Visual
impairments vary from total blindness to limitations in color perception,
distance perception, recognition of shapes, and size of visual field. To assist these individuals, medical history and consent forms should have
large type.
The
dental staff should use a verbally oriented approach. Explain procedures
before performing them, e.g., "I am going to put a small mirror in your
mouth, it is the size of a quarter. Do you have any questions?".
Comment on textures, odors, vibrations and taste that the patient is likely
to experience. the dentist and staff should attempt to paint a picture
for the patient using words.
People with visual impairments may have an increased sense of touch.
Verbally advise them of your presence. an unexpected touch on the
face or arm can be extremely startling to the patient and increase anxiety. Do not leave the room without advising the patient.
When guiding the blind patient offer your arm and let them hold your
arm, do not push them. Describe obstacles as you guide the patient. If a guide dog is being used, do not pet or interfere with the dog; ask
the patient how to handle the dog.
The treatment plan must consider the patient's ability to perform with
oral hygiene, insertion and removal of removable prostheses, and anxiety
about dental procedures.