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Evidence Guide: HLTDEN004 - Implement an individualised oral hygiene program

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

HLTDEN004 - Implement an individualised oral hygiene program

What evidence can you provide to prove your understanding of each of the following citeria?

Elements define the essential outcomes

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement a prescribed oral health education program

  1. Follow a prescribed oral health education program
  2. Review patient’s current oral hygiene routines
  3. Provide information on the causes and prevention of oral diseases to patient or carer appropriately and completely using language that can be easily understood
  4. Provide an appropriate environment for patient or carer to ask questions and become involved in improving their oral health
  5. Actively encourage patient or carer to follow an effective individual oral health program
  6. Implement a review strategy to determine the effectiveness of the oral health education program
Follow a prescribed oral health education program

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Review patient’s current oral hygiene routines

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide information on the causes and prevention of oral diseases to patient or carer appropriately and completely using language that can be easily understood

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide an appropriate environment for patient or carer to ask questions and become involved in improving their oral health

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively encourage patient or carer to follow an effective individual oral health program

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement a review strategy to determine the effectiveness of the oral health education program

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate oral hygiene techniques to patient or carer

  1. Demonstrate the presence of plaque to patient or carer using disclosing solution
  2. Demonstrate a variety of relevant oral hygiene techniques specific to patient needs
  3. Provide information about the advantages of different oral hygiene techniques and involve patient or carer in the decision-making process
  4. Assist patient or carer in implementing relevant oral hygiene techniques
  5. Demonstrate how to use appropriate aids specific to patient needs and necessary to achieve and maintain effective oral hygiene
  6. Evaluate patient or carer oral hygiene techniques and give further instruction when appropriate
  7. Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator
Demonstrate the presence of plaque to patient or carer using disclosing solution

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate a variety of relevant oral hygiene techniques specific to patient needs

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide information about the advantages of different oral hygiene techniques and involve patient or carer in the decision-making process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist patient or carer in implementing relevant oral hygiene techniques

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Demonstrate how to use appropriate aids specific to patient needs and necessary to achieve and maintain effective oral hygiene

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Evaluate patient or carer oral hygiene techniques and give further instruction when appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide appropriate advice on cariogenic food and drinks

  1. Involve patient or carer in a review of current dietary habits
  2. Develop and give patient or carer appropriate information on acids and fermentable carbohydrates in a manner they can understand
  3. Actively encourage patient or carer to ask questions or express views
Involve patient or carer in a review of current dietary habits

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop and give patient or carer appropriate information on acids and fermentable carbohydrates in a manner they can understand

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Actively encourage patient or carer to ask questions or express views

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform a saliva diagnostic test and record the results

  1. Provide full details of the procedure to patient or carer
  2. Provide specific instructions to patient or carer before the appointment where a saliva diagnostic test is planned
  3. Select and prepare appropriate materials for a saliva diagnostic test
  4. Perform a resting or unstimulated saliva test and record the result in accordance with manufacturers’ instructions
  5. Perform a stimulated saliva test and record the result in accordance with manufacturers’ instructions
Provide full details of the procedure to patient or carer

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide specific instructions to patient or carer before the appointment where a saliva diagnostic test is planned

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Select and prepare appropriate materials for a saliva diagnostic test

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform a resting or unstimulated saliva test and record the result in accordance with manufacturers’ instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Perform a stimulated saliva test and record the result in accordance with manufacturers’ instructions

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Implement a prescribed prevention program to suit an individual patient

  1. Provide information appropriately, and as directed by the operator, on lifestyle change to assist with diminished salivary flow
  2. Provide appropriate information on materials that can provide additional external protection to the teeth
  3. Explain methods to increase salivary stimulation as directed by the operator
  4. Assist the patient or carers to implement prescribed oral hygiene programs in response to saliva quality and composition
Provide information appropriately, and as directed by the operator, on lifestyle change to assist with diminished salivary flow

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Provide appropriate information on materials that can provide additional external protection to the teeth

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Explain methods to increase salivary stimulation as directed by the operator

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist the patient or carers to implement prescribed oral hygiene programs in response to saliva quality and composition

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1.Implement a prescribed oral health education program

1.1 Follow a prescribed oral health education program

1.2 Review patient’s current oral hygiene routines

1.3 Provide information on the causes and prevention of oral diseases to patient or carer appropriately and completely using language that can be easily understood

1.4 Provide an appropriate environment for patient or carer to ask questions and become involved in improving their oral health

1.5 Actively encourage patient or carer to follow an effective individual oral health program

1.6 Implement a review strategy to determine the effectiveness of the oral health education program

2. Demonstrate oral hygiene techniques to patient or carer

2.1 Demonstrate the presence of plaque to patient or carer using disclosing solution

2.2 Demonstrate a variety of relevant oral hygiene techniques specific to patient needs

2.3 Provide information about the advantages of different oral hygiene techniques and involve patient or carer in the decision-making process

2.4 Assist patient or carer in implementing relevant oral hygiene techniques

2.5 Demonstrate how to use appropriate aids specific to patient needs and necessary to achieve and maintain effective oral hygiene

2.6 Evaluate patient or carer oral hygiene techniques and give further instruction when appropriate

2.7 Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator

3. Provide appropriate advice on cariogenic food and drinks

3.1 Involve patient or carer in a review of current dietary habits

3.2 Develop and give patient or carer appropriate information on acids and fermentable carbohydrates in a manner they can understand

