Course Title: Manage patients with moderate to complex dental hygiene treatment needs

Part B: Course Detail

Teaching Period: Term2 2015

Course Code: DENT5818

Course Title: Manage patients with moderate to complex dental hygiene treatment needs

School: 155T Vocational Health and Sciences

Campus: City Campus

Program: C6119 - Advanced Diploma of Oral Health (Dental Hygiene)

Course Contact: Sue Fatone

Course Contact Phone: +61 3 93411406

Course Contact Email: sue.fatone@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Sonia Moore

Sonia.moore@rmit.edu.au

9341 1419

Nominal Hours: 250

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

Pre-Requisite: TAFEDH015 – Manage patients with simple to moderate dental hygiene treatment needs

Co-delivered with: TAFEDH028 - Practice in a special needs environment  

Course Description

This unit deals with the high degree of knowledge, skills, judgments, values and attitudes needed to provide evidence based dental hygiene therapeutic, preventive and supportive services, and educational intervention to patients with moderate to complex periodontal conditions and disorders, within the context of dental hygiene practice and conducted according to occupational health, safety and welfare policy and procedures and infection control policy and procedures.


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

TAFEDH020 Manage patients with moderate to complex dental hygiene treatment needs

Element:

1. Establish and maintain an effective and collaborative relationship with a patient

Performance Criteria:

1.1 Demonstrate courtesy and empathy in all communication with the patient whilst developing and maintaining an effective relationship with the patient
1.2 Promote trust and confidence with patients in all of the relevant work activities that are undertaken whilst respecting the patient‟s rights and role in collaborative decision making
1.3 Socially inclusive communication skills are used at all times and demonstrated behaviours encourage a supportive environment that is conducive to establishing collaborative relationships
1.4 Seek feedback from patient regarding quality of care and respond to patient‟s needs

Element:

2. Prepare and present the surgery

Performance Criteria:

2.1 Gather and prepare all equipment, materials and instruments required for planned procedure catering for any predetermined special needs of the patient
2.2 Follow manufacturer‟s instructions and guidelines when preparing and using materials, equipment and instruments
2.3 Follow all necessary safety precautions during the preparation and presentation of the surgery

Element:

3. Conduct an accurate periodontal assessment for a moderate to complex patient presentation

Performance Criteria:

3.1 Take a comprehensive and systematic medical, dental and social history to collect, collate and record data by:
 interview
 questionnaire
 observation,
 measurement
 examination
 radiographic procedures
3.2 Collect relevant clinical data to perform a periodontal health and risk assessment
3.3 Discuss the process and rationale of data collection and recording with the patient
3.4 Preserve and maintain patient privacy and confidentiality at all times

Element:

4. Formulate and validate a dental hygiene diagnosis and treatment plan

Performance Criteria:

4.1 Collect, record and analyse data findings and discuss with the patient and the supervising dental practitioner responsible for overall patient care
4.2ormulate a dental hygiene diagnosis in communication with the supervising dental practitioner
4.3 Develop a dental hygiene treatment plan using evidence based criteria, to incorporate treatment, preventive and supportive dental hygiene interventions, that are prioritized to cater for the patient‟s periodontal and oral health needs and takes into consideration the patients own goals, values and preferences
4.4 Integrate the dental hygiene treatment plan within the overall dental treatment plan identifying the need for specialist dental referral if required
4.5 Adhering to the principles of informed consent, the treatment plan is discussed comprehensively with the patient, who is provided with the opportunity to clarify issues and is informed of possible treatment outcomes resulting from any planned treatment. Consent and acceptance of the hygiene treatment plan is confirmed with the patient

Element:

5. Implement educational interventions for the management of moderate to complex periodontal diseases and conditions

Performance Criteria:

