65 total, 35 MC and 30 short answera

Dental Hygiene Scope of Practice

- Assessment of teeth and adjacent tissues and treatment by preventive and therapeutic
means and the provision of restorative and orthodontic measures

Canadian Dental Hygienists Association currently has 14 ongoing collaborations

● *CCC - Canadian Cochrane Care
○ to promote the awareness, understanding and use of Cochrane reviews and to
foster evidence-based decision making
○ a designated CDHA representative attends CCC's annual general meeting
○ CDHA hosts a yearly systematic review workshop, webinar or forum
○ incorporate information about CCC and new systematic reviews on the CDHA
web site, in CDHA e-mail broadcasts, and in the Canadian Journal of Dental
Hygiene
● *CIHC - Canadian interprofessional health collaborative
○ In August 2008, CDHA became a member of the CIHC, a national organization
dedicated to interprofessional health education, collaboration in healthcare
practice and patient-centred care.
● CAN-ADAPTT + CCAT​ (tobacco cessation)
● CIHR​ (research funding)
● CIHI​ (stats)
● CCPH21C​ (public policy)
● CAPHD ​(advocate for those w/ poor health)
● CDAC ​(accreditation)
● HEAL​ (work w/ organizations + gov’t)
● Health Canada​ (advisories, warnings)
● IFDH ​(international DHs)

PEER​ - when facing challenges during collaboration

- P​resent the problem (as you see it)

- E​xplain (how the problem makes you feel)
- E​ffect (that the problem has on your ability to do your work)
- R​esolve (so that you can work together better)
- P​ “Today I was trying to teach a patient how to use a glucometer. We could hear
you laughing in the hall.”
- E ​“I felt really embarrassed when I was talking to the patient.”
 - E ​“It bothers me because I have to repeat my message and I feel that I have to
apologize for the noise.”
- R ​“I really enjoy working with you and I want us to be able to work as a team so I
would like to resolve this problem. Can you lower your voice when sitting at the
desk?”

DOCTOR - ​how to communicate with a PHYSICIAN - AKA doctor…

- D​escribe (the problem)

- O​bserve (explain what/when you observed problem)
- C​linical signs/symptoms
- T​reatment (explain any treatment that have been performed)
- O​bservations (describe any changes since treatment)
- R​equest (ask physician for treatments or changes to plan of care)
- Ex. I believe ___ oral mucosa may have reacted to listerine rinse because after her
rinse her tissue was sloughing. I had not proceeded with any further treatment
since. Is there any further treatment you recommend to help reduce the
sloughing?????? (something similar to this i assume)

Primary HC​ - rostering requirements

- Primary health care reform groups require certain percentage of clients formalize their
relationships with group by signing a form agreeing to become part of doctor’s practice
- If a rostered client visits another medical doctor for a non-emergency health problem, the
government will deduct from the family doctor’s monthly stipend the fee for that visit

Interprofessional practice: ​is to improve patient outcomes within healthcare - 2 or more

professionals working as a team, with a common purpose, and mutual respect

Intra Vs. Inter

- Inter - between professions (collaborating)
- Intra - within (rdh to rdh)

DH practices inter/intra by sharing info with others about DH scope of practice/knowledge,

clarifying their role, being available in timely manner, using effective/secure communication,
respecting expertise/contributions of others, provide relevant oral health info, practice
cooperatively, collaborate with community, and demonstrate commitment to
community/professional organizations
Collaboration: ​the process of DH working with the client and or health professional to achieve
common goals

Collaborative Relationship:​ an alliance of DH with the client and or health professional to

develop a SINGLE, integrated and comprehensive approach based on clients needs, resources
and barriers

Standards of Practice: ​ published by the college and other authorities to clarify the
roles/responsibilities of the DH and to provide framework to measure the quality of DH program/
services.
- Outlines knowledge, skills attitudes, and judgment for best DH practice

Professionalism -​ 5 DOMAINS (RACK-P)

1. Responsibility
- Welcoming and participating in interprofessional collaboration and consultation
- Assisting in the prevention and management of outbreaks and emergencies
2. Accountability
- To their clients
- Facilitate informed decision making for all client by being able to explain the
evidence
3. knowledge application
- Credible resources
4. continuous competence
- Always learning
5. professional relationship *****
- Client-centered care
- Maintaining professional relationships
- Colab with community, for health promo
- Positive professional relationships with clients, families, significant others that are
focused on client needs

Positive and Professional Relationships are maintained with clients by

a. Respecting the autonomy of clients in DH care and decision making
b. Active listening and empathy
c. Using proper communication techniques
d. Educating clients
e. Clarifying his/her role in interprofessional client care
f. Being available in a timely manner
g. Recognizing and avoiding conflicts of interest
 h. Respect diversity
i. Supporting clients by referring to other health professionals

Case Conference
- Communication between HCP about a specific client case
- May be formal or impromptu
- Specific guidelines as to who must attend (family member must be present)
- Failure to hold a case conference if needed can result in FINES $$$

Some Community Programs for Collaborative Referrals

● smoking cessation programs,

○ Nurses, physicians, occupational therapists, physiotherapy
● cardiovascular fitness programs,
● fat-free cooking programs
● various support groups

Potential Differences when Collaborating

- Appreciate the differences
- Maintain a respectful dialogue and ask questions
- Use the opportunity to educate each other about your scopes of practice
- May need to seek additional help from a third party

Massage

● Diploma
● College of massage therapy Ontario

Registered nurse

● assist physicians in providing treatment to patients suffering from various medical

conditions. They may administer medication, monitor patient recovery and progress, and
educate patients and their families on disease prevention and post-hospital treatment.
● Bachelor's degree in science
● College of Nurses of Ontario

Midwives

● cares for mothers and newborns around childbirth, a specialization known as midwifery.
● 4 year BHSc in midwifery, Canadian midwifery registration exam
 ● College of ​Midwives​ of ​Ontario

Rheumatology

● Treat rheumatic diseases, osteoarthritis, gout, ​rheumatoid arthritis​, chronic back pain,
tendinitis, and lupus.
● 4 years of medical + 3 years of residence
● Canadian Rheumatology Association

Chiropractor

● Degree + 4 year doctor of Chiro

● College of ​Chiropractors​ of ​Ontario

Physio

● Assessment of physical function and tx, rehabilitation and prevention of physical

dysfunction, injury or pain to dev, maintain. Rehabilitate or augment function or to
relieve pain
● 4 years masters degree
● College of physiotherapists of Ontario
●

Speech-language pathologist

● diagnose, and treat ​speech​, language, social communication, cognitive-communication,

and swallowing disorders in children and adults
● 4 year bachelor + 2/3 year masters in topic
● College of Audiologists ​and Speech​-​Language Pathologists​ of ​Ontario