Dental clearance is the process when the patients who are referred from the cardiac surgery division, are assessed by the dental team for dental and oral concerns. And based on the finding the dentist might recommend a treatment plan before clearing the patient. These might include but not limited to, tooth extractions, dental hygiene, periodontal evaluation, fillings and oral surgery procedures.

With this in mind, the following program could be suggested. First of all, it is obvious that the oral health of a person depends on his/her hygiene habits. That is why, the promotion of the healthy living should be introduced. Secondly, it is vital to provide access to dentists for people who belong to this group. That is why, some changes in the policy that regulates the functioning of this groups are needed in order to improve the state of environment and created new health

The initial model of the pacemaker monitored as well as controlled the patient’s heartbeat. A pacemaker consists of electrodes, battery and a computerized generator. The main purpose of the pacemaker is to stabilize your heart rhythm. If there’s a change in the rhythm of your heartbeat and it is inconsistent with the normal values then the computerized generator receives a stimulus, which in turn produces electrical signals. These electrical signals are further transmitted to the heart through electrical wires whereby they help maintain a normal heart rhythm.

Being a practicing surgeon, Atul Gawande approaches the dilemma of aging from a unique perspective. The study and implementation of traditional medical practices, he suggests, contributes to a problem solving, solution-based approached to over coming the hurdles of old age. The medical field, he says, puts the entirety of its focus on fixing the concrete problems that patients come into the emergency room with, instead of focusing on the best overall solution to satisfy the patients primary desires at the end of life. It is a very valid and important point. Why put tens of thousands of dollars into a chemotherapy treatment plan to lengthen a persons life, if it only ends up yielding a few extra weeks and causes tremendously more pain and suffering? At what point does being alive become not worth it, especially when the patient sees not benefit, but more suffering? This is the issue within the modern medical system that bridges the gap with medicine and aging studies. Aging studies, with its theories and concepts, hopes to present a solution to the problem that Gawande points out in such detail and with so many personal examples. How can the things that are most important to the patient be provided without all the intrusiveness and extraordinary expenditures of our healthcare mentality? In summary, aging studies seeks to mend the discontinuity between the stone-faced objectivity of medical solutions and, as Gawande puts it, “what matters in the end”.

Similar to attitude domain, nurses from age group of more than 30 years old had good practices towards the oral care to the patient before undergo any oral surgery. The finding from this study also revealed the significant association between their practices. This was similar to Hsin et al., (2014), where the study was conducted among ICU nurses found that nurses will be complied with clinical care guidelines for performing the oral care if they were older. Senior nurses were strict in practices of what they had already learned besides their ability to influenced uncooperative patient in performing the oral care (Soh et al., 2011).

Electrostimulation is needed when the heart cannot generate electrical signals by itself. A pacemaker electrically stimulates the heart and consists of a battery, pulse generator, wires and electrodes. Functionally, the pacemaker must match the action (electrical) potential produced by a working sinus node (Testing a Pacemaker 2016).

Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.

There is a close relationship between the dental and oral surgeries and the development of cardiovascular diseases and blood diseases. Cardiovascular diseases (heart diseases) are considered the main accuser of deaths in the developed countries. Mortality first accuser in countries such as Spain and West Europe countries. Blood disorder also is among the main and the most important considerations to be taken by the dental and oral surgeon and provider of care to the oral area. Therefore, dentistry, can be considered the protection gate for the heart and the blood and in case of manifestation taken dental diseases shall never lead to the development of blood diseases or cardiovascular diseases such as arterial hypertension , heart

Cardiovascular diseases account for most of the non-contagious diseases at a total of 17.5 million people a year. Cardiovascular disease can include many different problems; one of the more common ones is called atherosclerosis, which is the build up of plaque in the walls of the arteries. Once this plaque builds up it will make it difficult for blood to flow through the arteries and can lead to things such as heart attack, or ischemic stroke. These diseases are life threating and even if the victim does survive the procedures they will be faced with life style changes including medications on the daily and not being able to do daily task.