Behavior Management: The Patient Care Experience
for Patients with Disabilities:
Special Care in Dentistry
John Morgan, DDS
Tufts University School of Dental Medicine, 2008
Health-related protection refers to the limitation of movement, ordered by a physician or authorized clinician, if absolutely necessary, during a specific dental procedure.
Health-related protection is NOT a form of emergency restraint and may not be used for the convenience of the staff. Immobilization using a papoose board is one example of health-related protection (other examples are provided below). The procedure is controversial and should be discussed on an individual case basis with the faculty members in the clinics, the patient, family and caregivers. This topic is covered in greater detail in the Special Considerations module in this series.
The use of health-related protection is an area of intense debate. A committee from the Academy of Dentistry for Persons with Disabilities (http://www.scdaonline.org) was formed to study the legal, ethical, and medical considerations on the use of stabilization in the delivery of dental care for special needs patients. The committee concluded that although there is
Examples of health-related protection
Click here to visit the Specialized Care web site and see images of health-related protection and other documents related to its use.
Immobilization is NOT used as a punishment!