Course Title: Recognise and respond to oral health issues

Part B: Course Detail

Teaching Period: VE 2019

Class Number: All

Class Section: All

For flexible terms and optional semesters, a Part B course guide may have been published for the entire teaching period, or for the specific class number in which you are enrolled. If there is no Part B course guide published for your specific class number, please refer to the guide for the teaching period in which you are enrolled. Enrolment Online is the definitive source for details regarding your class enrolment.

Course Code: DENT5845C

Course Title: Recognise and respond to oral health issues

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C3393 - Certificate III in Dental Assisting

Course Contact: Ms. Suzanne Dellas Fatone

Course Contact Phone: +61 3 9341 1406

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

Name and Contact Details of All Other Relevant Staff

Program Manager:

Ms. Rachael Starr

9341 1420

rachael.starr@rmit.edu.au

Vocational Educator

Ms. Eleanor Schroeder

3941 1412

eleanor.schroeder@rmit.edu.au

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

None

Course Description

This unit describes the skills and knowledge required to identify variations and recognise oral health issues through a visual check, observation of patient behaviour and habits, signs and symptoms and physical condition of patients. This enables the candidate to respond appropriately to the clinical findings to initiate follow up oral health care.

This unit applies to workers in a range of health and community services environments where their work role requires them to recognise and respond to oral health issues.

The skills in this unit must be applied in accordance with Commonwealth and State/Territory legislation, Australian/New Zealand standards for maintaining infection control, and industry codes of practice.

National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:	HLTOHC001 Recognise and respond to oral health issues
Element:	1. Identify variations in patient behaviour and habits
Performance Criteria:	1.1 Identify opportunities to observe patient behaviour, physical functions, capabilities and habits that may indicate oral health issues or associated pain or discomfort 1.2 Observe, listen for self-reports and question patient and family/or carer to determine whether the patient is experiencing pain or discomfort that may be associated with oral health issues 1.3 Access relevant information on contributing factors that may produce variation from normal behaviour
Element:	2. Undertake basic visual oral check and questioning
Performance Criteria:	2.1 Obtain consent from the patient to conduct basic visual oral check and questioning from patient and/or family/carer 2.2 Ensure comfort of patient by developing trust and rapport, adapting environment and optimal time based on patient needs 2.3 Provide support for patient’s head or chin if necessary to enhance visual access without creating discomfort for the patient 2.4 Seek assistance from patient to open their own mouth to limit hand contact inside the mouth 2.5 Prepare and perform basic visual oral checks in line with own work role and use of standard precautions 2.6 Identify signs and symptoms of 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
Performance Criteria:	3.1 Complete documentation and reporting processes, using information from patient, and/or family/carer or other relevant people as well as own observations in relation to oral health issues 3.2 Discuss oral health issues with patient and/or carer in line with organisation policies and procedures and respecting patient priorities and choices 3.3 Take appropriate action within work role, including liaising with supervisor in consultation with patient to ensure appropriate referral occurs 3.4 Use appropriate communication strategies to provide information relevant to promoting and maintaining good oral health 3.5 Provide instruction to support patients 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 3.7 Review and monitor oral health issues

Learning Outcomes

1. Identify variations in patient behaviour and habits

2. Undertake basic visual oral check and questioning

3. Follow up and promote ongoing oral health care

Details of Learning Activities

Students will be involved in the following learning activities to meet requirements for this competency:

Face to Face classes
Written classroom tasks
Demonstration and classroom discussion
Facilitator led practical clinical demonstration
Group discussions
Participation in group activities based on simulated workplace exercises
Clinical practice, peer evaluation/feedback session/completion of practical worksheets
Online learning via CANVAS
Self-managed research to support completion of Study Guides.
Students will be observed and assessed through their planned activities throughout the duration of the course

Teaching Schedule

Delivery of this unit will be scheduled together with HLTOHC004 Provide and assist oral hygiene. You MUST be enrolled into both units

