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Josh Allen is a 37 year-old patient of the practice who has been diagnosed with multiple sclerosis. His condition has deteriorated so that he now uses a wheelchair. He has called the office to schedule an appointment to have two teeth restored.
1.Do you think a certain time of day would be better for the dental team to see Josh? What would be the best time for his appointment:

2. As you are reviewing the health history update, Josh indicates that he has recently been diagnosed with trigeminal neuralgia. What is this disorder and how will it affect his dental care:

3. Are there any specific drugs that Josh may be taking that should be noted before the time of treatment? If so, what would they be:

4. Josh cannot be transferred to the wheelchair. Where should Josh be seen and how would this be handled:

5. On the basis of his disease, should Josh be put in an upright or supine position:

Respuesta :

annyksl

Answer:

  1. The best time for Josh to be attended is that he feels most comfortable and that the clinic has available.
  2. Trigeminal neuralgia is a disease that causes high sensitivity in people's faces, causing bouts of severe pain. It is estimated that the pain felt by those who have this disease is stronger than the pain in the kidney that is already very strong. This disease is believed to occur by the loss of the myelin sheath that surrounds the nerves. In the case of Josh Allen, it would be necessary for the dentist to give him an appropriate medication to avoid the pain caused by the disease, before the procedure begins.
  3. There are drugs that Josh can take, like carbamazepine and oxycarbazepine, which are drugs with high efficiency in reducing these crises.
  4. Since Josh cannot be transferred to a wheelchair, he would need to be attended to at home. For this, it would be necessary to install the necessary equipment in his home for the procedure he needs, in addition to promoting a very high level of hygiene in the place.
  5. Josh should be placed in the supine position, where he will lie with his shoulders and head slightly raised. This is because multiple sclerosis has damaged Josh's muscles and leaving him in an upright position may hinder the dental procedure, in addition to making Josh very uncomfortable.

Explanation:

Multiple Sclerosis is an autoimmune disease where the nervous system causes nerve damage causing various muscle and brain disorders throughout the body. The disease causes different parts of the body to stop working properly, becoming completely immobilized and without functionality.

This disease greatly limits people's ability to move, speak and reason, making it necessary that common day-to-day activities and even medical care are carried out in adapted ways, promoting the minimum possible comfort to the patient, as was done with Josh .

lheduardomarques

In this question, we are going to talk about a series of questions about the health conditions of Josh Allen, who has a chronic autoimmune demyelinating neurological disease caused by inflammatory and degenerative mechanisms.

Series of questions about the health status of Josh Allen

1. The best time of the day for his care would be the time he prefers, as his condition is that of a patient with a disease that can cause problems with his locomotion.

2.Trigeminal neuralgia is a condition of pain associated with a nerve, the trigeminal. This structure is responsible for the sensitivity of the face. This is a disease classified as chronic pain, as it lasts for more than three months. It is usually disabling, that is, it can take the patient away from their social and professional activities. With this, it is necessary for him to indicate when he is not in the crisis, and the use of a specialized anesthesiologist.

3. The treatment chosen will depend mainly on the characteristic of the disease, so it is extremely important to always talk to the neurologist to evaluate the best option. however, these drugs could be used:

  • Beta interferon
  • Glatiramer Acetate
  • Teriflunomide
  • Dimethyl Fumarate

For the treatment of trigeminal neuralgia are:

  • Carbamazepine
  • Oxcarbamazepine

4. Josh Allen cannot be transferred to a wheelchair. He should be seen in bed without being transferred.

5. Based on his illness, Josh Allen should be placed in an upright position.

With this information, we can conclude that the case of Josh Allen is quite specific and has a complex solution, so a medical team specialized in multiple sclerosis and trigeminal neuralgia  should be available for a better treatment of the patient.

Learn more about Health in https://brainly.com/question/13179079

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