Course Title: Provide or assist with oral hygiene

Part B: Course Detail

Teaching Period: VE 2021

Class Number: 1089

Class Section: DA06

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: Sue 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

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.

 


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


On completion of this unit, you will be able to:

  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

This is unit is co delivered and co assessed with the unit: HLTOHC001 Recognise and respond to oral health issues

class exercises /study tasks to review discussions/lectures

practical demonstrations in lab

online discussion and participation

analysis/critique of relevant reading material

peer learning

student to student practical activities 

class presentations

group discussion

research

group activities

simulated workplace activities


Teaching Schedule

Session

Class task to complete

 

Date

SESSION TOPICS/ACTIVITIES

5.1

yes

Phase 5

Introduction to the oral health units

Assessment requirements

What is oral health?

 

The role of the DA in oral health education

o Support /follow the practitioners health care plan

o Support/instruct on effective oral hygiene strategies for a range of different patients

o Toothbrushing

o Use of appropriate products

o Denture care

o Care of fixed and removable appliances

o Interdental cleaning

o 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

o Access to dental and health services

o Intentional neglect; violence

o Recreational drug use, smoking

o Beliefs & attitudes, towards health

o Culture

o Language

o Dexterity, ability

• Interactions between oral health and general health

  • Diabetes
  • Asthma

 

5.2

yes

Phase 5

Theme : Factors that impact on oral health #2:

 

Topic 1 : Saliva

o Causes of diminished saliva

o Medications/recreational drugs /over the counter drugs

o Systemic diseases eg: diabetes

o Hydration level

o Smoking

o Poor quality/dry saliva as a risk factor for oral diseases

o Strategies to stimulate salivary flow

 

 

5.2 continues….

Topic 2 : Plaque

o What is plaque?

o What affects plaque growth

o Smoking

o Dry mouth

o Lack of routine plaque control

o Dietary: frequent intake of fermentable carbohydrates

o Plaque: Risk factor for caries and periodontal diseases

o Plaque control strategies: introduction

 

5.3

yes

Phase 5

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
  • Soft drinks and risk for dental erosion
  • Patient recommendations
  • Use of xylitol
  • Cariostatic foods as options to cariogenic food products

 

Topic 2 : Fluoride experience

  • Benefits of fluoride
  • Fluoride in the communal water supplies
  • Australian guidelines for use of fluorides
  • Topical applications and home care

 

5.4

yes

Phase 5

Theme : Factors that impact on oral health #4:

 

TOPIC: Oral health and special needs

  • The aged person
  • Disability and impairment
  • Mental health including dementia
  • Child and adolescents

 

Health determinants

Modified oral hygiene methods and aids

Identifying client behaviours related to oral health issues

Patient handouts

 

Video: oral health education and the special needs patient in care        “ dental rescue” including:

Techniques:

o Bridging

o Chaining

o Hand over hand

o Distraction

o Rescuing

 

5.5

Yes

Practical activities

 

Phase 5

Topic: Conducting the Oral health check, recognising departure from health and responding appropriately

 

1.Intro Checklist : observations and questions to ask the patient

Healthy oral tissue and unhealthy tissue

 

Prep task for next session: video : steps for conducting an oral health check

 

2.Educating the patient in response to findings from the oral health check

Oral hygiene strategies for different types of dentitions

Videos on plaque control techniques for various scenarios

  • implants, bridges
  • technique in use of manual and electric toothbrushes
  • use of floss
  • interdental brushes
  • orthodontic fixed appliances
  • denture hygiene

 

Products, aids, take home information

 

Case study: review of theory : risk factors , OHI & advice to the patient

 

Preparing for assessment in phase 6

 

ASSESSMENT task 2

Oral presentation due for upload into canvas BEFORE phase 6 attendance

 

 

 

 

 

 

 

 

 

 

Session

 

Date

Activities

 

6.1

6.2

6.3

6.4

 

Practical activities

 

ASSESSMENT

Task 1

 

3rd floor lab

 

Phase 6

Conducting an oral health check/interview and observations

 

Each student MUST complete written questioning for 10 different scenarios

 

To complete each scenario, students will partner with 10

students over 4 sessions, 2 different students at each session

Simulated clinical with rotation

 

Activities include:

 

1.Conduct an oral health check

o Observation

o Patient questioning

2.Written report on case scenarios

3. Educating on rationale plaque control strategies

4. Provide /demonstrate oral hygiene instructions to patient

o Suitable aids

o Toothbrushing

o Interdental cleaning

o Denture care

o Care of fixed implants, crowns/bridges

5. Provide advice on use of oral health products

6. Provide strategies to manage dry mouth

7.Dietary advice to reduce risk of caries

8. Smoking cessation advice

9. Sports injury prevention advice

 

 

6.5

6.6

Practical activities

 

ASSESSMENT

Task 3

 

3rd floor lab

 

Phase 6

Student to student Rotation

 

Activities include:

 

