Oral Health for Caregivers Table of Contents

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2 Introduction Sample Student Agenda Introduction - Script Learning Objectives - Script Oral Health for Caregivers Table of Contents Trainer's Curriculum Part 1 - Why Oral Health? - Script Part 2 - Oral Health Slides &Notes - Script Part 3 - Hands-on Practice - Script Daily Routines Denture Care The Uncooperative Client Monitoring Oral Health Proficiency Stations for Hands-on Practice Hands-on Practice Checklist Part 4 - Practical Applications &Conclusion - Script Part 5 -Train-the-Trainer Workshop Implementation Checklist Training Adaptations Resources 1. Dental Vocabulary 2. Oral Conditions Tip Sheet 3. Clinics 4. Websites 5. Product Suppliers 6. Floss Holder Comparison 7. Bibliography 8. Dental Supplies, Printed Materials, Websites for Trainers 9. Tool Kit Contents 10. Quiz & Answers 11. Evaluation 12. Flyer for Student to Share with Client 13. Certificate 14. Train the Trainer Certificate 15. Training Variations 16. Implementation Worksheet II IV R1-1 R2-1 R3-1 R4-1 R5-1 R6-1 R7-1 R8-1 R9-1 RlO-1 R11-1 R12-1 R13-1 R14-1 R15-1 R16-1 "What's Normal? What's Not? When Should I Refer? An Oral Health Photo Guide'; CD with Training Curriculum Files

3 Acknowledgements Author: 2008 revision in conjunction with: Contact Person: Project Management: Technical Review Team: Joyce Hagen, RDH, MA Mae Chin, RDH, M.Ed - University of Washington, Dental Education in Care of Persons with Disabilities (DECOD) Jessica Mortensen, WDS Foundation - Program Officer or jmortensen@deltadentalwa.com Laura Smith, WDS Foundation - Deputy Director David Reynolds, WDS Foundation - Senior Program Officer Marco Alberts, DMD, MPH, Director - Harborview Dental/Oral and Maxillofacial Surgery Clinic Mae Chin, RDH, M.Ed - University of Washington, Dental Education in Care of Persons with Disabilities (DECOD). Sherri Cummins, MD - Center for Senior Health, Bellingham Joan Douglas, RN, MPH, Community Volunteer Jackie Kondo, RDH Ginny Kreindl, RN - Mount Baker Care Center, Whatcom County Barbara Lancaster, BA, RDH - Whatcom County Oral Health Coalition Wendy Leighton, BS, RDH Marty Lieberman, DDS, Dental Director - Puget Sound Neighborhood Health Centers Dennis Mahar, Director - Lewis/Mason/Thurston Area Agency on Aging Gigi Meinig, Senior Grants and Contracts Specialist - Aging & Disability Services - Seattle/King County Ida Ovnicek, BS, RDH, MPH, Oral Health Program Supervisor/Manager - Spokane Regional Health District Carrie Petit, Project Coordinator - Lewis/Mason/Thurston Area Agency on Aging Pam Piering, Director - Aging &Disability Services - Seattle/King County Jim Plihal, DDS & Trustee - Washington Dental Service Foundation Lesley Rigg, BSc, Information and Assistance Specialist - Northwest Regional Council Pamela Rollins, Caregiver Training Program Coordinator - Aging and Long Term Care of Eastern Washington Marian Russell, RDH.- Tooth Fairy Senior Dental Hygiene Care & Whatcom County Oral Health Coalition Dick Sagers, DDS &Trustee - Washington Dental Service Foundation

4 Mary Shelkey, PhD, ARNP, Geriatric Specialist - Whatcom County Oral Health Coalition Emily Shelstad, SPN - Courtyard Dementia Care Community, Bellingham,Whatcom County Oral Health Coalition Rebecca Stolberg, RDH, MS, Associate Professor/Chair, Department of Dental Hygiene, Eastern Washington University Gail Weaver, BS, V-P of Continuum Care - Yakima Valley Hospital; & Trustee - Washington Dental Service Foundation Fredrick Wicknick, DMD, Oral and Maxillofacial Surgeon - Whatcom County Oral Health Coalition Shelly Zylstra, PhD, RD, Planning Unit Director - Northwest Regional Council Training and Coordination: Cheryl Morgan, RN, M.Ed, VP Professional Services - Professional Registry of Nursing, Inc. Pilot Program: Project Contributors: Kathy Medford, RN, Nursing Services Manager - Aging &Long Term Care, Southeast Washington Mary Safford, RN, M.Ed, Instructor - Professional Registry of Nursing, Inc. Jenny Shuler, CDA, Dental Assisting Instructor - Bellingham Technical College Claire Bishop, WDS Foundation - Senior Program Officer Monika Foro, Clinic Manager/Site Coordinator - Washington Dental Service Foundation Heather Knaplund, Administrative Assistant - Washington Dental Service Foundation 2005 Washington Dental Service Foundation Trustees: Alonzo Plough, PhD, MPH, Chair Richard R. Albrecht Ernie A. Corow, DDS Spencer S. Jilek, DDS Lawrence E. Mast, DDS James R. Plihal, DDS James N. Sledge, DDS Gail Weaver, MS Irene Hunter, DDS, Chair Elect Norward J. Brooks, PhD Roberta Greene, MS John R. Liu, DDS Neil L. McReynolds Richard L. Sagers, DDS Mary K. Smith, DDS Tracy E. Garland, President & CEO

