Meet Qwynn
Background
Qwynn is a 17 year old African American male who enjoys school, loves sports and the outdoors. He suffers from chronic bronchiole inflammation
Physical Assessment
Qwynn plays football for his local high school and is also apart of the local recreational basketball league. Daily, he experiences severe shortness of breath, tightening of his chest, and wheezing during football practice and football games
Mental Assessment
He mentions that he is frequently stressing over school, because the pressure of being the first from his family to go to college gets to him. He notices feelings of depression when his attacks affect his capability to play football. Qwynn admits that he doesn't always follow the Dr's recommendations to minimize the attacks, because his condition is out of his control and no one will stop him from playing football
Medical Assessment
Before being diagnosed recently, Qwynn was taken to the Emergency Room for a severe asthma attack. He was prescribed an Albuterol bronchodilator, Benadryl (as needed), and Prednisone orally to help calm airway irritation
Social Assessment
Qwynn has a lot of help from his mother who acquired mild asthma later in her life. She fills his prescriptions and gives him his medication as needed
Dental History
He has several existing composite fillings along with several suspicious carious lesions. He has a RCT and full ceramic crown on #9. He also, requires frequent breaks
Extra-Oral & Intra-Oral Assessments
Extra-orally patient's head and face was clear, generalized macules, and lymph nodes were non-palpable.
Intra-orally, he has a mandibular lingual bar with light supragingival calculus. He has xerostomia and generalized moderate BOP. He has generalized light plaque.
Communication
Q: "How long have you had Asthma?"
A: "I was diagnosed last year"
Q: "How often do you have attacks?"
A: "4-5 times per week. I have to use my inhaler everyday during football practice when I start to feel my chest tightening"
Q: "Have you ever been hospitalized for your asthma?"
A: "No."
>Patient wanted to know why he has a difficult time keeping his bad breath under control. He was informed that it was due to dry mouth caused by his mouth breathing along with the Albuterol from his inhaler
>Patient was instructed to bring his inhaler to every dental visit
Appointment Planning
His appointments will be after school and short in duration to minimize stress
Client Positioning
A semi-supine position is most comfortable for his breathing
Dental Hygiene Procedures
He will be given frequent breaks and rinsed regularly. Touching of his tongue will be limited to avoid triggering a coughing reflex
Safety Precautions
Nitrous will be used for all treatment procedures. If anesthetic is required, we will us Mepivacain 3% plain. Inhaler will be placed on counter in case of emergency
OHI
The importance of OHI thoroughly discussed with Qwynn and his mother
Personal Reflection
I choose to discuss Asthma, because someone very close to me suffered from severe asthma as a child and young adult and to better my understanding of the condition in hope to help patients who suffer from Asthma.
My boyfriend was hospitalized several times during his youth and has since developed horrible environmental allergies that his physicians have linked to his childhood asthma. Though he has outgrown severe asthma he still struggles with mild symptoms and allergy attacks that limit his daily activity when they occur.
Additional Information
Photos from Google
Video animation from YouTube
Qwynn is a 17 year old African American male who enjoys school, loves sports and the outdoors. He suffers from chronic bronchiole inflammation
Physical Assessment
Qwynn plays football for his local high school and is also apart of the local recreational basketball league. Daily, he experiences severe shortness of breath, tightening of his chest, and wheezing during football practice and football games
Mental Assessment
He mentions that he is frequently stressing over school, because the pressure of being the first from his family to go to college gets to him. He notices feelings of depression when his attacks affect his capability to play football. Qwynn admits that he doesn't always follow the Dr's recommendations to minimize the attacks, because his condition is out of his control and no one will stop him from playing football
Medical Assessment
Before being diagnosed recently, Qwynn was taken to the Emergency Room for a severe asthma attack. He was prescribed an Albuterol bronchodilator, Benadryl (as needed), and Prednisone orally to help calm airway irritation
Social Assessment
Qwynn has a lot of help from his mother who acquired mild asthma later in her life. She fills his prescriptions and gives him his medication as needed
Dental History
He has several existing composite fillings along with several suspicious carious lesions. He has a RCT and full ceramic crown on #9. He also, requires frequent breaks
Extra-Oral & Intra-Oral Assessments
Extra-orally patient's head and face was clear, generalized macules, and lymph nodes were non-palpable.
Intra-orally, he has a mandibular lingual bar with light supragingival calculus. He has xerostomia and generalized moderate BOP. He has generalized light plaque.
Communication
Q: "How long have you had Asthma?"
A: "I was diagnosed last year"
Q: "How often do you have attacks?"
A: "4-5 times per week. I have to use my inhaler everyday during football practice when I start to feel my chest tightening"
Q: "Have you ever been hospitalized for your asthma?"
A: "No."
>Patient wanted to know why he has a difficult time keeping his bad breath under control. He was informed that it was due to dry mouth caused by his mouth breathing along with the Albuterol from his inhaler
>Patient was instructed to bring his inhaler to every dental visit
Appointment Planning
His appointments will be after school and short in duration to minimize stress
Client Positioning
A semi-supine position is most comfortable for his breathing
Dental Hygiene Procedures
He will be given frequent breaks and rinsed regularly. Touching of his tongue will be limited to avoid triggering a coughing reflex
Safety Precautions
Nitrous will be used for all treatment procedures. If anesthetic is required, we will us Mepivacain 3% plain. Inhaler will be placed on counter in case of emergency
OHI
The importance of OHI thoroughly discussed with Qwynn and his mother
- prescription for Prevident 5000 to be used 2x/daily
- recommended that he use Bioteine mouth rinse
- rinse after using inhaler
Personal Reflection
I choose to discuss Asthma, because someone very close to me suffered from severe asthma as a child and young adult and to better my understanding of the condition in hope to help patients who suffer from Asthma.
My boyfriend was hospitalized several times during his youth and has since developed horrible environmental allergies that his physicians have linked to his childhood asthma. Though he has outgrown severe asthma he still struggles with mild symptoms and allergy attacks that limit his daily activity when they occur.
Additional Information
Photos from Google
Video animation from YouTube