5.1 Educate and inform the patient considering their needs, goals and treatment expectations based on evidence based criteria
5.2 Deliver educational interventions at a pace that will encourage patient understanding and ownership of their periodontal and oral health status in relation to their overall health and well-being
5.3 Provide regular opportunities for the patient to actively participate and ask questions to evaluate comprehension and promote compliance
5.4 Instruct the use of specific oral hygiene aids, and any safety precautions associated with the use of these
5.5 Evaluate and review oral health techniques and patient understanding/compliance regularly utilising a variety of evaluation methodologies as an avenue to provide specific maintenance
5.6 Design educational methodologies to encourage a sense of self responsibility for oral health based on an understanding of (their) periodontal and oral health status and personal goals
5.7 Adjust methodologies and strategies based on evaluative investigation and feedback, to meet the individual patient‟s needs and preferences

Element:

6. Implement therapeutic, preventive and supportive interventions for the management of moderate to complex periodontal conditions and disorders within the context of dental hygiene practice

Performance Criteria:

6.1 Discuss proposed therapeutic interventions and outcomes comprehensively with the patient abiding to the principles of informed consent, whilst providing an opportunity to clarify issues, and inform of possible outcomes resulting from any planned treatment
6.2 Provide selected and prioritized therapeutic interventions according to the dental hygiene treatment plan, patient expectations and dentist/dental specialist instructions, to manage, control and/or eliminateidentified risk factors
6.3 Determine the need for pain control based on examination findings, observation and recognition of non-verbal feedback mechanisms and discussions with the patient, and proceed with any necessary pain control requirements
6.4 Implement preventive strategies based on the patient‟s examination findings and risk assessment analysis to address poor oral health determinants
6.5 Communicate and collaborate with the supervising dentist and if required, dental specialist, to consolidate and unify patient management
6.6 Monitor and evaluate treatment outcomes of moderate to complex periodontal patient presentations and devise an evidence based maintenance program in collaboration with dentist/dental specialist for continuing oral and general health

Element:

7. Identify the social and physical health impact of tobacco use to determine preventive practice management in oral health practice

Performance Criteria:

7.1 Research current literature on prevention and cessation of smoking to explore contemporary tobacco use patterns
7.2 Analyse and evaluate the impact of tobacco use on systemic and oral health
7.3 Interpret contemporary tobacco use by analysis of behavioural patterns in mechanisms of psychological and physical addiction
7.4 Identify social factors influencing tobacco addiction of marginalized communities and minority cultural groups
7.5 Analyse the spiritual and psychological crisis of Aboriginal Australia as an example of how people in distress are predisposed to substance addiction

Element:

8. Provide empathetic brief motivational interviewing technique to counsel patients towards behavioral change for cessation of smoking

Performance Criteria:

8.1 Investigate patient history and examination findings to support the individual needs of the patient
8.2 Communicate strategies to address tobacco use, prevention and cessation through brief motivational interviewing
8.3 Provide patient information on pharmaceutical aides that assist in tobacco cessation through recommended nicotine replacement therapies
8.4 Identify and engage the relevant community support services for patient referral


Learning Outcomes


On completion of this unit you will have developed a high degree of knowledge, skills, judgments, values and attitudes needed to provide evidence based dental hygiene therapeutic, preventive and supportive services, and educational intervention to patients with moderate to complex periodontal conditions and disorders, within the context of dental hygiene practice and conducted according to occupational health, safety and welfare policy and procedures and infection control policy and procedures.


Details of Learning Activities

Learning activities for this course will include: lectures, tutorials, SIM LAB practicals, clinical practice, research and online self paced learning.


