Course Title: Implement an oral hygiene program for older people

Part B: Course Detail

Teaching Period: Term1 2021

Course Code: DENT5876C

Course Title: Implement an oral hygiene program for older people

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

Campus: City Campus

Program: C4406 - Certificate IV in Dental Assisting (Oral Health Promotion)

Course Contact: Ms 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: 130

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

The course describes the skills and knowledge required to promote oral health for older people and applies to dental assistants and to other health care workers who are actively involved in promoting the general well-being of older patients through the promotion of healthy eating habits and good oral health.

   


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTDEN010 Implement an oral hygiene program for older people

Element:

1. Assess the oral health needs of an older person

Performance Criteria:

1.1 Check medical and dental history with patient or family or carer to confirm up-to-date information

1.2 Actively encourage the patient to discuss oral health problems without embarrassment

1.3 Identify oral health problems for older people and their relationship to general health problems

1.4 Identify individualised factors that increase the risk of oral disease for older persons

1.5 Look in the patient’s mouth while cleaning or assisting with oral care

1.6 Identify patients with natural teeth, those who wear dentures and those who are non-denture wearers

1.7 Identify problems that require referral to a dentist

Element:

2. Provide support for the maintenance of oral hygiene for older persons

Performance Criteria:

2.1 Ensure flexibility of oral hygiene instruction taking into consideration a patient’s individual circumstances

2.2 Demonstrate an understanding of the economic and psychological factors that may affect the oral health of older people

2.3 Provide an appropriate environment for oral hygiene instruction

2.4 Develop and give oral hygiene information to patients and carers using language and in a manner they can understand.

Element:

3. Implement practical solutions to promote oral health

Performance Criteria:

3.1 Explain actively to patients and carers the importance of regular dental care to maintain quality of life

3.2 Recommend lifestyle changes to assist the older person’s diminished salivary flow in consultation with dental practitioner

3.3 Provide appropriate information to patients and carers for healthy food habits that support oral health

3.4 Actively encourage patients or carers to clean teeth or dentures after meals

3.5 Engage carers with appropriate oral health care promotion programs and resources

Element:

4. Maintain oral health of people in residential aged care

Performance Criteria:

4.1 Ensure all removable dentures are visibly marked with the patient’s identification

4.2 Record oral health in the patient’s personal care plan

4.3 Implement individual oral health programs in consultation with dental professional

4.4 Assist patients with special needs to clean their teeth

4.5 Assist patients or their carers to clean and maintain dentures


Learning Outcomes


On completion of this course, you should be able to: 

  1. Assess the oral health needs of an older person
  2. Provide support for the maintenance of oral hygiene for older persons
  3. Implement practical solutions to promote oral health
  4. Maintain oral health of people in residential aged care


Details of Learning Activities

class exercises to review discussions/lectures

practical demonstrations in lab

online discussion and participation

analysis/critique of relevant reading material

n this course your knowledge and skills will be applied and assessed in a workplace context.  

As part of this course you are required to undertake a number of hours of supervised learning/assessment in your chosen industry area, gaining invaluable experience and industry contacts. 

seminars/workshops

guest lecture/presentation

group discussion

research

independent project-based work

practical placement

simulated workplace activities


Teaching Schedule

Class Number

Class type

SESSION TOPICS

 

1

Class ONLINE

 

Introduction to the Unit

Assessment requirements

Resources

Background and overview of the Australian ageing population

Impact of ageing on oral health

Key messages for oral health

Introduction to Oral Health Care in Residential Aged Care

-duty of care

- informed consent and statutory requirements of consent

­ -practice standards – Dental Board of Australia guidelines on infection control

­ -privacy, confidentiality and disclosure

­ -records management

­ -work role boundaries – responsibilities and limitations

 

 

2

Class ONLINE

 

Guest :

Sharon Richardson ;    DOM unit RDHM

TBC

Tips on working with staff towards oral health care for clients in residential care facilities

 

Challenges, barriers and behaviours when conducting an oral health check, risk assessment and providing OH advice.

 

3&4

Class ONLINE

 

 

Conducting the oral health check

Investigating topics:

  1. Assessing the oral health needs of an older person in residential aged care

2.   Factors that lead to the development of oral disease for older persons

3.   Practical solutions to promote oral health for older people

4.   Case study related to an aged person

5.   Case study investigating the impact of systemic disease and associated poly -pharmacy on oral health  

6. Challenges of providing oral hygiene in an aged care facility

Video: Dental Rescue: care of the elderly

Case studies

 

Resources to view:

  • GC Silver Wave
  • PPT: dentures
  • “My Aged Care” website

https://www.myagedcare.gov.au/

  • Better oral health in residential aged care document located in CANVAS

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

Practical class 1

Clinic

 

