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The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Add any essential operating conditions that may be present with training and assessment depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts. |
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Oral hygiene requirements appropriate to the client include care of: | TeethCrowns, bridges, implants, braces and other orthodontic appliancesDenturesMouthSoft tissue |
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Person-centred refers to: | Effective service deliveryInvolving clients in discussions about service delivery options and issuesInvolving clients in informed decision-making relating to their care/serviceListening to and addressing complaintsObtaining informed consentPutting clients, carers and their preferences at the centre of service delivery |
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Good oral health refers to but may not be limited to: | A person's mouth that has:breath without offensive odourinflammation and lesion-free soft tissueintact and stable teeth without cavitiesmoist lips without chappingno build up of food, calculus or plaqueno oral painpink, moist, uncoated tonguewatery plentiful salivaLooking after the whole mouth, including natural and artificial teeth, gums, tongue, lips and inside the cheeksOral health related quality of life factors, such as appearance, social interaction and self-esteem |
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Individualised care support plan may include: | A stand-alone individualised oral health care support planCare plan written by an appropriate health practitionerOral hygiene care plan Personal care tasks embedded in a wider individualised plan |
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Client refers to those living in the community and/or facilities and may include: | Children receiving care, including in children's servicesOlder personsPalliative care clientsPeople in care or health facilitiesPeople with acquired brain injuryPeople with dementiaPeople with disabilities People with mental health issues |
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Substitute decision maker (in relation to consent) must be: | The person appointed with the right to speak for the client, such as:advocatecarersguardianshealth attorneysmedical power of attorneymembers of familyother practitionersparent of childperson responsiblepublic trustee |
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Potential impacts may include but not be limited to: | Positive impacts, such as:able to chew foodclean mouthimproved general health and wellbeingimproved social engagement or interactionincreased self-esteemlongevityNegative impacts, such as:discomfortdisempowermentembarrassmentfearhumiliationpaintrauma particularly as a result of poor technique |
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Situations of risk or potential risk, may include but not be limited to: | Complex care clients, such as those with dementia or parkinson's diseaseEmotional reaction from client, such as those related to dementia or anxietyInfection controlManual handlingOral side effects of medicationPhysical reaction from clientPre-existing medical conditionsReaction to contact with sensitive teethResistance from clientTriggers for seizures |
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Legislative requirements refers to: | Federal, state or territory legislation that may impact on workers' practices and responsibilities, noting that implementation of the unit of competency must reflect the legislative framework in which a worker operates |
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Standards may include but not be limited to: | Aged Care StandardsCommunity Care Common StandardsDisability Service StandardsHome and Community Care (HACC) National Health StandardsInfection Control StandardsNational Standards for Mental Health Services |
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Organisation guidelines may include but are not limited to: | Clinical protocolsPosition descriptionsWorkplace policies and procedures, including:infection controlOHS |
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Oral hygiene products and aids for teeth and soft tissue may include but not be limited to: | Alcohol-free mouthwash directed by an oral health practitioner as part of an oral health care planFluoride toothpasteInterdental brushesManual and electric toothbrushesModified toothbrushesMouth props (if trained in their use)Saliva substitutesSoft toothbrush suitable for bendingSpecialised aidsSpraysSugar-free gumsTongue scraperTooth remineraliser |
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Oral hygiene products and aids for dentures may include: | Denture adhesiveDenture brushDenture disinfection productDenture labeling kitDenture soaking productsDenture-friendly cleanerNamed denture storage container (disposable or non-disposable) |
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Other materials required for oral hygiene may include: | Bowl or hand basinCup of fresh waterDisposable glovesHand towel to be placed across clients chestLip balmTowel |
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Toothbrushing may include: | Using currently accepted methods to clean:natural teethfixed and removable prosthesessoft tissue |
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Soft tissue care refers to: | Care of all soft tissue, including:cheeksgumslipspalatetongue |
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Care of dentures refers to: | Cleaning, identifying and storing using currently accepted methods taking into account individual needs and preferences in line with the care plan |
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Use of alcohol-free mouthwash may refer to: | That which is directed by a health practitioner as part of an oral health care plan to enhance oral hygiene |
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Interdental cleaning refers to: | Cleaning between the teeth |
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Standard toothbrush care refers to: | Cleaning, storage and replacement of toothbrush to currently accepted standards |
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Techniques to improve oral hygiene practices may include but are not limited to: | Bridging:engages clients senses especially sight and touchengage client first and describe and show toothbrushmimic brushing of own teeth to provide physical promptplace brightly coloured toothbrush in client's preferred hand and they may mirror behaviourChaining:if not initiated through bridging, gently bring clients hand and toothbrush to mouth, describing activity and then encourage the client to continueHand over hand:if chaining does not work, place hand over client's hand and start brushing client's teeth so you are doing it togethercontinued... |
