Twill Group Position Paper

The patient had admitted to in the past only brushing once per day and not for the

"With the use of Ortho-Tain positioners, patients find they can reduce the time needed for active treatment by two to six months. Up to 3mm of overjet can be corrected along with molar relations. Furthermore, this treatment coordinates the arches and itercuspates the teeth. Save time with this treatment because no lab work is required, no impressions are made, and no adjustments are needed. With only one measurement, you can be fitted with an Orth-Tain positioner," Dr. Shokri explains.

One-way analysis of variance (ANOVA) by a Tukey’s post hoc test was performed to compare the various treatments. All pictures were processed using PS CS6 software. P<0.05 was treat as significant in all tests.

To be taken at the same every day to sustain a therapeutic steady state (devise a routine that works best with the patient as to maintain compliance e.g. after brushing teeth at night).

Along with fractography and fractographic analysis of different types of instrument failure, with prevention and management of endodontic instrument fracture. My research strives to combine studies of basic biomaterial science questions with research on clinical applications. I must mention that this was only possible with the help of the UBC graduate endodontic team.

This includes elevating the head of the bed at least 30 degrees, preventing aspiration, turning and positioning, and most importantly, performing oral care. A major source of VAP is the aspiration of microorganisms from the mouth, proving oral hygiene for mechanically ventilated patients is of top priority. Although, methods and timing of oral care varies widely between facilities, for instance, some hospitals may brush teeth with a tooth brush while others may use a sponge swab. A common oral care protocol is usually brushing teeth every 8 hours and using an antimicrobial rinse (chlorhexidine) every 2 hours (Ignatavicius & Workman, 2013). It should be noted that quality education on the link between poor oral hygiene and ventilator-associated pneumonia should be provided to licensed nurses as well as nurses’ aides that would be responsible for providing oral care. Understanding the importance of being vigilant at providing oral care may further reduce VAP occurrences due to increased compliance and efficiency of oral care

A lot of thought and energy went into every aspect of the device. For example, the flexible p-tip (“A stylet or other shaped element is insertable into the elongate member for changing a shape of at least a distal tip of the member” Medtronic Inc.), that is flexible and no matter how many times it is manipulated, will return to its shape. Also, the construction of the balloon itself; the balloon is made of polyurethane. Polyurethane “properties determine the resistivity of coatings towards corrosive chemicals, moisture and dirt repellency” (Sciencedirect). The balloon is not affected by moisture inside nor outside of the apparatus. Because of the repellency towards moisture, the balloon can shrink back down to its original size, allowing an easy exit from the body. The balloon also has a thin wire flowing through it to ensure that if the balloon were to pop, it will open from the top to bottom permitting the balloon to exit the body, without causing damage to any arteries. Additionally, the density of the polyurethane tremendously decreases the likelihood of the balloon breaking and leaving pieces behind in the patient’s body. Furthermore, the tube acting as a tunnel for the water flowing into the balloon, does not kink or knot, ensuring that the balloon will receive the appropriate amount of pressure. The sheath around the tube not only permits access into the body, but assists the doctor in removing the apparatus

-Place a container near the patients to receive the used catheter and to catch any urine spillage, Change gloves and attach the syringe to the catheter valve to deflate the balloon. Do not pull on the syringe, but allow the water to come back naturally, if the balloon are fully deflated then gently withdraw the catheter. Remove gloves then wash hands, document

Maintain a closed chest drainage system; tape all connections and secure tubing carefully at the insertion site with adhesive bandages

It is so crucial to confirm the tube placement because of possible harm that can be done to the patient. About 1.9% of feeding tubes are misplaced every year. This can lead to pneumothorax in 1 in every 5 patients and dead in 1 in 39 patients (Taylor S. et al., 2014). Using X-ray to confirm placement would be too late to prevent lung trauma. PH is done also but is not always accurate and should not be used solely as proof to confirm placement. Waiting on the confirmation of placement can delay the administration of treatment or nutrition. Using the EM tracking system the patient is less likely to have the tube enter the lungs. While a patient is unconscious their gag reflex is often impaired (Potter et al., 2013). This increases the patient’s risk for aspiration. When inserting the tube in an unconscious patient there is a greater risk for harm. Potter suggests that X-ray is the better option for confirmation of placement but X-ray exposure can also be harmful to the patient (Windle E. et al.,

Going forward we will keep our tape to secure our PEDS patients in our PEDS vent in the heart center. Remember if the baby is not born in our SCN it is now considered a pediatic patient. We can use the vent in the heart station to ventilate them. I have enclosed a picture and a link to demonstrate the correct way to tape an Peditric ET tube. Also see my self or John if you need a one on one.

Check on it every fifteen minutes for an hour – if the saliva sinks or forms strings, you may need assistance getting Candidiasis under control.

Personal protective equipment in dental work should be worn correctly, according to organization requirements. Personal protective equipment is important before, during and after all dental procedures. A high level of attention to personal protection is necessary to prevent injury or disease to patients, dental staff and their families. As a dental assistant it is my responsibility to ensure all personal protective measures are carefully carried out. It is important for the dental assistants to protect themselves against contact with the patient’s blood and saliva by using strict hygiene

Through the dental hygiene process of care, the clinician’s main purposes are to evaluate the patient, analyze the findings, and determine a treatment that will provide therapeutic care. The clinician must also treat each patient individually based on their oral health needs and conditions. Along with the importance of patient care, are the standard precautions and actions of infection control used to decrease and eliminate the clinician and patient’s susceptibility to infection, diseases, cross-contamination, etc.… according to Wilkins (2017), “The First responsibility of the entire dental team is to organize and maintain a system for the disinfection, sterilization, and care of instruments and equipment” (p. 46).

Ensuring pristine oral hygiene is critical for this type of protocol to work efficiently and effectively.