Course Title: Recognise and respond to oral health issues

Part B: Course Detail

Teaching Period: Term2 2021

Course Code: DENT5845C

Course Title: Recognise and respond to oral health issues

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

Campus: City Campus

Program: C5365 - Diploma of Nursing

Course Contact: Rosemarie Russell

Course Contact Phone: +61 3 9925 7478

Course Contact Email: rosemarie.russell@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Pamela Jones

pamela.jones@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

There are no pre-requisites for this course.

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


   
   
   
   
   


Details of Learning Activities

Face to face

Practice based labs 

Group activities


Teaching Schedule

Content

Tasks/Activities

Assessment Due

Lesson 1
  • Why is oral health important
  • Own practises
  • A & P of the mouth and teeth
  • Problems of the mouth and teeth
  • Preventative measures
  • Barriers to good oral and dental health
  • Oral assessment
  • Dental Assessment
  • Oral hygiene

 

Lab 1

This is a practical skill lab where the students will be given opportunity to practice;

  • Learn to perform an Oral Health Assessment
  • Denture care & cleaning of dentures
  • Oral Care
  • Cleaning of teeth

This lab is compulsory, is not repeated and runs on the same day as the Oral Tutorial

  • Students to bring a toothbrush to the Lab

B21M 15th July

 

B21A19th August

B21B 20th August

 

C21A 19th August

C21B 20th August

 

EPW2 2nd August

WVPC2 2nd August

 

Lab 2
  • Practical Assessment

 

Self Directed Learning (SDL)

 
  • There are a number of self directed activities that need to be completed:
    • Ensure meeting requirements of the knowledge and performance requirements of the Unit of Competency
    • Ensure able to completed assessments
    • These are compulsory SDL activities

 

Assessment 1
  • AT1 Knowledge Assessment

All groups 30th  August

 

 

Assessment 2 Part 1- Assessment

Tutorial, concurrent with Clinical Lab 1

  • Commence AT2 Part 1 - Practical Assessment (to be submitted b 23:59hrs on the day of the tutorial)
  • The assessment consists of 10 case studies (the same 10 scenario’s will be used in the Lab)
  • Opportunity to ask questions regarding Assessments

This Tutorial is compulsory, is not repeated and runs on the same day as Lab 1

 

B21M 15th July

 

B21A19th August

B21B 20th August

 

C21A 19th August

C21B 20th August

 

EPW2 2nd August

WVPC2 2nd August

 

Assessment 2 Part 2- Practical Assessment

 

Practical Lab 2 - Assessment

  • Completed in Lab 2

This is a Practical Assessment Lab;

  • AT2 Part 2 - Practical Simulation Assessment Task
  • You will be provided with 10 simulated case scenario’s on which you have to complete Oral Health Assessments (the same 10 case scenario’s used in the Lab)
  • This will need to be completed within the time allocated for this assessment.

 

B20M 23th July

 

B21A 6th Sept

B21B 7th Sept

 

C21A 13th Sept

C21B 14th Sept

 

EPW2 19th August

WVPC2 19th August

 

Quizzes
  1. Compulsory non-assessed quiz
  2. Compulsory non-assessed Learning Activity
  3. Reflection of Oral Health

 

Various dates within semester


Learning Resources

Prescribed Texts


References


Other Resources

Human Anatomy and Physiology, 10th edition, (2015), Marieb, E & Hoehn, K.   (1st and 2nd year)           

Tabbner's Nursing Care: Theory and Practice, 7th edition, (2017), Koutoukidis, G., Stainton,K., & Hughson, J.   (1st and 2nd year)           

Potter and Perry's Fundementals of Nursing, Chrisp, Jaciie RN PhD, ANZ Edition, Sixth Edition, Chaper 26: Maintaining Hygiene: Oral Hygiene   

https://www.dementia.org.au/support-and-services/families-and-friends/personal-care/dental-care (Links to an external site.)

