Course Title: Recognise and respond to signs and symptoms that may indicate oral health issues

Part B: Course Detail

Teaching Period: VE 2015

Course Code: DENT5842C

Course Title: Recognise and respond to signs and symptoms that may indicate oral health issues

School: 155T Vocational Health and Sciences

Campus: Bundoora Campus

Program: C5313 - Diploma of Nursing (Enrolled-Division 2 Nursing)

Course Contact : Leeanne Mond

Course Contact Phone: +61 3 9925 54837

Course Contact Email:leeanne.mond@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Eleanor Schroeder 

eleanor.schroeder@rmit.edu.au

03 9341 1412

Nominal Hours: 30

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

Nil

Course Description

  This unit describes the skills and knowledge required to recognise and respond appropriately to signs and symptoms that may indicate a potential for oral health issues in clients


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

CHCOHC404A Recognise and respond to signs and symptoms that may indicate oral health issues

Element:

1. Identify variations in client behaviour

1.1 Identify client behaviour and habits that may indicate oral health issues or associated pain or discomfort

1.2 Observe, listen for self-reports and question client and/or carer or other relevant people as required to determine whether the client is experiencing any pain or discomfort that may be associated with oral health issues

1.3 Take into account contributing factors that may produce variation from normal behaviour

Performance Criteria:

1.1 Identify client behaviour and habits that may indicate oral health issues or associated pain or discomfort

1.2 Observe, listen for self-reports and question client and/or carer or other relevant people as required to determine whether the client is experiencing any pain or discomfort that may be associated with oral health issues

1.3 Take into account contributing factors that may produce variation from normal behaviour
 

Element:

2. Undertake basic visual oral check and questioning

2.1 Obtain consent from the client or substitute decision maker to conduct basic visual oral check and questioning

2.2 Ensure comfort of client by developing trust and rapport and working in an appropriate environment and at an optimal time

2.3 Ensure client is in a position which provides access to the mouth seeking their assistance to open their own mouth limiting contact inside the mouth

2.4 Provide support for client's head or chin if necessary to enhance visual access without creating discomfort for the client

2.5 Perform basic visual oral check in line with legislative requirements , organisation guidelines , policies and procedures and within own work role

2.6 Ensure visual check is conducted in accordance with standard precautions

2.7 Identify signs and symptoms of potential oral health issues that may indicate variation from normal and actively listen to and be aware of self-reports

 

Performance Criteria:

2.1 Obtain consent from the client or substitute decision maker to conduct basic visual oral check and questioning

2.2 Ensure comfort of client by developing trust and rapport and working in an appropriate environment and at an optimal time

2.3 Ensure client is in a position which provides access to the mouth seeking their assistance to open their own mouth limiting contact inside the mouth

2.4 Provide support for client's head or chin if necessary to enhance visual access without creating discomfort for the client

2.5 Perform basic visual oral check in line with legislative requirements , organisation guidelines , policies and procedures and within own work role

2.6 Ensure visual check is conducted in accordance with standard precautions

2.7 Identify signs and symptoms of potential oral health issues that may indicate variation from normal and actively listen to and be aware of self-reports

 

Element:

3. Follow up and promote ongoing oral health care

3.1 Complete reporting processes, using information from client and/or carer or other relevant people as well as own observations in relation to potential oral health issues

3.2 Discuss potential oral health issues with client and/or relevant others in line with organisation policies and procedures and respecting client priorities and choices

3.3 Take appropriate action within work role, including discussing with supervisor in consultation with client

3.4 Provide client with information relevant to promoting and maintaining good oral health using appropriate communication strategies

3.5 Support clients to take a self-care approach to oral health in line with individual needs where possible

3.6 Identify and address key barriers to management or self-management of oral health

Performance Criteria:

3.1 Complete reporting processes, using information from client and/or carer or other relevant people as well as own observations in relation to potential oral health issues

3.2 Discuss potential oral health issues with client and/or relevant others in line with organisation policies and procedures and respecting client priorities and choices

3.3 Take appropriate action within work role, including discussing with supervisor in consultation with client

3.4 Provide client with information relevant to promoting and maintaining good oral health using appropriate communication strategies

3.5 Support clients to take a self-care approach to oral health in line with individual needs where possible

3.6 Identify and address key barriers to management or self-management of oral health
 


Learning Outcomes


   


Details of Learning Activities

•Lectures, class discussions, vidoes
•Posted resources on BB including PPTs ,video and resource links, patient information fact sheets
•Student to student practical activities including performing visual oral health checks on each other under supervision in a clinical context, client questioning and to provide relevant oral health advice for 3 student "clients" using a prescribed checklist
•Group work using case scenarios, written task questions with class discussions
 


Teaching Schedule

<thead> <th scope="col">Date of                     class                        </th> <th scope="col">Session topics                                                                                                                                                                                                                                </th> </thead>
5 November

Introduction to course, assessment outline, resources

What is oral health
Who is the client
Client behaviours in response to oral health issues
The oral check process: collating client information :consent, history taking patient positioning, observations to look for and questions to ask ,
Departure from normal healthy hard and soft issues of the oral cavity ( signs and symptoms) and the causes/influences
Link between general health and oral health
Case scenarios
 

 
6 NovemberReview of yesterday’s class
Oral disease progression: causes and prevention
Advice to the client in maintaining good oral health
Barriers to maintaining good oral health
Preparation for labs
BB resources to read and case study issued to be discussed at the labs 1 1,2,3
 
