1 COMMUNITY DENTAL HEALTH Algonquin College Janet Ladas

2 MY BACKGROUND  22 years as a dental hygienist for the Health Department of the City of Ottawa  10 years in private practice as a dental hygienist and a dental assistant  1 semester teaching Community Dental Health at Algonquin College

3 GOALS AND OBJECTIVES GOAL: To know and understand the role of the Dental Hygienist in oral health care, and the education of target populations and the community in general. To know and understand the role of the Dental Hygienist in oral health care, and the education of target populations and the community in general.

4 GOALS AND OBJECTIVES OBJECTIVES: To understand the public health model and dental health promotion and program planning To understand the public health model and dental health promotion and program planning To grasp the basics of Epidemiology / Biostatistics and gathering of statistics To grasp the basics of Epidemiology / Biostatistics and gathering of statistics To learn of the experiences of other dental health professionals working with diverse communities To learn of the experiences of other dental health professionals working with diverse communities To complete assignments and presentations as requested and on time. To complete assignments and presentations as requested and on time.

5 FORMAT OF PRESENTATION  Computer presentation and lectures  Discussions  Guest speakers  Wrap up and exam preparation

6 MY EXPECTATIONS Students will:  Appreciate and understand what Community Dental Health involves  Attend classes regularly and participate in discussions  Will communicate openly if there are problems and provide feedback  All attain high passing grades

7 YOUR EXPECTATIONS

8 AGENDA (WORKPLAN) WEEK 1 – JANUARY 7, 2003  Teacher’s introduction  Goals and objectives  Outline assignments and presentation schedule  Discuss the roles of D.H. in community health

9 AGENDA (WORKPLAN) WEEK 2 – JANUARY 14, 2003  Lesson planning  Comprehensive school health  Guest speaker

10 AGENDA (WORKPLAN) WEEK 3 – 4 – JANUARY 21 & 28, 2003  Roles of D.H. in community health continued  Current dental health practice and studies  Health promotion and education review  Guest speaker

11 AGENDA (WORKPLAN) WEEK 5 – FEBRUARY 4, 2003  Community placements  Guest Speaker WEEK 6 – FEBRUARY 11, 2003  Introduction to Biostatistics (Section 111)  Introduction to Epidemiology, Indices, Graphs and Tables

12 AGENDA (WORKPLAN) WEEK 7 – FEBRUARY 18, 2003  Descriptive statistics  Research techniques

13 AGENDA (WORKPLAN) WEEK 8 – 9 - FEBRUARY 25 & MARCH 11, 2003  Inferential statistics, graphs and tables  Research techniques continued  Oral presentations Study Week : March 3 -7, Study Week : March 3 -7, 2003.

14 AGENDA (WORKPLAN) WEEK 10 & 11 – MARCH 18 & 25, 2003  Examine the role of government in Public Health (W.H.O., Federal, Provincial and Municipal)  Oral Presentations  Guest Speaker Note: Assignment A due March 18, 2003

15 AGENDA (WORKPLAN) WEEK 12 – APRIL 1, 2003  Community placements  Guest Speaker  Oral Presentations Note: Assignment B due April 1, 2003.

16 AGENDA (WORKPLAN) WEEK 13, 14, 15 – APRIL 8, 15, 22, 2003  Wind up and review for exam  Oral Presentations WEEK 16 – APRIL 29, 2003  Write final exam – 2 hours

17 ASSIGNMENTS 2003 A – Statistics Project Marks = 15 Due Date = March 18 th B – D.M.F.T. Survey of Algonquin Dental Clinic Clients Marks = 15 Data collected by February 11 th Research questionnaire completed April 1st

18 ASSIGNMENTS 2003 Oral Presentation Marks = 15 Assigned groups of 5 students Marked by peers & teacher Start March 11 th & on-going

19 ASSIGNMENTS 2003 Teaching Evaluation Marks = 15 Marked by teacher at individual school field placement On-going

20 ASSIGNMENTS 2003 Final Exam – 2 hours Multiple Choice =10 To the Point Answers =30 (12 questions) Grand Total=100

21 DENTAL HYGIENE DEFINED – C.D.H.A.  Health profession involving theory and practice (evidence-based)  Working with clients, other healthcare profession and society in general  Helping to achieve and maintain optimal oral health as an integral part of well-being

22 Dental Hygiene Process of Care Responsibilities 1. Health Promotion: Awareness/Improvement/Responsibility 2. Education: Teaching/Learning/Behavior Modification 3. Clinical Therapy: Care/Treatment

23 Dental Hygiene Process of Care Responsibilities 4. Research: Scientific Investigation/Study/Reporting 5. Change Agent: Catalyst for process of change 6. Administration: Policy Development/Management Processes * All responsibilities mean a commitment to Lifelong Learning to maintain competence. Lifelong Learning to maintain competence.

24 DENTAL HYGIENIST’S PROCESS OF CARE IN PRIVATE PRACTICE HEALTH 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

25 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 OF CARE IN PRIVATE PRACTICE

26 DENTAL HYGIENIST’S PROCESS OF CARE IN PRIVATE PRACTICE CHANGE 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

27 DENTAL HYGIENIST’S PROCESS OF CARE 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

28 DENTAL HYGIENIST’S PROCESS OF CARE IN COMMUNITY HEALTH CLINICIAN – Screening surveys - Preventive care, referrals and client follow-ups RESEARCHER – - Keeping current

29 DENTAL HYGIENIST’S PROCESS OF CARE 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

30 PHASES OF PROCESS OF CARE Private Practice Assessment of: - - Client’s medical and dental history - - Socio-cultural history - - Oral exam Diagnosis of: - Patient’s oral hygiene status Public Health Assessment of: - - Needs of the community and the target population - - Analyzes assessment Diagnosis of: -Community dental hygiene status

31 PHASES 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

32 PHASES 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

33 PHASES 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