72 year old male patient who is a patient of record at the College of Dentistry, but has only had appointments with the pathologist, no preventative care with dental or dental hygiene students since 2021. His appointment is an “NPE” appointment that is scheduled with you and a dental faculty to get reestablished as a patient. Medical history: History of substance abuse, was in a rehabilitation center for one month last year. Has a cardiac issue–atrial fibrillation (arrythmia) which is controlled with medication. He is being evaluated for short-term memory loss. Vitals today: 153/91, pulse 74 and respirations 18. Patient states that there is no change in his medical history. You smell alcohol and marijuana on the patient’s clothing and breath. He is sleepy and slow to answer your questions, but the answers he is providing make sense. When you ask your faculty dentist about treating him, she says go ahead and proceed with the appointment as long as he seems okay. Dental history: history of recurrent candidiasis infections on tongue and palate. He wants to know if you see anything suspicious there today. No history of periodontal treatment or surgery. Head and Neck exam: no significant issues except a finding on the dorsal tongue–see photo below. Brushes 1x/day, uses alcohol based mouthwash 5x/day and does not use any interproximal cleaning products. Periodontal assessment: 4-5mm probe depths generalized in the posteriors, generalized 1-2mm recession, .3 level of calculus Radiographic assessment: generalized mild bone loss and radiographic calculus Please use this information and photos below to assess the patient and complete the dental hygiene care plan (DHCP) QUESTION: If the patient is interested in making a change in oral hygiene, what products could you suggest for him to consider?
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Before answering questions 1 and 2, read the following artic…
Before answering questions 1 and 2, read the following articles. As a reminder, use Ctrl+Click or Command+Click to open, or right click to open in a new tab: CNBC_Psychology behind how Trader Joe’s became a favorite grocery store.pdf Pymnts_Trader Joe’s embraces digital scarcity amid grocery’s eCommerce rush.pdf The New Yorker_Trader Joe Wrote a Memoir .pdf Consider the following scenario (hypothetical) at Trader Joe’s: The CEO at Trader Joe’s has been abruptly replaced by an outsider with extensive omni-channel retail experience. This well-regarded executive has grocery industry experience but is perhaps better known for her analytics and digital marketing expertise. While Aldi (the ownership group) is convinced that a new digital strategy is necessary for future success of Trader Joe’s, it is rumored that the senior team at Trader Joe’s is not convinced. While most acknowledge that the digitization trend in the grocery industry is real, not all executives and employees at Trader Joe’s believe they should be following this trend. This strong “stick to our knitting” sentiment is unsurprising since Trader Joe’s has been the “anti-Amazon” in the past– with a focus on the in-store experience. While not a formal part of Trader Joe’s, you are a trusted advisor to the current Trader Joe’s leadership team and have been asked by the incoming CEO to help in her transition. She understands her priority is to enact the new digital strategy, but she also recognizes that she will have to bring the senior team along for the journey. You are crafting a short memo for the incoming CEO. As you prepare your thoughts, several issues are weighing on you…
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