5 Oral Health for Caregivers Student Agenda-.5-hour training A. Introductions & Housekeeping Introductions of trainers Schedule for breaks & lunch; restroom location Today's topics and agenda Self-introductions of trainees; tell one thing you hope to learn today. B. Why Oral Health? The scope of oral health problems for seniors Oral health-overall health connection Scope of Service for Caregivers Prompt - Assist - Perform Monitor - Educate - Refer C. Break-tO min D. Oral Health Information Photos, descriptions, hands-on practice What are the problems? What can we do? "What to do, how to do it; what to look for; when and how to refer." Daily Routines - Flossing & Brushing Other Oral Health Aids Denture Care Monitoring Oral Health Referrals E. Lunch - 30 min F. Continue Oral Health Information and Practice G. Break - 10 min H. Practical Applications "What-if" Questions I. Quiz, Evaluations, Certificates, Adjourn Trainer - Introduction

6 Trainer - Introduction ii Oral Health for Caregivers Introduction - 5- hour CE Course - Script Introductions & Housekeeping - 15 minutes A. Welcome, introduction of trainer(s) Welcome participants. Introduce yourself and anyone else who will be training, assisting, or observing. Trainees' self-introductions will be in icebreaker exercise below. B. Announce schedule for breaks & lunch; restroom location There will be occasionallo-minute breaks and a 30-minute lunch break. Class wi II end at XXX. Restrooms are located... Turn off phones or pagers. You can make calls during your breaks. C. General comments on today's topic, agenda, format ("Learning Objectives" listed below and in student manual.) Today we will be learning about oral health and what makes it such an important part of your clients' overall health. Your clients depend on you to provide or assist with oral care on a daily basis. The things you learn today will help you teach your clients about their own oral health-things that may have a huge impact on their quality of life. You are not required to become a dental expert, but the things you learn today should help you provide better oral care and recognize unusual conditions as you provide your care. As you can see on your agenda, we will have discussions, a slide (or overhead) program with photos, hands-on practice, and a quiz. When you complete all portions of the class, including an evaluation, you will receive a certificate of attendance. Your notebook contains an outline of today's discussions, slides for the oral health section, tip sheets, and the "Oral Health Photo Guide" to help you on the job. We have done most of the notetaking for you, but feel free to make notes in your books as needed.

7 To help you with the new dental terms, you will find a vocabulary. list in the "Resources" section, Rl-l (point it out) of your workbook. Be sure to ask if you are unclear about a term, and be sure to ask your questions as we go through the material. D. Icebreaker Ask participants to introduce themselves, have them describe. their work settings and tell one thing they hope to learn today. Make a list on easel or board (and check at the end of class) to be sure all questions are covered or answered in training. Trainer - Introduction III

8 Oral Health for Caregivers Learning Objectives This course presents information to help you with the daily oral health duties within the Scope of Practice for caregivers. You will learn both the "why" and "how" of oral health problems and what to do when you see an unusual condition. You do not have to be a "dental expert" to understand this information. We hope that today's presentation will increase your knowledge of oral health issues, resulting in better oral health for your clients, for you, and for your own family. In this class you will learn about these topics: ~ What are the special oral health problems of seniors? ~ How is oral health related to overall health? [@ What are the signs of a healthy mouth? An unhealthy mouth? ~ What are the causes of tooth decay and gum disease? What is dry mouth? What can I do to prevent these problems? ~ What are the needs of clients with dentures? When should my client see a dentist? Where can I find dental care in my area? ~ What is the best way to floss and brush? ~ How do I care for a denture? [R) Which other devices can I use to keep my client's mouth healthy? ~ What happens if I notice something unusual in my client's mouth? What will I be able to do for my client? ~ How can I gain cooperation from my client? Trainer - Introduction iv