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The evidence guide provides advice on assessment and must be read in conjunction with the Performance Criteria Required Skills and Knowledge the Range Statement and the Assessment Guidelines for this Training Package

Critical aspects for assessment and evidence required to demonstrate this competency unit	The individual being assessed must provide evidence of specified essential knowledge as well as skills Observation of workplace performance is essential for assessment of this unit Consistent compliance with infection control guidelines occupational health and safety procedures Australian and New Zealand Standards and legislative Consistency of performance should be demonstrated over the required range of workplace situations

Context of and specific resources for assessment	Where for reasons of safety access to equipment and resources and space assessment takes place away from the workplace simulations should be used to represent workplace conditions as closely as possible

Method of assessment	Evidence of essential knowledge and understanding may be provided by traditional or online computerbased assessment questions during workplace assessment written assignmentsprojects Case study and scenario as a basis for discussion of issues and strategies to contribute to best practice Staff andor client feedback Supporting statement of supervisor Authenticated evidence of relevant work experience andor formalinformal learning Role play simulation

Access and equity considerations	All workers in the health industry should be aware of access and equity issues in relation to their own area of work All workers should develop their ability to work in a culturally diverse environment In recognition of particular health issues facing Aboriginal and Torres Strait Islander communities workers should be aware of cultural historical and current issues impacting on health of Aboriginal and Torres Strait Islander people Assessors and trainers must take into account relevant access and equity issues in particular relating to factors impacting on health of Aboriginal andor Torres Strait Islander clients and communities

Range Statement



The Range Statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance.

Factors which increase the risk of oral disease for older persons may include but are not limited to :	Lifestyle factors: poor diet and dietary habits smoking habits Systemic factors: medically compromised reduced salivary flow and reduced capacity of saliva to dilute food acids and return ph of saliva back to a neutral level Age factors: Reduced manually dexterity Mental health Reduced rate of food clearance from the mouth Reduced access to care Reduced amounts of fluoride, calcium and phosphate to assist with tooth repair after acid attack

Oral health problems for older people may include but are not limited to:	Reduced salivary flow which may be a result of: consumption of caffeine and alcohol medications increased levels of stress producing adrenaline A high level of tooth loss and edentulism which will: reduce chewing capacity affect food choices cause weight loss Dental caries especially root caries High prevalence of periodontal disease

Problems that require referral may include but are not limited to:	Areas in the mouth which are white, red or a combination of white and red areas Bad breath Broken or lost dentures Difficulty in eating Dry mouth Ill fitting or loose dentures Localised or general pain in the mouth Swollen, bleeding or inflamed gums, oral abscesses and ulcers

Economic and psychological factors may include but are not limited to:	A lack of dental care tradition Financial hardships following retirement Inequity of access to dental care Negative attitudes towards oral health The cost or perceived cost of treatment

Individual circumstances which require special consideration may include:	Communication needs Culture Disability Economic circumstances Geographical location Language

Denture identification marking may include:	Ensuring all new appliances are marked with the client's name Requesting dentist or prosthetist to engrave the client's name into the denture base Using a marking kit an indelible pencil clear varnish

Record of oral healthmay include but is not limited to:	Dental status own teeth partial upper/lower dentures full upper/lower dentures Medical, psychological and pharmacological conditions impacting on oral health Capacity of client to undertake personal self-care supervised self-care assisted or partial self-care fully dependent on carer for personal care Document details of dental care provided including: denture cleaning assisted tooth brushing dental examination provided by dentist Specific oral health concerns including: xerostomia

Oral hygiene information may include:	Manual and electric tooth brushing technique Modifications to application of program for carers of special needs and aged care clients Modifications to toothbrush handles for specific needs of client and/or carer Use of dental floss Use of fluoride toothpaste and mouth rinses when appropriate Use of other specific oral hygiene aids when appropriate

Lifestyle changesmay include:	Decreasing the intake of acids and fermentable carbohydrates Decreasing the intake of alcohol and caffeine Increasing water intake Reducing or stopping a smoking habit

Healthy food habits that support oral health may include but are not limited to:	Discouraging continuous snacking with biscuits, confectionary and desserts Encouraging the use of sugar-free sweets Ensuring that desserts are eaten with meals Reducing the frequency of eating sweet, sticky foods, confectionary and soft drinks

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HLTDA413B - Implement an oral hygiene program for older people

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Elements and Performance Criteria

Required Skills

Evidence Required

Range Statement