{"id":26948,"date":"2020-07-08T06:56:14","date_gmt":"2020-07-08T06:56:14","guid":{"rendered":"https:\/\/wames.org.uk\/cms-english\/?p=26948"},"modified":"2020-07-08T07:02:17","modified_gmt":"2020-07-08T07:02:17","slug":"dental-considerations-for-a-patient-with-me-cfs-a-case-study","status":"publish","type":"post","link":"https:\/\/wames.org.uk\/cms-english\/dental-considerations-for-a-patient-with-me-cfs-a-case-study\/","title":{"rendered":"Dental considerations for a patient with ME\/CFS &#8211; a case study"},"content":{"rendered":"<h3><a href=\"https:\/\/www.researchgate.net\/publication\/337499185_Dental_considerations_for_a_patient_with_Myalgic_EncephalopathyChronic_Fatigue_Syndrome_-_a_case_study\" target=\"_blank\" rel=\"noopener noreferrer\">Dental considerations for a patient with Myalgic Encephalopathy\/ Chronic Fatigue Syndrome \u2013 a case study<\/a>, by Serena Halsall <span style=\"text-decoration: underline;\">in<\/span> <em>Journal of Disability and Oral Health <\/em>Vol 20, #3\u00a0 October 1, 2019<\/h3>\n<p>&nbsp;<\/p>\n<h3><strong>Abstract<\/strong><\/h3>\n<p><img data-recalc-dims=\"1\" decoding=\"async\" class=\"alignright size-medium wp-image-26975 lazyload\" data-src=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?resize=300%2C199&#038;ssl=1\" alt=\"\" width=\"300\" height=\"199\" data-srcset=\"https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?resize=300%2C199&amp;ssl=1 300w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?resize=1024%2C681&amp;ssl=1 1024w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?resize=768%2C511&amp;ssl=1 768w, https:\/\/i0.wp.com\/wames.org.uk\/cms-english\/wp-content\/uploads\/2020\/07\/dentist-child.jpg?w=1280&amp;ssl=1 1280w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/199;\" \/>Myalgic Encephalopathy, also known as Chronic Fatigue Syndrome (ME\/CFS), is a chronic condition with: a range of fluctuating symptoms, no cure, and can cause a person to be bedbound. This case report identifies recommendations for dental care based on the experiences of a female 17-year-old living with severe ME\/CFS.<\/p>\n<h3><strong>Excerpt<\/strong><\/h3>\n<p>Around the age of 16, Patient X\u2019s functional ability improved, thus allowing her to tolerate the travel to her GDP with her carer and have a dental examination.<\/p>\n<p>Reasonable adjustments were made with:<\/p>\n<ul>\n<li>The appointment being booked at a time that corresponded with Patient X\u2019s energy levels<\/li>\n<li>A ramp to allow wheelchair accessibility into the practice and the surgery being on the ground floor<\/li>\n<li>The patient wearing sunglasses and noise cancelling headphones to reduce visual and auditory stimulation<\/li>\n<li>The dentist offering to carry out the examination with the patient in her wheelchair or on the dental chair<\/li>\n<li>Oral hygiene instructions being given to the patient and their carer.<\/li>\n<\/ul>\n<h3><strong>Conclusions<\/strong><\/h3>\n<p>ME\/CFS can have severe and unpredictable effects on a person\u2019s life. With a prevalence of 1 in 250 people, it is important that the dental team understands its nature and potential severity, which can present a barrier to accessing dental care. For these high priority patients, it is essential that their dental health is not overlooked. To conclude, the<br \/>\nfollowing recommendations are made:<\/p>\n<ul>\n<li>The dental team must have a good understanding of ME\/CFS, its symptoms and effects on access to healthcare, to support the patient and their carer(s) and to optimise oral health<\/li>\n<li>The dental team should consider the variable and fluctuating symptoms of ME\/CFS and should make the patient aware of the available support if symptoms of the condition worsen<\/li>\n<li>After a discussion with the patient and their carer(s), the dental team should be able to identify the patient\u2019s specific individual needs and make the necessary adjustments to improve their dental care<\/li>\n<li>The dental team should recognise if a patient is unable to attend dental appointments and should act to facilitate their access to dental care, by liaising with other healthcare disciplines to provide special care dentistry<\/li>\n<li>A multidisciplinary approach should be considered, to provide the most appropriate and accessible dental care, working with the patient\u2019s wider healthcare team and other dental disciplines.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Dental considerations for a patient with Myalgic Encephalopathy\/ Chronic Fatigue Syndrome \u2013 a case study, by Serena Halsall in Journal of Disability and Oral Health Vol 20, #3\u00a0 October 1, 2019 &nbsp; Abstract Myalgic Encephalopathy, also known as Chronic Fatigue &hellip; <a href=\"https:\/\/wames.org.uk\/cms-english\/dental-considerations-for-a-patient-with-me-cfs-a-case-study\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[6026,6025,6027,36,427],"class_list":["post-26948","post","type-post","status-publish","format-standard","hentry","category-news","tag-dental-care","tag-oral-health","tag-serena-halsall","tag-severe-me","tag-teenagers"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5qkYK-70E","_links":{"self":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26948","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/comments?post=26948"}],"version-history":[{"count":3,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26948\/revisions"}],"predecessor-version":[{"id":26977,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/posts\/26948\/revisions\/26977"}],"wp:attachment":[{"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/media?parent=26948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/categories?post=26948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wames.org.uk\/cms-english\/wp-json\/wp\/v2\/tags?post=26948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}