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

Part B: Course Detail

Teaching Period: Term1 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 : Eleanor Schroeder

Course Contact Phone: +61 3 93411412

Course Contact Email:eleanor.schroeder@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

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

TAFEDH015 – Manage patients with simple to moderate dental hygiene treatment needs

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:

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 eliminate identified 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:

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
4.2 Formulate 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:

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

These include lecture, tutorial, case studies and SIM lab activities


Teaching Schedule

DateTopicAssessment
February 27th• History Taking
• Assessments
• Periodontal Disease, Diagnosis and Treatment Planning
 
March 20th• Case Presentation #1
• Differential Diagnosis and Pain Management
• Caries Detection
 
April 17th• Case Presentation #1
• Differential Diagnosis and Pain Management
• Caries Detection
 
May 1st• Communication and human behavior
• Chemotherapeutics & OHI
• SIM lab session
 
27th Task 1A Clinical Assessment  - Examination
29th • Oral Case Presentation #2
June 3rd Viva Voce
5th Task 2 Exam
9th Task 1B Clinical Assessment - Treatment
12th  


Learning Resources

Prescribed Texts

A complete book list will be provided during Orientation and is available on Blackboard


References


Other Resources

A range of additional resources and references will be provided through My Studies on Blackboard.


Overview of Assessment

Assessment tasks include written and oral tasks and clinical assessment


Assessment Tasks

There are two summative assessment tasks

Task 1 comprises two sections, A & B

1A Clinical assessment - examination of patient 27th May

1B Clinical assessment - treatment of patient 9th June

Task 2 Written exam 5th June


Assessment Matrix

Available on 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 (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 www1.rmit.edu.au/students/specialconsideration: The Pass mark for the exam is 60%. Assignment will be marked as Satisfactory/Not satisfactory.
Students will be given the opportunity to retake the clinical assessment if required. Students are required to achieve a Pass grade in both tasks to achieve Competence for this course

Course Overview: Access Course Overview