Teaching Schedule

DateTopic
6 July – 10 July
Commencement of clinical experiences
4x 3 hour session
 
6 July: ONLINE resources
Unit overview
Assessment matrix
Issue Formative learning: workbook Q&A for self- paced learning
 
9 JulyLecture:
Periodontal Assessments : moderate to complex
Surgical and Non Surgical Treatment
Demineralisation management
Tooth Wear & Parafunctional Habits
Inflammation revision
 
10 JulyONLINE: Smoking cessation task issued Summative
Workbook: self-paced learning
 
13 July –24 July

 
 3 X 3 hour sessions per week.
1X3 hours SIM lab for advanced instrumentation
23 JulyLecture & SIM Lab:
Furcation management
Case Studies
Informed Consent
 
27 July-31 July

 
 2X 3 hour sessions
3 August-6 August

 
 clinical experiences
3 X 3 hour sessions per week.
6 AugustLecture: Communication and human behaviour
Motivational Interviewing
Smoking Cessation
 
10 August-14 august
 
 clinical experiences
3 X 3 hour sessions per week.
 
17 August-28 August
 
 clinical experiences
1 X 3 hour sessions per week.
1X 3 hour SIM lab
 
27 AugustPractical : OPG technique practical training in SIM lab
28 AugustLecture:Periodontal splinting
Surgical periodontal treatment, soft tissue & bone grafting
Case studies
 
7 September-17 Sept
clinical experiences
2 X 3 hour sessions per week.
1x 3 hour SIM lab
 
Case studies discussed following patient clinic
18 SeptSIM Lab & Tutorial: Advanced Instrumentation
Case studies workshop
Predisposing/operator induced factors
Acute lesions
 
21 Sept-23 Sept
clinical experiences
3 X 3 hour sessions per week.
 
ONLINE: Case studies issued for next class
28 Sept- 2 Oct

 
 clinical experiences
2X 3 hour sessions per week.
2X 3hour SIM lab
28 SeptSIM Lab: Advanced Instrumentation
Referrals
Case studies
 
2 OctSIM Lab: Advanced Instrumentation
Case studies
 
5 Oct-9 Oct
clinical experiences
 
During this week for those students needing to upgrade their Radiation use license: theory exam is schedule for 8 October
Practical assessment via appoint 5 October
 
6 OctSIM Lab & Tutorial: Advanced Instrumentation
Case studies workshop
 
12 Oct-15 Oct
 
 clinical experiences
2 X 3 hour sessions per week
1x SIM Lab
 
15 OctTutorial: Assessment Preparation
Workbook Revision
 
16 OctSIM Lab: Advanced Instrumentation
19 Oct-23 Oct
 
 clinical experiences
1 X 3 hour session per week
 
19 OctCase Presentations
23 OctONLINE: Case studies issued for next class
26 Oct-30 Oct

 
 clinical experiences
1 X 3 hour sessions per week
27 OctCase studies workshop
4 NovClinical experiences: 4 patients
5 NovemberClinical experiences: 4 patients
6 NovemberClinical assessment co-assessed with 014
2 patients
 
11 NovemberWritten Theory Examination 2 hours
12 & 13 NovemberClinical assessment : ADC external examiners 1 patient


Learning Resources

Prescribed Texts

Darby, ML, Walsh, MM & Bowen, DM 2015, Dental hygiene: theory and practice, 4th edn, Elsevier/Saunders, St. Louis, Missouri.

Darby, ML & Walsh, MM 2010, Procedures manual to accompany Dental hygiene : theory and practice, Saunders/Elsevier, St. Louis, Mo.

Nield-Gehrig, JS 2013, Fundamentals of periodontal instrumentation & advanced root instrumentation, 7th edn, Lippincott Williams & Wilkins, Philadelphia.

Nield-Gehrig, JS & Willmann, DE 2011, Foundations of periodontics for the dental hygienist, 3rd edn, Wolters Kluwer/Lippincott Williams & Wilkins Health, Philadelphia.

DeLong, L & Burkhart, NW 2013, General and oral pathology for the dental hygienist, 2nd edn, Wolters Kluwer Health/Lippincott Williams & Wilkins, Baltimore, MD.


References


Other Resources

On Blackboard


Overview of Assessment

Before the critical aspects of evidence are considered all prerequisites must be met.

