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

National Element Code & Title:

TAFEDH020 Manage patients with moderate to complex dental hygiene treatment needs

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

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

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

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

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

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

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

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

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

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

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

Assessment Tasks

Assessment 2:

Written theory examination

Assessment 4:

Special needs case study Assignment

Assessment 6:

Elements/Performance Criteria Covered

Ass 1

Ass 2

Ass 3

Ass 4

Ass 5

1.2

X

X

X

X

1.4

X

X

X

X

2.2

X

X

X

3.1

X

X

X

X

X

3.3

X

X

4.1

X

X

X

X

4.3

X

X

X

X

X

4.5

X

X

X

5.2

X

X

X

X

5.4

X

X

X

5.6

X

X

X

6.1

X

X

X

X

X

6.3

X

X

X

6.5

X

X

X

7.1

X

X

X

7.3

X

X

X

X

7.5

X

X

X

8.2

X

X

X

8.4

X

X

X

X