3.3 Actively encourage patient or carer to ask questions or express views

4. Perform a saliva diagnostic test and record the results

4.1 Provide full details of the procedure to patient or carer

4.2 Provide specific instructions to patient or carer before the appointment where a saliva diagnostic test is planned

4.3 Select and prepare appropriate materials for a saliva diagnostic test

4.4 Perform a resting or unstimulated saliva test and record the result in accordance with manufacturers’ instructions

4.5 Perform a stimulated saliva test and record the result in accordance with manufacturers’ instructions

5. Implement a prescribed prevention program to suit an individual patient

5.1 Provide information appropriately, and as directed by the operator, on lifestyle change to assist with diminished salivary flow

5.2 Provide appropriate information on materials that can provide additional external protection to the teeth

5.3 Explain methods to increase salivary stimulation as directed by the operator

5.4 Assist the patient or carers to implement prescribed oral hygiene programs in response to saliva quality and composition

Required Skills and Knowledge

ELEMENT

PERFORMANCE CRITERIA

Elements define the essential outcomes

Performance criteria describe the performance needed to demonstrate achievement of the element.

1.Implement a prescribed oral health education program

1.1 Follow a prescribed oral health education program

1.2 Review patient’s current oral hygiene routines

1.3 Provide information on the causes and prevention of oral diseases to patient or carer appropriately and completely using language that can be easily understood

1.4 Provide an appropriate environment for patient or carer to ask questions and become involved in improving their oral health

1.5 Actively encourage patient or carer to follow an effective individual oral health program

1.6 Implement a review strategy to determine the effectiveness of the oral health education program

2. Demonstrate oral hygiene techniques to patient or carer

2.1 Demonstrate the presence of plaque to patient or carer using disclosing solution

2.2 Demonstrate a variety of relevant oral hygiene techniques specific to patient needs

2.3 Provide information about the advantages of different oral hygiene techniques and involve patient or carer in the decision-making process

2.4 Assist patient or carer in implementing relevant oral hygiene techniques

2.5 Demonstrate how to use appropriate aids specific to patient needs and necessary to achieve and maintain effective oral hygiene

2.6 Evaluate patient or carer oral hygiene techniques and give further instruction when appropriate

2.7 Provide information appropriately on the effectiveness and availability of fluoride as directed by the operator

3. Provide appropriate advice on cariogenic food and drinks

3.1 Involve patient or carer in a review of current dietary habits

3.2 Develop and give patient or carer appropriate information on acids and fermentable carbohydrates in a manner they can understand

3.3 Actively encourage patient or carer to ask questions or express views

4. Perform a saliva diagnostic test and record the results

4.1 Provide full details of the procedure to patient or carer

4.2 Provide specific instructions to patient or carer before the appointment where a saliva diagnostic test is planned

4.3 Select and prepare appropriate materials for a saliva diagnostic test

4.4 Perform a resting or unstimulated saliva test and record the result in accordance with manufacturers’ instructions

4.5 Perform a stimulated saliva test and record the result in accordance with manufacturers’ instructions

5. Implement a prescribed prevention program to suit an individual patient

5.1 Provide information appropriately, and as directed by the operator, on lifestyle change to assist with diminished salivary flow

5.2 Provide appropriate information on materials that can provide additional external protection to the teeth

5.3 Explain methods to increase salivary stimulation as directed by the operator

5.4 Assist the patient or carers to implement prescribed oral hygiene programs in response to saliva quality and composition

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. There must be evidence that the candidate has:

• provided complete and appropriate information to at least 10 different patients including:

- providing information on the prevention of oral diseases

- providing advice and demonstrating oral hygiene techniques

- using learning and motivational skills to inform and motivate behaviour change.

The candidate must be able to demonstrate essential knowledge required to effectively complete the tasks outlined in elements and performance criteria of this unit, manage the task and manage contingencies in the context of the work role. This includes knowledge of:

fundamental oral anatomy including:

- structures of the oral cavity, hard and soft palate, lateral and posterior borders of the oral cavity, tongue and floor of the mouth

- teeth form and function

- dentition – arrangement of the teeth, naming and coding of teeth

plaque and its differing roles in the development of dental caries and periodontal disease

saliva and its role in maintenance of oral health including:

- protecting teeth by neutralising acid

- acting as a lubricant

- delivering calcium, phosphate and fluoride to the tooth surface

understanding of the biochemical, pathological or pharmacological influences on diagnostic salivary testing and results

factors that lead to the development of dental caries including:

- bacteria in dental plaque

- diet

- susceptible tooth surfaces

- socioeconomic background including dietary intake

- mental health conditions and awareness of oral health issues

- age of teeth

factors that prevent and control dental caries:

- increasing salivary flow and optimising its composition

- fluorides

- plaque control and removal

- dietary change

- oral health education

factors that lead to the development of periodontal disease including:

- bacteria in dental plaque

- accumulation of plaque and calculus

- smoking

- medications

- age of teeth

factors that prevent and control periodontal disease including:

- oral health education

- plaque control

- causes, and prevention, of non caries tooth wear:

- erosion

- abrasion

- attrition

role of properly constructed and fitted mouthguards in preventing dental injuries

fundamental knowledge of the impact of smoking on oral soft tissues

fundamental knowledge of systemic conditions which influence the development of oral disease

local oral factors which influence the development of oral disease

modifications to oral health education programs related to special needs due to disability, aged care and children’s needs

oral appliances and their impact on oral hygiene maintenance

legislative requirements related to the use of fluoride in dentistry.