The candidate must show evidence of the ability to complete tasks outlined in elements and performance criteria of this unit, manage tasks and manage contingencies in the context of the job role. There must be evidence that the candidate has:

  • candidates must demonstrate their ability to apply essential knowledge identified for this competency unit before undertaking independent workplace application
  • this competency unit should be assessed in conjunction with relevant competency unit(s) in delivery of the Advanced Diploma of Oral Health (Dental Hygiene) ·
  • evidence must demonstrate the individual’s ability to apply their knowledge within the requirements of dental hygiene practice 
  • consistency of performance should be demonstrated over the required range of workplace situations relevant to an identified work role 

 

Assessment Tasks

Assessment 1: 

Clinical practice, logbook and Observation

Assessment 2:

Written theory examination

Assessment 3:

(Oral) Case Study Presentation(s)

Assessment 4:

Special needs case study Assignment

Assessment 5:

Case Study Presentation

Assessment 6:

Clinical (scaling) practical

 

Assessment Mapping Matrix

Elements/Performance Criteria Covered

Ass 1

Ass 2


Ass 3

Ass 4

Ass 5

Ass 6

1.1

X

 

X

X

X

X

1.2

X

X

X

 

X

X

1.3

X

X

X

 

X

X

1.4

X

X

X

 

X

X

2.1

X

 

X

 

X

X

2.2

X

 

X

 

X

X

2.3

X

 

X

 

X

X

3.1

X

X

X

X

X

X

3.2

X

X

 

 

X

X

3.3

X

 

 

 

X

X

3.4

X

 

X

X

X

X

4.1

X

X

X

 

X

X

4.2

X

X

X

 

X

X

4.3

X

X

X

X

X

X

4.4

X

X

X

 

X

X

4.5

X

 

X

 

X

X

5.1

X

X

X

X

X

X

5.2

X

X

 

X

X

X

5.3

X

 

X

 

X

X

5.4

X

 

 

X

X

X

5.5

X

 

X

 

X

X

5.6

X

 

 

X

X

X

5.7

X

 

X

 

X

X

6.1

X

X

X

X

X

X

6.2

X

X

 

X

X

X

6.3

X

 

X

 

X

X

6.4

X

 

 

X

X

X

6.5

X

 

X

 

X

X

6.6

X

 

 

X

X

X

7.1

X

 

X

 

X

X

7.2

X

X

X

 

X

X

7.3

X

 

X

X

X

X

7.4

X

X

 

 

X

X

7.5

X

 

X

 

X

X

8.1

X

X

X

 

X

X

8.2

X

X

 

 

X

X

8.3

X

 

X

X

X

X

8.4

X

X

X

 

X

X

 

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks.


Assessment Tasks

Task 1: Motivational Interviewing & Smoking Cessation Assessment Task

Task 2: Clinical Assessment

Task 3: Written Theory Examination


Assessment Matrix

Blackboard

Other Information

Late work that is submitted without an application for an extension (see below) will not be corrected.

APPLICATION FOR EXTENSION OF TIME FOR SUBMISSION OF ASSESSABLE WORK - A student may apply for an extension of up to 7 days from the original due date. They must lodge the application form (available www1.rmit.edu.au/students/assessment/extension) at least 24 hours before the due date. The application is lodged with the School Admin Office on level 3 of Dental Hospital. Students requiring longer extensions must apply for SPECIAL CONSIDERATION.
 

For missed assessments such as exams- you (& your doctor if you are sick) must fill out a special consideration form. This form must be lodged online with supporting evidence prior to, or within 48 hours of the scheduled time of examination http://rmit.edu.au/students/specialconsideration
 

Note: The Pass mark for written theory assessment is 60%. Assignments will be marked Satisfactory/Not satisfactory.
Students may be given the opportuntity to resubmit the assignment if this is requested by the teacher and approved by the co-ordinator.
Students are required to achieve a Pass grade in all tasks to achieve Competence for this course

Course Overview: Access Course Overview