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COMMUNITY DENTAL COMMUNITY DENTAL HEALTHHEALTH

Algonquin CollegeAlgonquin College

Janet LadasJanet Ladas

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MY BACKGROUNDMY BACKGROUND

22 years as a dental hygienist for the 22 years as a dental hygienist for the Health Department of the City of OttawaHealth Department of the City of Ottawa

10 years in private practice as a dental 10 years in private practice as a dental hygienist and a dental assistanthygienist and a dental assistant

1 semester teaching Community Dental 1 semester teaching Community Dental Health at Algonquin CollegeHealth at Algonquin College

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GOALS AND OBJECTIVESGOALS AND OBJECTIVESGOAL: GOAL: To know and understand the To know and understand the

role of the Dental Hygienist in role of the Dental Hygienist in oral health care, and the oral health care, and the education of target populations education of target populations and the community in general.and the community in general.

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GOALS AND OBJECTIVESGOALS AND OBJECTIVES

OBJECTIVES:OBJECTIVES: • To understand the public health model and To understand the public health model and

dental health promotion and program planningdental health promotion and program planning• To grasp the basics of Epidemiology / To grasp the basics of Epidemiology /

Biostatistics and gathering of statisticsBiostatistics and gathering of statistics• To learn of the experiences of other dental To learn of the experiences of other dental

health professionals working with diverse health professionals working with diverse communitiescommunities

• To complete assignments and presentations as To complete assignments and presentations as requested and on time.requested and on time.

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FORMAT OF PRESENTATION

Computer presentation and lecturesComputer presentation and lectures DiscussionsDiscussions Guest speakersGuest speakers Wrap up and exam preparationWrap up and exam preparation

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MY EXPECTATIONS

Students will:Students will: Appreciate and understand what Appreciate and understand what

Community Dental Health involvesCommunity Dental Health involves Attend classes regularly and participate Attend classes regularly and participate

in discussionsin discussions Will communicate openly if there are Will communicate openly if there are

problems and provide feedbackproblems and provide feedback All attain high passing gradesAll attain high passing grades

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YOUR EXPECTATIONS

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AGENDA (WORKPLAN)

WEEK 1 – JANUARY 7, 2003WEEK 1 – JANUARY 7, 2003 Teacher’s introductionTeacher’s introduction Goals and objectivesGoals and objectives Outline assignments and presentation Outline assignments and presentation

scheduleschedule Discuss the roles of D.H. in community Discuss the roles of D.H. in community

healthhealth

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AGENDA (WORKPLAN)

WEEK 2 – JANUARY 14, 2003WEEK 2 – JANUARY 14, 2003 Lesson planningLesson planning Comprehensive school healthComprehensive school health Guest speakerGuest speaker

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AGENDA (WORKPLAN)

WEEK 3 – 4 – JANUARY 21 & 28, 2003WEEK 3 – 4 – JANUARY 21 & 28, 2003 Roles of D.H. in community health Roles of D.H. in community health

continuedcontinued Current dental health practice and studiesCurrent dental health practice and studies Health promotion and education reviewHealth promotion and education review Guest speakerGuest speaker

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AGENDA (WORKPLAN)

WEEK 5 – FEBRUARY 4, 2003WEEK 5 – FEBRUARY 4, 2003 Community placementsCommunity placements Guest SpeakerGuest Speaker

WEEK 6 – FEBRUARY 11, 2003WEEK 6 – FEBRUARY 11, 2003 Introduction to Biostatistics (Section 111)Introduction to Biostatistics (Section 111) Introduction to Epidemiology, Indices, Introduction to Epidemiology, Indices,

Graphs and TablesGraphs and Tables

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AGENDA (WORKPLAN)

WEEK 7 – FEBRUARY 18, 2003WEEK 7 – FEBRUARY 18, 2003 Descriptive statisticsDescriptive statistics Research techniquesResearch techniques

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AGENDA (WORKPLAN)

WEEK 8 – 9 - FEBRUARY 25 & MARCH 11, 2003WEEK 8 – 9 - FEBRUARY 25 & MARCH 11, 2003

Inferential statistics, graphs and tablesInferential statistics, graphs and tables Research techniques continuedResearch techniques continued Oral presentationsOral presentations

Study Week : March 3 -7, 2003.Study Week : March 3 -7, 2003.