Techniques to improve oral hygiene practices may include but are not limited to (cont'd): | Distraction:if hand over hand method is not successful, place a familiar item, such as towel, cushion or activity board, in client's hand while brushing their teethRescuing:if attempts at oral hygiene are not successful tell client you will leave it for nowask for assistance and perhaps have someone else take over |
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Modified oral hygiene methods and aids may include but are not limited to: | Appropriate alcohol-free mouthwash and gelBackward bent toothbrush, or similar implement to retract cheek while brushing with another toothbrushBite blockEnd tufted brushFlossersHand grip on toothbrush for clients with reduced grip strengthHigh fluoride toothpaste wiped onto teeth instead of brushing as a short term alternative onlyMouth props for clients who clench or bite or who have difficulty opening mouth (specific training required)Mouth sprayMouth swabsSaliva substituteSuction swabsTongue scraper and/or brush |
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Standard precautions refer to infection control and may include: | Wash hands before and after oral careAppropriate use of personal protective equipment (PPE):eye/facial protection e.g. glasses/face shieldglovesgownmaskDisposal of PPE |
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Additional precautions refer to: | Those infection control precautions that should be used, in addition to standard precautions, when these alone might not contain transmission of infection |
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Appropriate environment may include but is not limited to: | Choosing location where client is most comfortableEnsuring good lightingMaintaining client's preferred routinesTurning off competing background noise, such as television or radioUsing aids that may ease client anxiety e.g. hand mirrorUsing brightly coloured toothbrush that can be easily seen e.g. for children or for clients with dementia or visual impairment |
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Effective communication includes but is not limited to: | Active listening and questioningAlways explaining actions and processes and reinforcing with gestures where appropriateAsking questions that require a yes or no response when oral hygiene practices are being carried outGiving one instruction or piece of information at a timeObserving client closely as lack of response, signs of frustration, anger, disinterest or inappropriate responses may suggest communication is too complex or that client is uncomfortableSpeaking at appropriate volume, clearly and at clients paceUsing reassuring words and positive feedbackUsing words client can understand |
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Appropriate body language may include but is not limited to: | Being aware of approaching client appropriately e.g. diagonally from the front and at eye levelGently touching the client on the hand or lower arm to get attention, if necessaryPositioning self at eye level and maintaining eye contact, as appropriateBeing aware that personal space of clients can varyBeing consistent in approach with positive expression and caring language |
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Caring attitude includes but is not limited to: | Allowing plenty of time for client to respond to questions or instructionsFocusing on building a good relationship before starting oral hygieneUsing the client's nameUsing a calm, friendly and non-demanding mannerWorking with a person-centred approach |
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Client behavioural responses may include but are not limited to: | Biting toothbrushCoughingDistress induced vomitingFear response GaggingGrabbing or hitting outLeavingNot opening the mouthNot responding to directionsSpitting Verbal aggression |
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Review may include but not be limited to the following questions and suggestions: | Are the oral hygiene aids appropriate for the client?Do others e.g. family and/or carer have input?Has the observed behaviour improved?Is attitude and approach considerate of client needs?Is the approach and routine consistent for client?Is the client more receptive to oral hygiene support?Is the environment, timing, language and expression right for client? |
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Report may include: | Non-verbal:care planscase noteshazard and incident reportsphotographsprogress reportsVerbal:face-to-facetelephonerecorded |
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Variations in client behaviour and habits may include: | Anxiety around, or avoidance of, specific eventsApparent pain or discomfort in or around the mouthBehaviours of concernChange in eating habitsChange in mood or demeanour Changes in communicationCryingDifficulty with eating, including spitting out foodHands in the mouthInconsistent wearing of denturesLethargyPhysical aggressionRefusal to open mouthRubbing own teeth or gumsSeemingly normal behaviours e.g. coughing could be indicator that food is in the lungsSelf-harming behaviourSocial isolation or withdrawal |
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Signs and symptoms of potential oral health issues may include but not be limited to: | Observed and/or reported signs in or around the mouth, such as:bad breath (halitosis)bleedingbroken teethbrown or discoloured teethcalculus (mineralised plaque that will not brush off) on teeth particularly at gum linechange in colour or coating of tongue dry moutheruption issues for childrenevidence of build up of dental plaque on teeth, particularly at gum lineholes in teethlip blisters, sores or cracksloose or mobile teethmouth debris/excessive food left in mouthmouth ulcerspremature loss of baby teethreceding or enlarged gumssoft tissue lesions e.g. red or white spotsswelling of face or localised swelling/inflammationcontinued..... |
Signs and symptoms of potential oral health issues may include but not be limited to (cont'd): | Issues reported by client and/or others, such as:tooth sensitivityrefusal of oral caresore mouth, gums, tongue or teethOther observations, such as:change in appetitechange in demeanour or mooddifficulty eating/speakinginability to open mouth very wideirritabilityrefusing to open mouthweight lossObserved and/or reported issues with dentures, such as:broken metal wires/clips on partial denturecalculus on denturechipped or missing teeth on denture or chipped or broken acrylic (gum) areas on denturedenture movement when client is speaking or eatingrefusal or failure to wear denturesore spots caused by wearing dentureunclean denture |
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Other relevant people may include but is not limited to: | External health care providersOther service providersPersonnel internal to the service provider |
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Contributing factors may include but not be limited to: | AbuseAgeingDisabilityInjuryMedicationsSubstance misuseSystemic illness |
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