Course Outline for Dental Hygiene 80A, Page 4

Chabot College

Course Outline for Dental Hygiene 80A, Page 4

Fall 2001

Chabot College Fall 2001

Course Outline for Dental Hygiene 80A

PATIENT MANAGEMENT

Catalog Description:

80A - Patient Management 1 unit

Dental Hygiene therapy with emphasis on the child patient and periodontal patients, education in prevention and control of dental disease, and case documentation. Prerequisite: Dental Hygiene 71B. Corequisite: Dental Hygiene 56A and Dental Hygiene 81A. 1 hour.

Prerequisite Skills:

Before entering the course the student should be able to:

1.  utilize infection control protocols for prevention of disease transmission through demonstration of proper sterilization and disinfection methods, barrier techniques and maintenance of asepsis;

2.  collect and record data from the patient interview including medical history, case history, chief complaint and history of chief complaint on all clinical patients;

3.  utilize the medical history and patient interview to collect and document information pertinent to the patient's medical and dental status on all clinical patients;

4.  obtain a complete medical history and explain the rationale and implications for each portion of the history form;

5.  describe and demonstrate the correct technique for taking vital signs (pulse, respiration, temperature, and blood pressure) on all clinical patients;

6.  demonstrate assessment skills designed to identify dental needs in order to plan treatment with the goal of delivering comprehensive dental hygiene care on all clinical patients;

7.  demonstrate techniques and proper procedure for performing a thorough periodontal assessment and examination of the teeth on all clinical patients;

8.  apply principles of instrumentation for the proper use of the explorers, mouth mirror, periodontal probe, scaling/root planing instruments and polishing instruments on all clinical patients;

9.  perform proper polishing technique with appropriate material selection and precautions for polishing natural and restored tooth surfaces and dental appliances;

10.  demonstrate technique, procedures and precautions for applying topical fluoride;

11.  apply the principles of instrument sharpening for proper sharpening of curettes and sickle scalers;

12.  demonstrate the use of the Gracey curet and explorer on a typodont and clinic patient;

13.  record complete dental restorative charting on a student partner and on all clinical patients;

14.  list and discuss post-operative procedures and instructions for the patient;

15.  identify and describe the relationship between universal curet scaler and root morphology in advanced instrumentation;

16.  list objectives of Gracey curettes in advanced instrumentation;

17.  identify and describe the relationship between the Gracey curet and root morphology in advanced instrumentation;

18.  describe procedures for preventing and reporting occupational risks.

Corequisite Skills

Upon completion of the course the student should be able to:

1. recognize signs and symptoms of emergencies involving the child, adolescent, geriatric, and special needs patient and follow the procedures for the dental hygiene clinic;

2.  scale and root plane teeth using a systematic order, appropriate type, sharp, and correctly-contoured instruments with minimum time and trauma;

3.  demonstrate the use of ultrasonic scaling instruments for removal of gross deposits on selected patients;

4.  apply postoperative procedures and instructions for the patient;

5.  select and apply a variety of topical fluoride agents using a variety of methods;

6.  select and apply appropriate desensitizing agents on selected patients;

7.  select and apply appropriate agents for pit and fissure sealants on selected patients;

8.  expose, process, mount and interpret diagnostically acceptable radiographic surveys on clinic patients;

9.  recognize clinically and discuss the value of preventive dental caries control and the role of the hygienist in this activity;

10.  demonstrate clinical competency in infection control techniques/prevention of disease transmissions;

11.  apply ethical reasoning to dental hygiene practice;

12.  serve all clients in the community without discrimination;

13.  provide humane and compassionate care to all patients/clients;

14.  demonstrate honesty in relationships with patients/clients, colleagues, and other professionals;

15.  ensure the privacy of the patient/client during treatment and confidentiality of patient/client records;

16.  adhere to state and federal laws governing the practice of dentistry and dental hygiene;

17.  obtain, review, and update vital signs, medical history, family history, social history, and dental history while recognizing cultural differences in populations;

18.  manage the patient/client chart as a legal document and maintain its accuracy;

19.  determine medical conditions that require special precaution or consideration prior to and/or during dental hygiene treatment;

