Cha lle ng e s with K e y Me ssa g e s Bre a stfe e ding & b - - PowerPoint PPT Presentation

 Cha lle ng e s with K

e y Me ssa g e s

› Bre a stfe e ding & b o ttle -fe e ding › Ba b y te e th ma tte r › Be ne fits o f fluo ride to o ra l he a lth

 Ac c e ss to De nta l Ca re

› Re g iste ring a c hild fo r no n-insure d he a lth b e ne fits (NI HB) › Whe re to g o in Winnipe g › Whe re to g o in rura l re g io ns – MDA we b site

 Co mmunic a tio n

› Mo tiva tio na l inte rvie wing › Re la ying info rma tio n › Ma nito b a Po ve rty T

• o l

› Bre a stfe e ding & b o ttle -fe e ding › Ba b y te e th ma tte r › Be ne fits o f fluo ride to o ra l he a lth

• Cha lle ng e : “I thoug ht bre a st milk did not

c a use tooth de c a y… isn’t it he a lthy?”

• Bre a st milk is b e st
• Ho we ve r it a lso c o nta ins sug a rs whic h c a n

inc re a se the risk o f e a rly c hildho o d c a rie s (E CC)

• I

t is NOT the a c t o f b re a stfe e ding itse lf tha t inc re a se s the risk fo r E CC

• I

t IS b re a stfe e ding o n de ma nd witho ut a ny ho me o ra l hyg ie ne ro utine tha t inc re a se s the risk o f E CC

• T
• o th de c a y ha ppe ns whe n te e th a re e xpo se d to sug a rs fo r lo ng

pe rio ds o f time

Br e astfe e ding r e sour c e available

• n our

we bsite !

• Re mo ve b a b y fro m

b re a st a fte r fe e ding to e nsure the y swa llo w the la st mo uthful o f milk

• Wipe a lo ng the g um line
• nc e da ily with a wa rm

c lo th (fo r b o th b re a stfe e ding a nd b o ttle -fe e ding )

• Optima l time to wipe

g ums is be d time OR ba th

time !

• Be ne fits o f wiping the

g ums inc lude a g re a te r c ha nc e o f a po sitive e xpe rie nc e whe n the c hild se e s the de ntist

• Challe nge : “I c an’t se e m to ge t my two ye ar
• ld to

stop using the bottle … ”

• Re c o mme nde d a g e to we a n o ff o f the b o ttle is

b y a g e 1

• Childre n who c o ntinue to use a b o ttle a fte r
• ne ye a r ma y inc re a se the risk o f

da ma g ing the ir smile s la te r in life

• Pro pping b o ttle s a lso inc re a se the risk fo r E

CC a s it ke e ps the drink a ro und b a b y’ s te e th whe re b a c te ria will g e t a t the m

• Challe nge : “My c hild will only go to sle e p with a milk

bottle !”

• I

f a b e dtime / na ptime b o ttle is ne c e ssa ry, g ive pla in wa te r o nly.

• E

ve n fo rmula a nd o the r he a lthy drinks le a d to E CC if the y a re put in b e dtime / na ptime b o ttle s

Milk Milk Milk

Milk

Wa te r Wa te r Wa te r Wa te r

We e k 1 We e k 2 We e k 3 We e k 4

• T

ho se ha ving tro ub le we a ning a c hild o ff o f a b o ttle b y a g e 1o r if the c hild is use d to fa lling a sle e p with a b o ttle o f milk c a n try g ra dua lly intro duc ing wa te r into the b o ttle a nd inc re a sing tha t a mo unt slig htly a ro und a 4-6 we e k pe rio d

• By we e k 4-6, the c hild will e ithe r c o ntinue ta king the wa te r b o ttle
• r will a vo id the b o ttle e ntire ly re duc ing the risk fo r E

CC

• Alo ng with wiping milk o ff o f the g um line ,
• ptima l time to c he c k fo r sig ns o f to o th de c a y is

a t be d time OR bath time !

• Curre nt re c o mme nda tio n is to lift the lip o nc e a

mo nth

Br

• wn ar

e as

De c a ye d spo ts a re pre se nt – se e de ntist rig ht a wa y

Se ve r e De c ay

Visit de ntist rig ht a wa y

He althy te e th

Visit de ntist b y 1st b irthda y

Whitish line s

T

• o th de c a y c o uld b e

sta rting – se e de ntist a s so o n a s po ssib le

• Challe nge : “I don’t ne e d to take c ar

e of my baby’s te e th… don’t the y just fall out anyway?”

• Ba b y te e th a re ve r

y impo rta nt to c hildre n fo r ma ny re a so ns:

• L

e a rning ho w to e a t

• L

e a rning ho w to spe a k

• He lp sha pe the fa c e
• Guide the a dult te e th to the rig ht pla c e in the mo uth

• E

ar ly c hildhood c ar ie s (E CC) on baby te e th gr e atly affe c ts a c hild’s he alth and we llne ss!

