Special Population Patients - Medical considerations

5 important questions on Special Population Patients - Medical considerations

33 million people in the world suffer from HIV/AIDS:

- What is the most common oral complication of HIV/AIDS, in which diseases does it manifest?

- Give at least 5 diet suggestions for these patients

--> Chewing and swallowing is painful

Manifestation into:
- Necrotizing periodontitis
- Candida
- Apthous ulcers
- Kapsi's sarcoma

Diet suggestions
- stay --> well hydrated
- eat --> bland diet
- increase --> total caloric intake
- Use liquid supplements
- Fortify --> with lean protein
- Suck on ice --> to numb tissues
- Avoid alcohol

What are the side effects of medication cocktails and what do they contain?

Patients eat simple carbohydrates
--> for taste
--> for palatibility
--> when their desire for food is minimal:

Prevalence
- Anorexia
- Nausea
- Xerostomia

- What is the problem when people eat comfort foods ?

- Give 3 examples of comfort foods

Foods that keep the energy level high
--> when there is no appetite
--> for other food

--> These are cariogenic
- Milk shakes
- Ice cream
- Pudding
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Severe chronic conditions caused by mental or physical impairments can impede life activities:

- Name at least 3 that are relevant in the dental care

- Is there a difference between oral concerns for these patients or regular patients? Explain?

Impede life activities
- self-help
- independent living
- language
- mobility
- learning

Oral concerns are no different than for those without a development disability

--> but many have poor eye-hand motor control
--> trouble accessing dental care
--> special transportation/financial



Give some diet suggestions for patients with development disorders

- Patients may have children following special diets: don't interfere

- If GI complaints --> suggesting foods easy to digest

- Focussing on -- colors of foods

- Many prefer --> ready-made foods

- Keep sessions --> simple

- Aims for --> small changes

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