1.Conducting 5 oral health checks and completing written task

2.Demonstrating OHI and providing advice on aids and products for 3 case scenarios

 

 

 

 

NOTE:

On completion of task 1 and task 3, ALL completed documentation MUST be uploaded into the task file in CANVAS

 

 


Learning Resources

Prescribed Texts


References


Other Resources

The following resources will be needed to help you complete the requirements of this course. You should ensure you have access to these and contact the teaching staff if you encounter any issues:

Prescribed textbook

Bird, D., Robinson, D. (current ed ) Torres and Ehrlich Modern Dental Assisting . W.B. Saunders, Sydney. (this is available online via RMIT library website) 

Highly Recommended textbook

Felton,A; Chapman,A; (2014) Basic guide to oral health education and promotion 2nd ed; Wiley Blackwell , UK (this is available online via RMIT library website)

Additional resources

Laskaris, G; (2019) Pocket Atlas of Oral Diseases; 3rd edition; Thieme Germany

Fehrenbach, M; (2019) Mosby’s Dental Dictionary, 4th edition; Elsevier; US

Ramseier, C; Suven, J: ( 2010) Health behavior change in the Dental practice; 1st edition; Wiley-Blackwell USA

Therapeutic Guidelines Ltd; (2019) Therapeutic Guidelines: Oral and Dental; Version 3; Therapeutic Guidelines, Australia . (To obtain this version: contact Therapeutic Guidelines Ltd directly on +61 3 93291566) Students receive a discount with student ID number.


Overview of Assessment

You 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 you have:

  • performed effective oral hygiene practices on 3 different patients in the workplace
  • used processes, aids and equipment appropriately in provision of oral hygiene, including performing the following tasks at least 1 time:
    • tooth brushing
    • soft tissue cleaning
    • use of mouthwash
    • care of dentures
    • care of crown or bridge or implant or braces

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

Students enrolled in Vocational Education and Training qualifications are assessed for Competency. To be assessed as Competent means you have consistently demonstrated the required knowledge and skills at a standard expected in the workplace.  

To be assessed as Competent in this course, you will need to complete each assessment task to a satisfactory standard. You will receive feedback from the teacher at the conclusion of each assessment task. 

Assessment task 1: AT1 Simulated case scenarios: visual oral health check and oral hygiene instruction

The task is based on 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.

The student will 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 for oral health.

 Instruction on oral hygiene of various fixed and removable dental appliances, natural dentitions for various ages and circumstances will be expected.

Assessment task 2: AT2 Oral presentation

This practical assessment will allow you to showcase your knowledge of a workplace patient to present an oral presentation whereby you have identified the patient’s oral hygiene requirements , including factors that influenced the patients oral health and how you responded by assisting the patient with their relevant oral hygiene needs

 

Assessment task 3: AT3 Oral health workplace logbook

The workplace logbook provides:  

The student and workplace supervisor with guidance in training in the workplace context,

The documentary evidence of the student’s ability to complete tasks outlined in elements and performance criteria, as well as manage tasks and manage contingencies in the context of the job role.

Results that apply to courses that are delivered and assessed in accordance with competency-based assessment are: 

CA: Competency Achieved 
NYC: Not Yet Competent 
DNS: Did not Submit for Assessment 


Assessment Matrix

The assessment matrix demonstrates alignment of assessment tasks with the relevant unit of competency.

Other Information

This is unit is co delivered and co assessed with the unit: HLTOHC001 Recognise and respond to oral health issues

Attendance: 

Your learning experience will involve class-based teaching, discussion, demonstration and practical exercises  

It is strongly advised that you attend all timetabled sessions. This will allow you to engage in the required learning activities, ensuring you the maximum opportunity to complete this course successfully. 

 

Information about your studies: 

You can access My Studies through the RMIT website for information about timetables, important dates, assessment dates, results and progress, Canvas etc. 

 https://www.rmit.edu.au/students 

 

Assessment: 

Information on assessment including Special consideration, Adjustments to assessment, (eg. applying for an extension of time): 

https://www.rmit.edu.au/students/student-essentials/assessment-and-exams/assessment 

 

Academic Integrity and Plagiarism:  

RMIT University has a strict policy on plagiarism and academic integrity. Please refer to the website for more information on this policy. 

https://www.rmit.edu.au/students/student-essentials/assessment-and-exams/academic-integrity 

 

Credit Transfer and Recognition of Prior Learning:  

Credit transfer is the recognition of previously completed formal learning (an officially accredited qualification). 

Recognition of Prior Learning (RPL) is an assessment process that allows you to demonstrate competence using the skills you have gained through experience in the workplace, voluntary work, informal or formal training or other life experiences.   

Please speak to your teacher if you wish to discuss applying for Credit Transfer or RPL for the unit(s) of competency addressed in this course. 

https://www.rmit.edu.au/students/student-essentials/enrolment/apply-for-credit 

 

Course Overview: Access Course Overview