The Key to better oral health in people with dementia is revealed

https://www.dementia.org.au/media-releases/key-to-better-oral-health-in-people-with-dementia-revealed

Australian Dietary Guidlines 2013

Australian Dental Association - Victoria Educational factsheets and resources

BOHRC Professional Portfolio - Oral Health Assessment Toolkit for Older People, SA Govt

Australian Guide to Healthy Eating 

Building Better Oral Health Communities; Better Oral Health in Home Care - Seeing a Dental Professional 

What is Peridontal Disease? Colgate-Palmolive Company resources 2019


Overview of Assessment

Assessment will incorporate a variety of methods including written, oral, practical tasks and activities.

 

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

 


Assessment Tasks

Assessment Task 1 - Case Studies - Knowledge

Assessment Task 2 - Practical simulation

Assessment Task 3 - CP


Assessment Matrix

Competency assessment map

Unit Code

HLTOHC001

Unit Title

Recognise and respond to oral health issues

Date Competency Assessment Map completed/revised

December 2020

Position of the person/s who mapped assessments to the unit

 

Approved by

Program Manager

Description

This Competency Assessment Map is a key document for assessors and must be completed for all units delivered and assessed. This document confirms that that all aspects of the unit of competency and assessment requirements have been addressed. This document is part of your assessment tool and once completed, must be filed with the other assessment documents. 

 

National Qualification Title

Diploma of Nursing

National Qualification Code

HLT54115

Licensing and Certification

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.

If unit assessed in cluster, list codes and titles of other cluster units (add rows as required)

 

Assessment task number and title

Use correct Assessment Title as per Templates. For Example, Knowledge, Product or Practical

Assessment One: Select Method/s

ü Knowledge Assessment

☐ Product Assessment

☐ Practical Assessment

Assessment Two: Select Method/s

☐ Knowledge Assessment

☐ Product Assessment

ü Practical Assessment

Assessment Three: Select Method/s

☐ Knowledge Assessment

☐ Product Assessment

ü Practical Assessment




 

 

Assessment

Task 1: AT 1

Assessment

Task 2: AT 2

Assessment

Task 3: AT 3

1. Identify variations in patient behaviour and habits

1.1 Identify opportunities to observe patient behaviour, physical functions, capabilities and habits that may indicate oral health issues or associated pain or discomfort

Q8, Q16, Q17

Part 2

Part 1

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

Q9, Q17, Q18, Q19, Q21

Part 2

Part 1

1.3 Access relevant information on contributing factors that may produce variation from normal behaviour

 

Q10

Part 2

2. Undertake basic visual oral check and questioning

2.1 Obtain consent from the patient to conduct basic visual oral check and questioning from patient and/or family/carer

Q11

Part 2

 Part 1


2.2 Ensure comfort of patient by developing trust and rapport, adapting environment and optimal time based on patient needs

Q11

Part 2

 Part 1


2.3 Provide support for patient’s head or chin if necessary, to enhance visual access without creating discomfort for the patient

Q11

Part 2

 Part 1


2.4 Seek assistance from patient to open their own mouth to limit hand contact inside the mouth

Q11

PArt 2

 Part 1


2.5 Prepare and perform basic visual oral checks in line with own work role and use of standard precautions

Q11, Q12, Q13

Part 2

 Part 1


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

Q8, Q14, Q15, Q16, Q17, Q18, Q19, Q21

Part 2

 Part 1

Follow up and promote ongoing oral health care

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

Q14

Part2

 Part 1


3.2 Discuss oral health issues with patient and/or carer in line with organisation policies and procedures and respecting patient priorities and choices

Q19, Q20, Q21, Q22

Part2

 Part 1


3.3 Take appropriate action within work role, including liaising with supervisor in consultation with patient to ensure appropriate referral occurs

Q18, Q19, Q21

Part2

 Part 1


3.4 Use appropriate communication strategies to provide information relevant to promoting and maintaining good oral health

