hand book for dental surgeons - Indian Dental Association ...

42
Visit: http://image.idakunnamkulam.com/
Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders
SUPPORT FROM A SOCIAL WORKER
The role of a social worker in helping in the management of chronic illness is being
increasingly recognized. The social worker coordinates efforts of different services at a hemophilia
center to individualize it to the patientís specific needs. Family visits help in providing psychological
support, aid in assessment of problems faced in day-to-day living and community of care. In developing
countries the concept of a co-ordinated team based care remains in the future. However, local groups have
developed networks for small areas that provide similar care.
PREVENTION OF HEMOPHILIA
For disease like hemophilia, where cure is not yet possible, prevention is crucial.
This is now possible with>99% accuracy using DNA analysis
It is best done by obtaining DNA from the foetus around the end of the 10 th week of pregnancy
by chorionic villous sampling or the 16-18 weeks by amniocentesis.
If the family has been evaluated before, then results should be available within a week otherwise
it may take 1-2 weeks
Prenatal diagnosis should be only be attempted after appriopriate counseling of the family
and ascertaining that the couple desires termination of pregnancy,If the foetus is affected.
Visit : http://image.idakunnamkulam.com/
Hand book for dental surgeons on dental management of persons with hemophilia and other haemostatic disorders