Gr

• wth & De ve lopme nt
• Spe e c h de ve lo pme nt
• He ig ht
• We ig ht a nd Bo dy Ma ss I

nde x (BMI ) Common Pe diatr ic Illne sse s & Conditions

• Otitis me dia
• Re spira to ry tra c t infe c tio ns
• I

ro n de fic ie nc y & nutritio na l de fic ie nc ie s Quality of L ife

• E

a ting pa tte rns

• Pa in
• Sle e p
• Be ha vio ur

F luor ide r e sour c e available on our we bsite !

Pre ve nt E CC b y b rushing b a b y te e th with fluo ride to o thpa ste !

• F

luo ride to o thpa ste is sa fe fo r

a ll a g e s a nd e spe c ia lly

re c o mme nde d fo r c hildre n unde r 3 ye a rs who a re a t

hig h risk fo r de c a y

• He lp the c hild b rush the ir

te e th until 8 ye a rs o ld

• Use a ppro pria te a mo unt o f

to o thpa ste !

• T

he re a re mixe d me ssa g e s e ve n a mo ng st de nta l pro fe ssio na ls re g a rding the use o f fluo ride to o thpa ste fo r tho se unde r 3 ye a rs o f a g e

• T

he Ca na dia n De nta l Asso c ia tio n (CDA)’ s po sitio n sta te me nt sta te s: A g ra in o f ric e a mo unt o f fluo ride to o thpa ste is re c o mme nde d fo r tho se unde r 3 who a re a t HIGH RISK fo r to o th de c a y

• T

ho se a t HIGH RISK inc lude :

• L

iving in a re g io n witho ut a fluo rida te d wa te r supply

• Child re g ula rly c o nsume s sug a r (e ve n na tura l sug a rs)

b e twe e n me a ls

• Child’ s te e th a re b rushe d < o nc e a da y o r the y ha ve

spe c ia l he a lthc a re ne e ds limiting c o o pe ra tive a b ilitie s

• Pa re nt o r c a re g ive r ha s to o th de c a y
• Child ha s visib le pla q ue , c a vity, no tc h, de fe c t, o r white

c ha lky a re a o n the te e th

• Child wa s b o rn pre ma ture ly (b irth we ig ht <3 po unds)

• Challe nge : “I’ve looke d up fluor

idate d wate r

• nline … is it ac tually ne c e ssar

y for

• ptimal de ntal

he alth?”

• F

luo ride pre ve nts to o th de c a y b y inhib iting pla q ue b a c te ria a nd pro mo te s re mine ra liza tio n

• f te e th the re fo re re duc ing the risk fo r c a rie s
• An ide a l pub lic he a lth initia tive b e c a use it is:
• E

ffe c tive

• Sa fe
• I

ne xpe nsive

• Re q uire s no c o o pe ra tive e ffo rt o r dire c t a c tio n
• Do e s no t de pe nd o n a c c e ss o r a va ila b ility o f pro fe ssio na l

se rvic e s

• T

he e ntir

e population of the c ommunity be ne fits re g a rdle ss o f

fina nc ia l re so urc e s

• Challe nge : “Doe sn’t the addition of fluor

ide into the wate r c ause r isk?”

• He re is the T

RUT H…

• F

luo ride is VE

RY we ll c o ntro lle d a nd a ma nda tory te st is done da ily to e nsure sa fe ty

• Re po rts a re se nt to Ma nito b a He a lth a nd the y

a re no tifie d if le ve ls a re o utside re c o mme nde d ra ng e

• De nta l fluo ro sis o c c urs whe n to o muc h

fluo ride is ing e ste d whe n te e th a re de ve lo ping (during c hildho o d)

• E

ffe c ts o f de nta l fluo ro sis ra ng e fro m ve ry mild (white spe c ks o n the te e th) to pitting , b ro wn disc o lo ra tio n o f te e th

A c hild unde r 8 wo uld ha ve to drink 15 g la sse s o f wa te r DAIL

Y fo r a

pro lo ng e d pe rio d to g e t MIL

D de nta l fluo ro sis!