Session	Class task to complete	Date/Time/Unit / Location	SESSION TOPICS/ACTIVITIES
5.1	yes	Phase 5 Monday pm Theory class	Introduction to the oral health units Assessment requirements Session plan discussed What is oral health? The role of the DA in oral health education Support /follow the practitioners health care plan Support/instruct on effective oral hygiene strategies for a range of different patients Toothbrushing Use of appropriate products Denture care Care of fixed and removable appliances Interdental cleaning Motivate and support patient’s ongoing home care instructions Victorian government oral health priorities Who is the client: Target population groups What is an oral health care plan Factors that impact on oral health #1: Health determinants Access to dental and health services Intentional neglect; violence Recreational drug use, smoking Beliefs & attitudes, towards health Culture Language Dexterity, ability Interaction between oral health and general health Review task to be completed and submitted to the facilitator
5.2	yes	Phase 5 Tuesday pm Theory Class	Theme : Factors that impact on oral health #2: Topic : Plaque What is plaque? What affects plaque growth Plaque : Risk factor for caries and periodontal diseases Plaque control strategies: introduction Videos on plaque control techniques with written task Topic 2 : Saliva Causes of diminished saliva Medications Systemic diseases eg: diabetes Poor quality/dry saliva as a risk factor for oral diseases Strategies to stimulate salivary flow Review task on both topics to be completed and submitted to the facilitator
5.3	yes	Phase 5 Thursday am Theory Class	Theme : Factors that impact on oral health #3: Topic 1 : Nutrition fundamentals: what is a balanced diet Australian dietary guidelines and how to use Impact of nutritional deficiencies on oral health Video : How much sugar is in drink products Frequency of sugar consumption: risk factor for caries Patient recommendations Use of xylitol Cariostatic foods Topic 2 : Fluoride exposure Benefits Fluoride in the communal water supplies Topical applications and home care Review task on both topics to be completed and submitted to the facilitator
5.4	yes	Phase 5 Thursday pm Theory class	Theme : Factors that impact on oral health #4: TOPIC: Oral health and special needs The aged person Disability and impairment Mental health including dementia Modified oral hygiene methods and aids Client behaviours in response to oral health issues Video: oral health education and the special needs patient in care Techniques: Bridging Chaining Hand over hand Distraction Rescuing Class Case study with discussion
5.5	yes	Phase 5 Friday pm ASSESSMENT task2 issued	Topic 1: Anatomy and physiology task to complete and submit at the end of the session Fundamentals of oral anatomy Structures of the oral cavity Landmarks of the head and neck Topic 2: Oral health check Intro Checklist : observations and questions to ask the patient Healthy oral tissue and unhealthy tissue Prep task for next session: video : steps for an oral health check Oral presentation criteria issued Self-reflection of a Patient case from practice DUE phase session 6.6
6.1 6.2 6.3 6.4 6.5	yes	Phase 6 Monday am & pm Tuesday am & pm Wednesday am &pm Thursday am ASSESSMENT task 1 PRACTICALS Simulated clinical 5 sessions SIM lab 3rd floor Student to student activities Rotation with self-directed learning tasks	Teacher led demonstration of conducting an oral health check Each student MUST complete 10 different scenarios To complete each scenario, students will partner with 10 students over 5 sessions , 2 different students at each session 1.Conduct an oral health check Observation Patient questioning 2.Written report on case scenario 3.Provide /demonstrate oral hygiene instructions to patient Suitable aids Toothbrushing Interdental cleaning 4.Provide advice on use of product 5.Educating on rationale plaque control strategies Rotation: Review tasks to complete 6.1 TOPIC 1: Tooth pathologies and oral health care REVIEW Dental caries –risk factors, cause Early childhood caries Incipient caries/demineralised tooth surface Root caries Dental erosion Tooth attrition Dental abrasion 6.2 TOPIC 2 Periodontal diseases & aetiology and oral health care REVIEW Role of plaque biofilm Gingivitis Periodontitis Reactive hyperplasia 6.3 TOPIC 3 : review questions for assessment task 3
6.6		Phase 6 Thursday pm	ASSESSMENT Task 3 Log book for patient work issued and discussed
6.7		ASSESSMENT task 2	Supervised Multiple choice test
Weeks following Phase 6		Commence and complete SUBMIT TO WORKPLACE ASSESSOR WHEN COMPLETED	Evidence of Oral health activities at your workplace ASSESSMENT Task 3 Log book patients as follows: HLTOHC001: conduct oral health check for 5 patients

