Additional important information can be determined by direct questioning and by observation.
- How will the patient get to his or her appointment? If s/he can no longer drive, does s/he have access to private or public transportation?
- What time of day is best suited to the patient's visits?
- Is there a "caregiver" (someone who makes it possible for the patient to remain living at home, even though the patient is no longer fully independent due to disability)?
- What oral hygiene procedures does the patient need assistance with, if any?
- What physical impairments, if any, prevent or complicate optimal oral hygiene?
- Is the patient taking medications or a combination of medicines that have oral side effects?
- Is the patient's nutritional status adequate?
- Can this patient tolerate a supine position or any seating position for an extended period?