20.  identify the patient/client at risk for a medical emergency and manage the patient/client care to prevent an emergency;

21.  perform a comprehensive examination using clinical, radiographic periodontal and dental charting, as well as other data collection procedures to assess the patient's/client's needs;

22.  determine priorities and establishe oral health goals with the patient/client and/or guardian as an active participant;

23.  establishe a planned sequence of educational and clinical services based on the dental hygiene diagnosis, including etiology, prognosis, and treatment alternatives;

24.  obtain the patient's/client's informed consent based on a thorough case presentation;

25.  make appropriate referrals to other health care professionals;

26.  uses accepted infection control procedures;

27.  provide an environment conducive to health by applying basic and advanced principles of dental hygiene instrumentation without causing trauma to hard or soft tissue;

28.  control pain and anxiety during treatment through the use of accepted clinical and behavioral management strategies;

29.  select and administer the appropriate antimicrobial or antibiotic agent with pre- and post-treatment instructions;

30.  provide adjunct dental hygiene services that can be legally performed in the State of California;

31.  evaluate the effectiveness of planned clinical and education services and modify as necessary;

32.  determine the appropriate maintenance schedule;

33.  provide subsequent treatment or referrals based on evaluation of findings;

34. define the major oral health problems and the extent to which they affect the population;

34.  list preventive measures that can be used in the community to reduce or control the major oral health problems;

35. identify the public agencies at the federal, state, and local levels who distribute funds for dental care, and the categories of recipients;

36. select a target group and assess by means of surveys, questionnaires, interviews and other means, the dental health needs of a target group; i.e. the oral health status, knowledge and attitudes towards dental health, and dental treatment needs;

37. prepare a report, and program plan which:

a. describes the target group, including results and interpretation of survey needs assessment;

b. lists behavioral objectives to improve oral health;

c. outlines a program plan to attain the behavioral objectives;

d. lists resources including:

1) financial;

2) instructional;

3)  dental manpower;

38. identify socio-economic, cultural, and political factors influencing the teaching of oral health;

39. evaluate appropriateness and the usefulness of resource materials for Community Dental Health.

Expected Outcomes for Students:

Upon completion of the course, the student should be able to:

1.  describe and recognize characteristics of the child dental patient, the adolescent patient, the geriatric patient and patients with contagious diseases;

2.  list objectives and define techniques for applying of pit and fissure sealants for dental caries control;

3.  list rationale and techniques for a variety of topical fluoride applications for a variety of patients;

4.  describe rationale and techniques for utilizing power scaling;

5.  identify and describe the role of the hygienist in preventive dental caries control;

6.  describe the rationale for treatment planning and the role of the hygienist in advanced periodontal therapy;

7.  identify and describe alternative techniques for sharpening and maintaining well contoured Gracey instruments.

Course Content:

1.  The child dental patient, the adolescent patient, the geriatric patient and patients with contagious diseases

2.  Pit and fissure sealants

3.  Topical fluorides

4.  Power scaling

5.  Post-operative procedures

6.  Treatment planning with advanced periodontally-involved clients

7.  Advanced instrument adaptation as related to tooth morphology

8.  Gracey and universal curettes in advanced instrumentation

9.  Alternate method of instrument sharpening

10.  Treatment planning/case documentation

11.  Preventive periodontal therapy

12.  Intraoral/extraoral photography

Methods of Presentation:

1. Lecture

2. Demonstration

3. Audiovisual aids

4. Discussion

5. Guest speakers

6. Case studies

Assignments and Methods of Evaluating Student Progress:

1.  Typical Assignments

a.  Case documentation: periodontally involved patient

2.  Methods of Evaluating Student Progress

a.  Quizzes

b.  Written midterm and final exam

Textbook(s)(Typical):

Clinical Practice of the Dental Hygienist, Esther Wilkins, Lippincott,1999

Comprehensive Review of Dental Hygiene, Darby, C.V. Mosby, 1998

Dental Hygiene Theory & Practice, Darby & Walsh, Harcourt & Brace Company, 1994

Special Student Materials:

1. Masks

2. Gloves

3. Eyewear

4. Protective clothing

5. Instruments

Revised: 12-1-00