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AGENDA (WORKPLAN)

WEEK 10 & 11 – MARCH 18 & 25, 2003WEEK 10 & 11 – MARCH 18 & 25, 2003

Examine the role of government in Public Health Examine the role of government in Public Health (W.H.O., Federal, Provincial and Municipal)(W.H.O., Federal, Provincial and Municipal)

Oral PresentationsOral Presentations Guest SpeakerGuest Speaker

Note: Assignment A due March 18, 2003Note: Assignment A due March 18, 2003

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AGENDA (WORKPLAN)

WEEK 12 – APRIL 1, 2003WEEK 12 – APRIL 1, 2003

Community placementsCommunity placements Guest SpeakerGuest Speaker Oral PresentationsOral Presentations

Note: Assignment B due April 1, 2003.Note: Assignment B due April 1, 2003.

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AGENDA (WORKPLAN)

WEEK 13, 14, 15 – APRIL 8, 15, 22, 2003WEEK 13, 14, 15 – APRIL 8, 15, 22, 2003

Wind up and review for examWind up and review for exam Oral PresentationsOral Presentations

WEEK 16 – APRIL 29, 2003WEEK 16 – APRIL 29, 2003

Write final exam – 2 hoursWrite final exam – 2 hours

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ASSIGNMENTS 2003

A – Statistics ProjectA – Statistics ProjectMarks = 15Marks = 15Due Date = March 18Due Date = March 18thth

B – D.M.F.T. Survey of Algonquin DentalB – D.M.F.T. Survey of Algonquin DentalClinic ClientsClinic Clients

Marks = 15Marks = 15Data collected by February 11Data collected by February 11 thth

Research questionnaire completed April 1stResearch questionnaire completed April 1st

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ASSIGNMENTS 2003

Oral PresentationOral Presentation

Marks = 15Marks = 15

Assigned groups of 5 studentsAssigned groups of 5 students

Marked by peers & teacherMarked by peers & teacher

Start March 11Start March 11thth & on-going & on-going

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ASSIGNMENTS 2003

Teaching EvaluationTeaching Evaluation

Marks = 15Marks = 15

Marked by teacher at individual schoolMarked by teacher at individual school

field placementfield placement

On-goingOn-going

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ASSIGNMENTS 2003

Final Exam – 2 hoursFinal Exam – 2 hoursMultiple Choice =Multiple Choice = 1010To the Point Answers =To the Point Answers = 3030

(12 questions)(12 questions)----------4040

Grand Total=Grand Total= 100100

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DENTAL HYGIENE DEFINED – DENTAL HYGIENE DEFINED – C.D.H.A.C.D.H.A.

Health profession involving theory and Health profession involving theory and practice (evidence-based)practice (evidence-based)

Working with clients, other healthcare Working with clients, other healthcare profession and society in generalprofession and society in general

Helping to achieve and maintain Helping to achieve and maintain optimal oral health as an integral part optimal oral health as an integral part of well-beingof well-being

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Dental Hygiene Process of CareDental Hygiene Process of CareResponsibilitiesResponsibilities

1. Health Promotion: 1. Health Promotion: Awareness/Improvement/ResponsibilityAwareness/Improvement/Responsibility

2. Education:2. Education:

Teaching/Learning/Behavior ModificationTeaching/Learning/Behavior Modification

3. Clinical Therapy:3. Clinical Therapy:

Care/TreatmentCare/Treatment

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Dental Hygiene Process of CareDental Hygiene Process of CareResponsibilitiesResponsibilities

4. Research:4. Research:Scientific Investigation/Study/ReportingScientific Investigation/Study/Reporting

5. Change Agent:5. Change Agent:Catalyst for process of changeCatalyst for process of change

6. Administration:6. Administration:Policy Development/Management ProcessesPolicy Development/Management Processes

* All responsibilities mean a commitment to* All responsibilities mean a commitment to Lifelong LearningLifelong Learning to maintain to maintain competence. competence.

