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Biomedical subjects

N Sisty-LePeau

Publications and source records attributed to N Sisty-LePeau.

15 recordsLinked to original sources

Self-determination.

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Clinical Competence↗

Dental hygiene licensure specifications on pain control procedures.

State boards of dentistry of the 51 licensure jurisdictions and 51 constituent hygiene presidents were sent identical surveys to obtain current information about dental hygiene licensure specifications for nitrous oxide analgesia, and infiltration, block, and topical anesthesia. The response rate was 72% (N = 37) from boards and 90% (N = 46) from constituent presidents. Results showed that western states are more likely to allow delegation of pain control functions. Of the four functions, topical anesthesia is the most and nitrous oxide analgesia is the least delegated. Most states that allow delegation of pain control procedures did so in the 1970s and 1980s. A majority of states where pain control functions are legal specify direct or indirect supervision and certification through board-approved courses. Percentages of hygienists certified in functions ranged from a low of 0% to a high of 100%. Boards and presidents agreed closely on functions allowed, certification requirements, and year of legalization. Agreement was lower on the type of supervision required for all procedures except nitrous oxide analgesia. No reports of patient reactions to or formal complaints about pain control procedures provided by hygienists were known to state boards or constituent presidents.

Anesthesia, General↗

Dental hygiene's heritage: 1927-1970.

Original manuscripts published in the Journal of the American Dental Hygienists' Association (JADHA), (now JDH) from 1927-1970 provide a historical perspective on dental hygiene's professional development. While many of the problems facing hygiene today are not new, there is evidence of progress in addressing them. The problems considered are: (1) hygiene's unique occupational role, (2) independent practice, (3) baccalaureate education, and (4) responsibility for licensure and practice. Support is provided regarding hygiene's unique contribution to society's oral health needs. Further, the article documents progress toward assuming professional responsibility as expressed in hygiene's relationship with dentistry, and in the expansion of hygiene's educational base and research efforts.

Dental Hygienists↗

Use, need and desire for pain control procedures by Iowa hygienists.

A survey of dental hygienists licensed and residing in Iowa was conducted in the fall of 1987. The response rate after two mailings was 596 of 705 (84.5%). Of the 596, the responses of those who provided clinical services for adults in Iowa (n = 421) were analyzed for information regarding pain control. The survey was designed to collect demographic information and to determine hygienists' use and perception of the need and desire for pain control measures. Nearly 70% of the practitioners reported that their patients needed anesthesia but did not receive it. The main reason given for not asking their dentist/employer to provide pain control measures was that time did not permit. The estimated numbers of patients who received pain control measures per month was low: a mode of 1 with a median of 1 to 2 for local anesthesia, and a mode of 0 and median of 2 for nitrous oxide analgesia. Investigators examined the strength of correlations between the independent variables of practice and hygienist characteristics, and the dependent variables of use and perception of the need and desire for pain control measures. Hygienists who provided selected periodontal services and those who worked in periodontal practices were more likely to ask the dentist to provide pain control measures. Local anesthesia was used more frequently by those hygienists who saw more patients with pockets equal to or greater than 4 mm. Use of nitrous oxide analgesia in practice was highly correlated with preparation in the use of nitrous.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Dental↗

A call for leadership.

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Dental Hygienists↗