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Medical Emergencies · single question

What should be kept in mind while treating an Alzheimer's patient (slanted/sleeping tooth #15 on radiograph)?

  1. His wife should brush his teeth twice daily after meals
  2. He should be prescribed alcohol-free mouthwash
  3. He should be given hygiene instructions only
  4. He should be treated with the patient's consent
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Correct answer: D. He should be treated with the patient's consent

For an Alzheimer's patient, INFORMED CONSENT is critical. Even with cognitive impairment, if the patient lacks capacity, a legal guardian or healthcare proxy must provide consent. The FIRST principle is treating WITH appropriate consent (from the patient if competent, or from a legal representative). Alcohol-free mouthwash (B) is a good recommendation but not the most critical consideration. Hygiene instruction to the patient who has dementia may be ineffective. Consent/legal considerations are paramount. D is correct.

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