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DENTAL HYGIENIST’S PROCESS DENTAL HYGIENIST’S PROCESS OF CARE IN PRIVATE PRACTICEOF CARE IN PRIVATE PRACTICEHEALTH PROMOTER – Enabling clients

to increase awareness, responsibility and improvement of their health- Practice prevention

EDUCATOR – Teaching / learning from clients- Motivating and modifying behaviour of clients

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CLINICIAN – Preventive, therapeutic and ongoing care procedures

- Technology used appropriately

RESEARCHER – Investigating, studying and keeping current with knowledge that validates D.H. practice

DENTAL HYGIENIST’S PROCESS DENTAL HYGIENIST’S PROCESS OF CARE IN PRIVATE PRACTICEOF CARE IN PRIVATE PRACTICE

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DENTAL HYGIENIST’S PROCESS DENTAL HYGIENIST’S PROCESS OF CARE IN PRIVATE PRACTICEOF CARE IN PRIVATE PRACTICECHANGE AGENT – Managing the process of

change - catalyst, solution giver, resource link – process helper- advocator for rights and well-being

ADMINISTRATOR – Management process and policy development- Record keeping- Office policy- Cost Effectiveness

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DENTAL HYGIENIST’S PROCESS OF DENTAL HYGIENIST’S PROCESS OF CARE IN COMMUNITY HEALTHCARE IN COMMUNITY HEALTH

HEALTH PROMOTER- Increase awareness, personal responsibility and improvement of oral health in the community- Resource person for other health professionals

EDUCATOR / PROGRAM PLANNER- In response to needs and resources in the community- Dental health advisor

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DENTAL HYGIENIST’S PROCESS OF DENTAL HYGIENIST’S PROCESS OF CARE IN COMMUNITY HEALTHCARE IN COMMUNITY HEALTH

CLINICIAN – Screening surveys

- Preventive care, referrals and client follow-ups

RESEARCHER –

- Keeping current

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DENTAL HYGIENIST’S PROCESS OF DENTAL HYGIENIST’S PROCESS OF CARE IN COMMUNITY HEALTHCARE IN COMMUNITY HEALTH

CHANGE AGENT – - For health policies – rights and well-being- Catalyst, solution-giver, resource link- Process helper

ADMINISTRATOR- Maintains records, data input, analysis and dissemination- Policy and procedure management- Ensures cost-effectiveness

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PHASES OF PROCESS OF CAREPHASES OF PROCESS OF CARE

Private PracticeAssessment of:- Client’s medical and

dental history- Socio-cultural history- Oral exam

Diagnosis of:

- Patient’s oral hygiene status

Public HealthAssessment of:- Needs of the

community and the target population

- Analyzes assessment

Diagnosis of:

-Community dental hygiene status

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PHASES OF PROCESS OF CAREPHASES OF PROCESS OF CARE

Private Practice

Planning of:- Treatment needs

and priorities- Method of payment

Public Health

Planning of:- Program based on

data, priority and resources

- Funding sources

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PHASES OF PROCESS OF CAREPHASES OF PROCESS OF CARE

Private Practice

Implementation of: Treatment plan and

co-ordination of treatment with other professionals

Changing when necessary

Public Health

Implementation of: Varied personnel

are involved Changing plan when

necessary

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PHASES OF PROCESS OF CAREPHASES OF PROCESS OF CARE

Private Practice

Evaluation During treatment,

specific intervals or on completion of treatment

Public Health

Evaluation Ongoing in terms of:

- effectiveness

- efficiency

- appropriateness

- adequacy