9am -4.30pm

 

Simulation activities

 

 

Student to student

 

 

 

 

 

 

Conducting an oral health assessment and following a care plan on the older person

Team approach to maintain a healthy mouth

 

Students will be:

  1. conducting an oral health check and risk assessment on 2 students in the group and providing feedback with OH instruction
  2. Provide advice responding to case studies
  3. Each student will brush another person’s teeth TBC

                                                                                                        

  • Appropriate resources to conduct oral health education to the older patient
  •  

Group discussion: Reflection on case studies

 

6

Practical class 2

Clinic

9am -4.30pm

 

Conducting an oral health assessment and following a care plan on the older person

Students will be:

  1. conducting an oral health check and risk assessment on 2 students in the group and providing feedback with OH instruction
  2. Provide advice responding to case studies
  3. Each student will brush another person’s teeth TBC

                                                                                                        

  • Appropriate resources to conduct oral health education to the older patient
  •  

Group discussion: Reflection on case studies

Log book commences with patients

 

7

Class workshop

Practical

9am -4.30pm

 

Guest TBC

 

OneDental Display

Oral health resources suited to aged persons

Oral hygiene products, modified OH aids

Plaque control techniques

  • Bridging
  • Hand over hand

 

8

Practical ASSESSMENT

Student to student

 

Simulation

Assessment

task 2 of 3

9am -4.30pm

 

Conducting an oral health check and risk assessment on 2 students in the group and providing feedback with OH instruction

Provide advice responding to case studies

  • Appropriate resources to conduct oral health education to the older patient

 


Learning Resources

Prescribed Texts


References


Other Resources

Poor oral health, a potential new geriatric syndrome

 Putten_et_al-2014-Gerodontology.pdf

Better oral health in residential aged care

https://www.sahealth.sa.gov.au/wps/wcm/connect/09fa99004358886a979df72835153af6/BOHRC_Staff_Portfolio_Full_Version%5B1%5D.pdf? (Links to an external site.)MOD=AJPERES&CACHEID=ROOTWORKSPACE-09fa99004358886a979df72835153af6-mHtdf-8

Aged Care Quality Standard

 https://www.agedcarequality.gov.au/sites/default/files/media/Aged%20Care%20Quality%20Standards.pdf (Links to an external site.) 

GC Silver Wave

https://www.gcsilverwave.com/ (Links to an external site.) 

EAT FOR HEALTH Australian Dietary Guidelines summary
https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n55a_australian_dietary_guidelines_summary_130530.pdf (Links to an external site.)

Oral health information for people with an intellectual disability

https://www.dhsv.org.au/__data/assets/pdf_file/0018/3258/information-for-people-with-an-intellectual-disability.pdf

Bird, D; Robinson,D; ( current ed) Modern Dental Assisting. St. Louis, Missouri: Elsevier,

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

Felton , S; Chapman, A; (2014) Basic Guide to Oral Health Education and Promotion, 2nd Ed. Wiley UK  (this is available online via RMIT library website)

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

There must be evidence that you have completed the following tasks: 

  1. provided complete and appropriate information to 3 different older people and/or their carers including:
    • information regarding the prevention of oral diseases 
    • advice and demonstration of oral hygiene techniques
  2. selected and prepared special aids for oral hygiene to assist 3 patients with limited dexterity
  3. implemented 3 prevention programs to suit individual patient’s oral health care needs.

To be deemed competent you must demonstrate an understanding of all aspects required of the competency.

Assessment methods have been designed to measure your achievement of each competency in a flexible manner and consist of project work 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. 
 
You should refer to the assessment brief which is available through Canvas for full assessment criteria 

 

To successfully demonstrate your competence in HLTDEN010 Implement an oral hygiene program for older people you will need to complete the following assessments:

Assessment Task 1 –

In this assessment, you will be creating a resource kit that you will use in the promotion and support of oral health for older persons. The kit will include written pamphlets, presentation, aids and products that are aligned to the age and capability of the aged client.

Assessment Task 2 – 

In this assessment, you will be working through two case scenarios each in pairs where you will assess the oral health needs of two older people, provide them with support for the maintenance and practical solutions for their oral hygiene and health. One of these older people will be in residential aged care.  You will use the items in the kit ( Assessment task 1) that you developed in the previous assessment. 

Assessment Task 3 – 

In this assessment, you will be undertaking three Oral Health Checks with older clients in a dental clinic workplace, residential care facility or home care.  In these Oral Health Checks, you will assess the oral health needs of three older people, provide them with support for the maintenance and practical solutions and aids for their oral hygiene and health.  To support your oral health program for an older person, you will need your resources ( Assessment task 1 ) including written pamphlets, posters, aids and products which must be aligned to the age and capability of each client. 

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

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