Learning Resources

Prescribed Texts

Bird.D & Robinson.D - (2017) Modern	9781437717297

Bird.D & Robinson.D - (2017) Modern

9781437717297

References

Other Resources

Students will be able to access course information and learning materials through CANVAS.

CANVAS is an online resource with the lesson plans for each unit. Within CANVAS are the session lessons plans, assessments, resources and other materials required for completion of each unit of competency.

Additional materials maybe provided in class and lists of relevant reference books, resources in the library and accessible Internet sites will be provided where possible. During the course, you will be directed to websites to enhance your knowledge and understanding of difficult concepts.

Overview of Assessment

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:

performed a visual oral health check on 5 patients, including:

identified any signs and symptoms related to oral health care issues
gathered relevant information from visual check and questioning to initiate appropriate follow up oral health care
used appropriate manual handling techniques when working with patients with special care needs or mental health condition

To be deemed competent you must demonstrate an understanding of all aspects required of the competency. Regular attendance is necessary. Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks and consist of theory and practical based tasks.

Assessment Tasks

Assessment 1

Simulated practical case studies

Using a checklist for each “patient”, the student will be required to undertake a basic visual oral health check and questioning of 10 different students (‘the patients’) in a laboratory, simulating the workplace context.

This assessment will be over 5 sessions in phase 6 whereby for each “patient” there will be a case scenario provided for the student to identify signs and symptoms of oral health issues including behavioural changes that are a variation from normal, identify any barriers to self-care of oral health ,provide feedback and oral hygiene instruction to each “patient” and to complete written documentation.

Assessment

Written test

This is a 45 minute, 30-question multiple choice test based on the essential knowledge of the course that underpins the elements and performance criteria of the unit.

Assessment 3

Clinical log book

The student is to provide evidence of the ability to perform a visual oral health check on 5 different patients at their workplace, including

Identified any signs and symptoms related to oral health care issues
Gathered information from the visual oral health check and questioning to provide follow up oral health care
The student will be required to have an appropriate workplace supervisor as their mentor and who will provide written feedback in the log book of the observed activities conducted by the student. The student will also be required to write up a self-assessment template of 2 of the 5 patients to reflect on their learning.

Assessment methods have been designed to measure your achievement of each competency in a flexible manner over multiple tasks and you will be asked to personally demonstrate to your teacher/assessor the practical skills gained during this course to the relevant industry standards.

Assessment activities will occur throughout this course and feedback will be provided at regular intervals.

You will need to obtain Satisfactory (S) in all assessment tasks before a final grade of CA (Competency Achieved) can occur.

Assessment Matrix

No	Name of Assessment Task	Method of Assessment	Elements Performance Criteria	Essential knowledge Refer….
	Formative In class tasks	Short answer tasks
1.	Summative SIM practical 10 oral health checks of various case scenarios	Simulated clinical Student to student and written tasks	1.1-1.3 2.1-2.6 3.1-3.7	https://training.gov.au/Training/Details/HLTOHC001
2.	Summative Written test	Multiple choice		https://training.gov.au/Training/Details/HLTOHC001
3.	Summative Workplace log book 5 patients	Clinical evidence	1.1-1.3 2.1-2.6 3.1-3.7	https://training.gov.au/Training/Details/HLTOHC001