Q11, Q19, Q20, Q22

Part2

 Part 1


3.5 Provide instruction to support patients to take a self-care approach to oral health in line with individual needs where possible

Q23, Q24

Part2

 Part 1


3.6 Identify and address key barriers to management or self-management of oral health

Q25, Q26

Part2

 Part 1


3.7 Review and monitor oral health issues 

Q8

Part2

 Part 1

Range Statement 

Nil range statement for this unit of competency

Assessment

Task 1: AT 1

Assessment

Task 2: AT 2

Assessment

Task 3: AT 3

Performance Evidence 

 

Assessment

Task 1: AT 1

Assessment

Task 2: AT 2

Assessment

Task 3: AT 3

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

Q9, Q10, Q11, Q17, Q18, Q19, Q21

Part 2

Part 1

Performance Evidence 

 

Assessment

Task 1: AT 1

Assessment

Task 2: AT 2

Assessment

Task 3: AT 3

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

Q9, Q10, Q11, Q17, Q18, Q19, Q21

Part 2

Part 1

Knowledge Evidence 

 

 

Assessment

Task 1: AT 1

Assessment

Task 2: AT 2

Assessment

Task 3: AT 3

Basic anatomy and physiology underpinning oral health, including what is considered healthy and unhealthy

Q6, Q7

Part 2

Part 1

Patient behaviour and habits which contribute to oral health issues

Q16, Q25

Part 2

Part 1

Causes and prevention of tooth decay, gum disease and tooth wear, including erosion, abrasion and attrition.

Q3, Q4, Q5

Part 2

Part 1

Effective self-care practices for oral health including cause, control and prevention of dental plaque

Q1, Q2, Q24

Part 2

Part 1

State/territory and national government policy and programs and reporting processes for oral health

Q14

Part 2

Part 1

Accessibility to services, including availability of private and public oral health services, including eligibility for services

Q27

Part 2

Part 1

Role of oral health professionals

 

 

 

 

Q8, Q18, Q19, Q20, Q21, Q28

Part 2

Part 1

Factors that impact on oral health, including:

  • Abuse (neglect of oral health needs)
  • Access to dental and health services
  • Alcohol, licit and illicit drugs and substances, over the counter and herbal treatments
  • Correct infant feeding practices
  • Damage from habitual grinding of teeth
  • Diet and nutrition, including fluids and excessive intake of sugar
  • Fluoride
  • General health and wellbeing
  • Immunosuppressant conditions, HIV, chemotherapy and radiation
  • Injury to mouth, such as from a seizure
  • Medical history
  • Oral piercings
  • Patient oral health information
  • Presence of plaque and calculus
  • Psychological issues, such as fear of being seen without dentures or persisting with ill-fitting dentures for satisfaction of others
  • Salivary function
  • Smoking
  • Social and cultural determinants of health
  • Susceptible tooth surfaces
  • Transmission of bacteria particularly from family/carer to child
  • Teeth misalignment causing trauma to teeth
  • Trauma to mouth as a result of an accident

Q3, Q5, Q17, Q20, Q21, Q24, Q25, Q26, Q29, Q30

Part 1, Part 2

Part 1

Healthy eating recommendations as identified in the National health and medical research council’s (NHMRC) Australian dietary guidelines

Q2, Q26, Q29, Q30

Part 1, Part 2

Part 1

Assessment conditions

Describe how assessments meet the assessment 0conditions

Performing a visual oral health check

Students perform a visual oral health check in AT3 and AT4.

 

Use of suitable equipment and resources, including:

  • Appropriate personal protective equipment (PPE)
  • Dental board of Australia – Dental guidelines on infection control on which the candidate bases the planning process

AT3 is conducted in the simulated nursing lab, using suitable equipment and resources.

AT3 is conducted in the workplace.

Modelling of industry operating conditions, including access to people for the simulated scenarios

AT2 is conducted in the simulated nursing lab, using 10 simulated scenarios.

AT3 is conducted in the workplace.

 


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