• Sa fe ty a spe c ts o f wa te r fluo rida tio n ha ve b e e n e xte nsive ly

studie d a nd the c o nc e ntra tio n use d is no t to xic o r ha rmful

• T

he o ptima l ra ng e o f fluo ride use fo r wa te r fluo rida tio n a lre a dy ha s a b uilt-in ma rg in o f sa fe ty tha t ta ke s into a c c o unt o the r so urc e s o f fluo ride use suc h a s to o thpa ste a nd rinse s

› Re g iste ring a c hild fo r no n-insure d he a lth b e ne fits (NI HB) › Whe re to g o in Winnipe g › Whe re to g o in rura l a re a s – MDA we b site

• T

ho se with F irst Na tio ns o r I nuit sta tus q ua lify fo r no n-insure d he a lth b e ne fits (NI HB) whic h c o ve r he a lth se rvic e s no t c o ve re d b y the pro vinc e , c o untry, o r o the r priva te insura nc e pla ns

• NI

HB c o ve r a va rie ty o f de nta l se rvic e s ra ng ing fro m pre ve ntive to re sto ra tive tre a tme nt

• Pe o ple ma y ha ve diffic ulty re g iste ring the ir infa nt unde r the ir sta tus

whic h po se s c ha lle ng e s fo r the de nta l te a m to pro mo te first de nta l visit

• Challe nge : “How do I r

e giste r my c hild for be ne fits?”

• F

irst Na tio ns a nd I nuit ma y re g iste r the ir c hild a t a ny Ab o rig ina l Affa irs a nd No rthe rn De ve lo pme nt Ca na da (AANDC) Re g io na l Offic e o r a t a ny F irst Na tio n o ffic e :

• Ma nito b a Re g io na l Offic e lo c a te d a t:

365 Ha rg ra ve Stre e t Winnipe g , Ma nito b a R3B 3A3

• Or re g iste r via pho ne : 1-800-567-9604
• Or o nline (must c ho o se c o rre c t fo rm) a t AANDC Go ve rnme nt we b site :

http:/ / www.a a dnc -a a ndc .g c .c a

• Ma ny de nta l c e nte rs in Winnipe g
• ffe r se rvic e s a t a re duc e d c o st
• So me c e nte rs o ffe r se rvic e s to

tho se witho ut de nta l insura nc e

• WRHA inte rpre te rs a re a va ila b le

to a ssist c lie nts if ne e de d

“Whe r e to Go” r e sour c e available at He althy Smile Happy Child’s we bsite : http:/ / www.wr ha.mb.c a/ he althinfo/ pr e ve ntill/ or al_c hild.php

Ge ne ra l de ntistry inc lude s: dia g nostic se rvic e s, pre ve ntive c a re , filling s, e xtra c tions, a nd othe r ba sic c a re

E IA = E mployme nt & inc ome assistanc e NIHB = Non- insur e d he alth be ne fits IF H = Inte r im F e de r al He alth Pr

• gr

am (Re fuge e s) VAC = Ve te r an Affair s Canada PI = Pr ivate insur anc e

Ge ne ra l de ntistry inc lude s: dia g nostic se rvic e s, pre ve ntive c a re , filling s, e xtra c tions, a nd othe r ba sic c a re

E IA = E mployme nt & inc ome assistanc e NIHB = Non- insur e d he alth be ne fits IF H = Inte r im F e de r al He alth Pr

• gr

am (Re fuge e s) VAC = Ve te r an Affair s Canada PI = Pr ivate insur anc e

Ge ne ra l de ntistry inc lude s: dia g nostic se rvic e s, pre ve ntive c a re , filling s, e xtra c tions, a nd othe r ba sic c a re

E IA = E mployme nt & inc ome assistanc e NIHB = Non- insur e d he alth be ne fits IF H = Inte r im F e de r al He alth Pr

• gr

am (Re fuge e s) VAC = Ve te r an Affair s Canada PI = Pr ivate insur anc e

Che c k o ut http:/ / www.ma nito b a de ntist.c a to g o to the Ma nito b a De nta l Asso c ia tio n’ s o ffic ia l we b site . Se le c t the “F ind a Pro fe ssio na l” link to se a rc h fo r de nta l pro fe ssio na ls in yo ur a re a

Se a rc h fo r de nta l pro fe ssio na ls in yo ur re g io n b y po sta l c o de , c ity, spe c ia lty, a s we ll a s tho se o ffe ring a fre e first visit fo r c hildre n unde r 3 ye a rs o f a g e

› Mo tiva tio na l inte rvie wing › Re la ying info rma tio n › Ma nito b a Po ve rty T

• o l

• De fine d a s “a c o lla b o ra tive c o nve rsa tio n to stre ng the n a pe rso n’ s
• wn mo tiva tio n fo r a nd c o mmitme nt to c ha ng e ”
• I

nvo lve s g uiding inste a d o f dire c ting , a nd liste ning just a s muc h a s te lling

• NOT

a te c hniq ue to tric k pe o ple into thinking wha t the pra c titio ne r wa nts the m to think

• T

hre e b a sic e le me nts inc lude :

• Collabor

ation (vs. Co nfro nta tio n)

• E

voc ation

(Dra wing o ut vs. I mpo sing ide a s)

• Autonomy (vs. Autho rity)

