Course Title: Provide or assist with oral hygiene

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: DENT5846C

Course Title: Provide or assist with oral hygiene

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: 50

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 provide or assist a patient with their oral hygiene where the patient is unable to perform all or part of these tasks by themselves. The oral hygiene tasks for the patient are carried out within the framework of an individualised care support plan and within the workers designated role and responsibilities.

This unit applies to workers who provide direct patient care in a range of health and community services environments.

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:	HLTOHC004 Provide or assist with oral hygiene
Element:	1. Identify patient's oral hygiene requirements to ensure good oral health
Performance Criteria:	1.1 Liaise with supervisor to confirm individualised care plan supports requirements to address patient’s oral hygiene needs using a person-centred approach 1.2 Work effectively with patients from a diverse range of backgrounds to meet individual preferences in relation to provision of support or assistance with oral hygiene 1.3 Discuss and confirm the patient’s level of participation in meeting their own oral hygiene preferences and provide information to the patient and/or carer as required 1.4 Confirm oral hygiene requirements are within scope of own knowledge, skills and work role and seek appropriate assistance where patient requirements are outside scope 1.5 Take into account and address impacts that provision of oral hygiene may have on the patient and address any situations of risk associated with the provision of support and confirm actions with supervisor 1.6 Update knowledge to identify appropriate oral hygiene products, processes and aids for providing assistance and promoting independence in line with the patient’s individualised care support plan
Element:	2. Assist and support patients in an appropriate manner
Performance Criteria:	2.1 Provide oral hygiene support or assistance in an appropriate environment 2.2 Use effective communication, appropriate body language and a caring attitude to facilitate patient understanding of, and comfort with, oral hygiene processes taking place 2.3 Clarify and address difficulties in providing support, including patient behavioural responses with patient and supervisor within organisation protocols 2.4 Adapt techniques or arrangements in case of patient refusal or inability to comply as recommended in the individualised care support plan 2.5 Recognise signs that indicate an oral health problem, including distress or behaviours of concern, especially in patients unable to articulate their symptoms or concerns 2.6 Develop trust, rapport and respect with the patient and work in an appropriate environment to maintain dignity at an optimal time. 2.7 Ensure patient is in a position which provides visual access to the mouth seeking their assistance to open their own mouth to minimise contact with the mouth and use appropriate infection control procedures 2.8 Provide support for patient’s head or chin to enhance visual access without creating discomfort for the patient
Element:	3. Assist and support patients in their identified oral hygiene needs
Performance Criteria:	3.1 Prepare oral hygiene products and aids for use with teeth and soft tissue or dentures in an appropriate, safe and patient preferred manner 3.2 Inform patient and/or carer of oral hygiene processes to take place and incorporate toothbrush care 3.3 Provide and record individualised care support or assistance with oral hygiene tasks with consideration of identified patient preferences or risks 3.4 Where appropriate encourage patient to wear, insert and remove own dentures in line with care plan and support and assist patients with care of dentures 3.5 Update knowledge of techniques to improve oral hygiene practices and modified oral hygiene methods and aids
Element:	4. Recognise and report changes in patient oral hygiene requirements
Performance Criteria:	4.1 Regularly review and document oral hygiene techniques being used to ensure oral health is maintained according to the oral health care plan 4.2 Identify variations in oral hygiene support requirements and report to supervisor any concerns to arise during patient contact 4.3 Consult with patient and supervisor to identify required changes to procedures and oral health products and aids 4.4 Maintain and file documentation using relevant technology

Learning Outcomes

1. Identify patient s oral hygiene requirements to ensure good oral health
2. Assist and support patients in an appropriate manner
3. Assist and support patients in their identified oral hygiene needs
4. Recognise and report changes in patient oral hygiene requirements\

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 HLTOHC001 Respond to oral health issues. 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 2 Student Oral presentations     ASSESSMENT Task 3 Log book for patient work issued and discussed
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:   HLTOHC004: conduct oral health check for 3 patients

Learning Resources

Prescribed Texts

Bird.D & Robinson.D - (2017) Modern Dental Assisting 12th Edition - Elsevier

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.

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

This is a student to student activity whereby each student is to provide oral hygiene advice and instruction to 10 different “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 oral health needs, provide instruction and assistance with appropriate plaque control techniques, advice on a range of oral health products and when and how to use, and suitable oral health aids appropriate to the patient’s individual needs, any smoking cessation support and advice, sports injury prevention advice, and dietary advice.

Instruction on oral hygiene of various fixed and removable dental appliances, natural dentitions for various ages and circumstances will be expected. There will be a written task to report on “patient” activities including the rationale of oral hygiene practices.

 

Assessment 2

Oral presentation

The student will be required to investigate a clinical patient at their workplace using principles of confidentiality and privacy to demonstrate their own awareness of good oral health and that of the patient.

The student will consider factors that have impacted on the oral health of the patient including the patient’s beliefs and motivations toward their oral health. The student is to identify the oral health care planned for the patient by the practitioner including oral hygiene products and aids suitable for the patient, any smoking cessation support and advice, sports injury prevention advice, and dietary advice. The information will be submitted in the form of a PowerPoint presentation to the class in phase 6.

 

Assessment 3

Clinical log book

The student is to provide evidence that they have provided effective oral hygiene instructions and advice on 3 different patients in their workplace following a prescribed oral health care plan, using relevant toothbrushing techniques, advice on how to use oral care home products including those for dry mouth, and advice on care of fixed and removable appliances. Advice can also include smoking cessation support, sports injury prevention strategies, and the rationale behind oral hygiene practices.

 

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 3 patients to reflect on their learning.

 

 

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.

Students must pass each of the following assessment tasks to demonstrate competent.

Assessment Matrix

No	Name of Assessment Task	Method of Assessment	Elements Performance Criteria	Knowledge evidence Refer to….
	Formative In class tasks	Short answer Research tasks
1.	Summative Simulated Practical: Oral hygiene instruction for 10 different patients Scenario based	Simulated clinical Student to student Written clinical notes ( findings /advice)	1.1-1.6 2.1-2.8 3.1-3.5 4.1-4.4	https://training.gov.au/Training/Details/HLTOHC004
2	Summative Oral presentation	Workplace patient case	1.1-1.6	https://training.gov.au/Training/Details/HLTOHC004
3.	Summative Workplace log book 3 patients	Clinical evidence Short answer	1.1-1.6; 2.1-2.8 3.1-3.5 4.1-4.4	https://training.gov.au/Training/Details/HLTOHC004

Other Information

All email communications will be sent to your RMIT email address and you must regularly check your RMIT emails.

 

Credit Transfer and/or Recognition of Prior Learning (RPL):
http://www.rmit.edu.au/students/enrolment/credit  

 

Study and learning Support: 
http://www.rmit.edu.au/studyandlearningcentre 

Equitable Learning Services (ELS):
https://www.rmit.edu.au/students/support-and-facilities/student-support/equitable-learning-services 

 

Late submission: 
https://www.rmit.edu.au/students/student-essentials/forms/assessment-forms

Special consideration: 
http://www.rmit.edu.au/students/specialconsideration 

 

Plagiarism: 
https://www.rmit.edu.au/students/student-essentials/rights-and-responsibilities/academic-integrity

Course Overview: Access Course Overview