 

10 and 11 November

Lab 1 &2

Group A am session
Group B pm session
 

Clinical labs at the dental hospital B154.02.including lab induction
 

Teacher demonstration for procedure in undertaking an oral health check

Student to student activities conducting oral health checks and questioning under teacher supervision : checklist provided
Collating client information
Providing appropriate advice to promote ongoing oral health care
Case scenarios workshop
Video on the oral health care of clients in a disability residential services

Tutorial at the end of lab 2

 

12 November

Lab 3

Group A am session
Group B pm session
 

Summative assessment
1.Clinical lab/practical oral health check & providing appropriate advice to promote ongoing oral health care
via student to student . NB Oral health checklist is the same as labs 1&2

2.Students to pair and undertake a case scenario/written questions & provide appropriate advice to promote ongoing oral health care
3.Multiple choice quiz 25 questions: 60 % pass mark

 

 


 


Learning Resources

Prescribed Texts

Delong, L; Burkhart, N (2013) General and oral pathology for the dental hygienist 2nd ed Lippincott Williams Wilkin    

Ibsen, O; Phelan, J; Oral pathology for the dental hygienist; current ed.

Langlais, R; Nield-Gehrig, J; Color atlas of common oral diseases; Lippincott Williams& Wilkins, current ed
 


References


Other Resources

Teacher prescribed resources are located in blackboard for student access.

You will need to bring your own safety glasses compliant to AS 1337


Overview of Assessment

Summative:


1.Group task in a student pair :1 Case study scenario/written questioning
2.Observation of practical skills conducting an oral health check on one "client" (student colleague) in the teaching clinic located at the Royal dental Hospital Melbourne using a prescribed checklist .
3.Theory quiz ( 25 questions) 60 % pass
 


Assessment Tasks

1.Group task in a student pair :1 Case study scenario/written questioning
2.Observation of practical skills conducting an oral health check on one "client" (student colleague) in the teaching clinic located at the Royal dental Hospital Melbourne using a prescribed checklist .
3.Theory quiz ( 25 questions) 60 % pass
 

1.Student must demonstrate skills in conducting a visual oral health check on a client with related client questioning and to provide advice to the client pertaining to what is observed, as per listed requirements on a prescribed checklist issued by the teacher.
2.Student must demonstrate 60% pass on the theory quiz
3.Student must fully complete all questions to a prescribed case scenario demonstrating an understanding of how to recognise potential oral health issues in response to observations, medical history and other health determinants pertaining to the case ,in addition to any client behaviours and habits that may be a barrier to maintaining oral health. The student must demonstrate the ability to provide appropriate advice to promote oral health care and referral where indicated.
 


Assessment Matrix

Other Information

The clinic session times are strictly to be adhered to as per hospital requirements:
Am session: 8.45am - 12.30pm
Pm session: 1.15pm - 4.30pm
Entry to the hospital teaching clinic is limited by key card only by a teacher. For this reason, commencement must be strictly adhered to otherwise you may face being locked out once the session commences.
Location to meet prior to clinic entry.
Meeting the teacher at commencement of each lab session will be the B154 .02 patient waiting room (closest to the RMIT glass doors) 720 Swanston st , Carlton ( Royal Dental Hospital Melbourne)
Clinic induction
An induction is compulsory for every student and will be conducted on lab 1 prior to commencement of the lab. An attendance roll will be taken.
Dress code and protocols expected by the dental hospital
Students need to be mindful that they will be undertaking learning experiences in a large teaching clinic whereby patients are also being treated by student practitioners in the same teaching clinic.
As it is an open floor clinic, noise is to be kept to a minimum.
There are strict dress codes expected for all as follows:.
Students are to be ready to commence at the stated start time for each session adhering to the following:
&#61623; Full uniform, closed protective shoes/boots, ( ie no fabric, sandals) no high heels,
&#61623; Student card to be worn at all times
&#61623; Hair tied back from the face.
&#61623; Safety glasses conforming to AS 3779,( obtained from the bookshop)
&#61623; No hand or wrist jewellery.
&#61623; No false finger nails, nail polish or long nails.
&#61623; No facial jewellery or long earrings.
&#61623; No food or drinks are allowed in the clinic.
Water is available in the patient waiting room for student access.
The teacher is to be notified if a student is leaving the clinical environment for any reason.
Students are not allowed in any area of the hospital clinic other than the allocated chairs.
The hospital will supply hand hygiene products, latex free single use exam gloves and masks and use will be required by each student on instruction. Students are not to bring into the clinic their own products.
Non- compliance to the listed hospital protocols will omit the student from participation.
Lockers are available free of charge on 2nd floor and 3rd floor Build 154. The student will be required to provide their own lock for security as NO bags or mobile phones are allowed in the clinic.
There are 2 change rooms on 3rd floor Build 154 if required.
Participation in the learning activities
1. Every student will be required to participate as a "client”: to undertake a full medical, social, family history and oral health check by a student colleague, on a rotation for each lab session and lab assessment. This activity forms part of the simulated lab activities outlined under the course elements.
2. All students are to consistently demonstrate compliance to hand hygiene protocol and non- touch technique as per NHMRC as well as compliance to WH&S and hospital protocols as outlined in the clinic’s hospital induction and points outlined above. Reference resources for these protocols have been provided in the BB shell.
You are to bring writing paper, study notes and pens .No electronic devices are allowed.

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