• Mo tiva tio na l inte rvie wing (MI

) is e vide nc e b a se d a nd inc lude s ma ny dime nsio ns fo r pa tie nt c a re

• We will b rie fly disc uss fo ur stra te g ie s to a ssist pra c titio ne rs with

c o mmunic a tio n thro ug h mo tiva tio na l inte rvie wing

• T

he fo ur stra te g ie s (O.A.R.S.) a re :

• Ope n e nde d que stions
• Affir

mations

• Re fle c tive liste ning
• Summar

ize

• Ga the r b ro a d de sc riptive info rma tio n
• F

a c ilita te dia lo g ue

• Ofte n sta rt with wo rds like “ho w” o r “wha t” o r “te ll me a b o ut”
• Avo id a sking q ue stio ns whe re the re spo nse is a ye s o r no

E g: “T e ll me mor e about John’s c ur r e nt tooth br ushing r

• utine .”

Stra te g y #1: Ope n E nde d Que stions Stra te g y #2: Affirma tion

• Re c o g nize the c lie nt’ s stre ng ths
• Be sinc e re
• Suppo rt a nd pro mo te se lf-e ffic a c y
• Ac kno wle dg e a ny diffic ultie s
• Va lida te

E g: “I think it’s wonde r ful that you ar e wor king har d at br ushing John’s te e th e ve n though it’s not e asy. It sounds like his or al he alth is ve r y impor tant to you.”

• Be g ins with a wa y o f liste ning
• I

nc lude s a n inte re st in wha t the pe rso n ha s to sa y a nd a de sire to truly unde rsta nd ho w the pe rso n se e s thing s o r ho w the y fe e l

• Wha t yo u think a pe rso n me a ns ma y no t b e wha t the y a c tua lly me a n

E g: “You me ntione d that you have diffic ulty br ushing John’s te e th in the mor ning.”

Stra te g y #4: Summa rize Stra te g y #3: Re fle c tive L iste ning

• Re pe a ting b a c k wha t the c lie nt ha s sa id
• Co mmunic a te s inte re st a nd unde rsta nding
• Sho ws tha t yo u ha ve b e e n liste ning c a re fully

a nd pre pa re s the c lie nt to mo ve o n

E g: “It sounds like you have be e n having diffic ulty br ushing John’s te e th be c ause John isn’t ve r y c oope r ative and the r e isn’t muc h time be for e sc hool star ts.”

Mor e infor mation on Motivational Inte r vie wing c an be found at HSHC we bsite

• An e ffe c tive stra te g y fo r c o mmunic a ting with c lie nts is thro ug h the use o f

imita ting a nd de mo nstra tio ns

• Be ing a b le to a c t o ut pro pe r te c hniq ue he lps c lie nts to fully unde rsta nd the

me ssa g e s a nd lo we rs the risk o f misinte rpre ta tio ns

• Give s pa re nt/ c a re g ive r the o ppo rtunity to try o ut the te c hniq ue the mse lve s
• One e xa mple o f a n e xc e lle nt

de mo nstra tio n is the “kne e to

kne e ” de monstra tion

• Allo ws pra c titio ne rs to sho w

pa re nts/ c a re g ive rs ho w to e ffe c tive ly b rush the ir c hild’ s te e th

• Ma y a lso b e use d to sho w “lift

the lip” to c he c k fo r e a rly sig ns o f to o th de c a y

• Me ssa g e s c o mmunic a te d to c lie nts sho uld b e :
• Simple & sho rt se nte nc e s
• Pe rso na lize d fo r e a c h c lie nt
• At a Gra de 8 re a ding le ve l o r lo we r
• Inc lude the use o f pro ps whe ne ve r po ssib le

• T

he Ma nito b a Co lle g e o f F a mily Physic ia ns pub lishe d a c linic a l to o l inc luding thre e wa ys to a ddre ss po ve rty:

• Sc r

e e n  E

ve ryb o dy!

• Adjust the r

isk  Co nside r po ve rty a s

a risk fa c to r whe n a sse ssing he a lth

• Inte r

ve ne  Do the y ha ve b e ne fits?

Re fe r to a ppro pria te se rvic e s

• A numb e r o f inc o me re fe rra l we b site s a re

a lso liste d to suppo rt c lie nts inc luding :

• E

a sy to use g o ve rnme nt we b site s (e g . Se rvic e Ca na da )

• One o n o ne se rvic e s (e g . Co mmunity F

ina nc ia l Co unse lling Se rvic e s)

• Advo c a c y-o rie nte d se rvic e s (e g . Co mmunity Une mplo ye d He lp

Ce ntre ) T he Ma nito b a Po ve rty T

• o l do c ume nt c a n b e fo und a t:

http:/ / www.g o v.mb .c a / he a lth/ prima ryc a re / pro vide rs/ do c s/ c linic a lto o l.pdf