Providing Patient Centered Care to Vulnerable Populations



David, S Goodman

Julia Jagannath


David S Goodman, Julia Jagannath
Olivia Sheridan
Preventive & Restorative Sciences, University of Pennsylvania School of Dental Medicine

Project Overview

David Goodman and Julia Jagannath are two 4th year dental students providing comprehensive patient centered dental care to patients in the Vulnerable Clinic Honors program every Tuesday afternoon. The patient population for this clinic are individuals who may be either seeking asylum, are refugees, and/or survivors of torture with a history of trauma potentially including and not limited to human trafficking, violent conflict, or domestic violence. With recent global events, the Nationalities Service Center (NSC) received an influx of refugees seeking asylum from Afghanistan who are all in desperate need of shelter and medical attention, specifically dental care. The NSC and UPenn Dental Medicine created an environment where individuals are able to receive comprehensive dental care. Our case presentation will refer to a patient currently being cared for in the Vulnerable Clinic and will be referred to as Patient X for the privacy and confidentiality. We will discuss our patient’s chief complaint, history of present illness, clinical assessment, and on-going treatment plan that has incorporated many dental specialists at the University. The goal of this presentation is to show the thought process on how to conduct an assessment and plan for a patient with multiple non-restorable dentition that upon removal of dentition may alter patient's plane of occlusion and function. Under the supervision of our advising faculty, Dr. Sheridan, we created a comprehensive treatment plan to address patient’s intraoral needs, while also listening to the patient’s personal wants, desires and fears.

Outcome

This case is still on-going, but has been an extremely rewarding experience to learn and work with faculty to provide patient centered care.