Special care & medicine
Adapt care to health, disability, medicines and circumstances.
Topics
9 notes
Medical history and reconciliation
Record diagnoses, current medicines, allergies, previous anaesthetic issues and functional status; check uncertain details before intervention.
Read detailed note ↗Anticoagulants and antiplatelets
Assess procedure bleeding risk, drug, indication and local haemostatic options using current guidance. Avoid unplanned cessation of therapy.
Read detailed note ↗Diabetes in dentistry
Consider glycaemic control, meal and medication timing, hypoglycaemia risk, infection and wound healing. Coordinate changes for complex cases.
Read detailed note ↗Cardiovascular disease
Consider symptoms, exercise tolerance, medicines and the procedure's stress and bleeding implications. Seek medical advice when unstable.
Read detailed note ↗Pregnancy
Provide necessary dental care with appropriate prevention, positioning, imaging justification and prescribing decisions rather than delaying untreated disease.
Read detailed note ↗Older adults and frailty
Consider polypharmacy, dry mouth, cognition, function, nutrition and access. Agree a plan that is maintainable for the person and carers.
Read detailed note ↗Disability and reasonable adjustments
Adapt communication, timing, environment, access and support to enable equitable care. Ask what works for the person rather than assuming.
Read detailed note ↗Capacity and supported decisions
Capacity is decision-specific and may fluctuate. Support understanding and apply the relevant legal framework when a person cannot decide.
Read detailed note ↗Complex comorbidity
When risks interact, agree priorities and a shared plan with the patient and relevant clinicians; document who is responsible for each action.
Read detailed note ↗