Pre Clinic Theory Care Plan

Pre-Clinic TheoryDental Hygiene Care Plan

DarbyChapter 17

Planning

• Planning is the phase of the DENTAL HYGIENE PROCESS in which priorities are set, client goals are established and interventions & outcome measures are determined

Planning CARE PLAN

• Its purpose is to develop the plan of care that will target the resolution of an oral health problem amenable to dental hygiene care, the prevention of a problem, or the promotion of oral health

CARE PLAN

• Therefore, the phrase CARE PLANCARE PLAN, rather than TREATMENT PLAN, is consciously used to denote the broad range of preventive, educational, therapeutic, & support services within the scope of dental hygiene practice

CARE PLAN

• Given the human need for responsibility for oral health, the dental hygienist actively involves clients, according to their ability & motivation, in the process & obtains the informed consent of the client (or the client’s guardian) before initiation of care

• The tangible outcome of the planning phase is the dental hygiene care plan

To formulate a care plan, the dental hygienist must:

• Possess a sound background in dental hygiene theory

• Be thoroughly familiar with the parameters or standards of dental hygiene care

• Possess the ability to collect, analyze, & interpret client data

• Develop dental hygiene diagnoses• Formulate client goals

• Select supportive dental hygiene intervention

• Synthesize the collected information into a written plan

• Communicate oral health need to clients effectively

• View the dental hygiene care plan within the context of the total treatment plan developed by the dentist

Dental Hygiene Care Plan• Is a written BLUEPRINT that directs the

dental hygienist & client as they work together to meet the client’s oral health goals

• The plan increases the likelihood that the oral healthcare team will work COLLABORATIVELY to deliver client-focused, goal-oriented, individualized care to clients

• The plan facilitates the monitoring of client progress, ensures continuity of care, serves as a vehicle for communication among healthcare professionals & increases the likelihood of quality care

CARE PLAN

• The plan specifies the dental hygiene diagnoses, client goals, dental hygiene interventions, & evaluative strategies to measure the proposed & expected outcomes

CARE PLAN

• Once the CARE PLAN is written & shared with the client, the CARE PLAN becomes a legal contact between the dental hygienist and the client

• Once the diagnosis is made, client-centered goals are established by the dental hygienist in conjunction with the client

CARE PLAN

• From the established client goals, interventions & expected outcomes can be drafted

• With client input, priorities for each goal are established and then appointment planning can begin

• Once priorities are established, the dental hygienist estimates the time necessary to complete each intervention

Rationale for Developing a Formal Dental Hygiene Care

Plan• Individualized dental hygiene care• Focus care on priorities• Facilitate communication & collaboration

among healthcare professionals• Establish client-centered goals• Provide a foundation on which evaluation of

dental hygiene interventions can be based

Rationale for Developing a Formal Dental Hygiene Care

Plan• Evaluate the client’s response to dental

hygiene care (outcomes)• Promote professional dental hygiene

practice

Planning Phase of the Dental Hygiene Process

ASSESSING

DIAGNOSING

PLANNING: DENTAL HYGIENIST & CLIENT TOGETHER DISCUSS CLIENTGOALS,PRIORITIES, & INTERVENTIONS FOR GOAL ATTAINMENT.

SET GOALS, IDENTIFY INTERVENTIONS,ESTABLISH PRIORITIESWRITE CARE PLAN

IMPLEMENTING

EVALUATING

Care Plan Evaluation

Goal of Evaluation• Evaluation in the dental hygiene process

ensures quality dental hygiene care that facilitates the client’s human need fulfillment related to oral health & wellness

• Evaluation is a critical component to the successful outcome of dental care

Evaluation

• Evaluation allows the clinician’s to measure the short-term achievements of client-centered goals as well as to anticipate the client’s long-term prognosis in maintaining the goals achieved

• Evaluation includes the monitoring or reassessing the client’s self-care, changes in self-care behaviours, and/or parameters of oral health & disease at continued care

Evaluation

• Although evaluation is indicated as the 5th phase of the dental hygiene process, an evaluation strategy is determined in conjunction with the planning phase and is evident during the implementation of care

Evaluation

• The evaluation of dental hygiene interventions directed at the achievement of client goals occurs periodically so that the dental hygienist can decide to:

Evaluation

• Modify the plan because the client is having difficulty in achieving the goal

• Continue the plan because the client needs more time to achieve goals

• Terminate the plan of care because the client has achieved the goals

Evaluation phase of the Dental Hygiene Process

ASSESSING

DIAGNOSING

PLANNING

IMPLEMENTING

EVALUATING: DENTAL HYGIENIST & CLIENT, IN COLLABORATION, MEASURE OUTCOMES IN TERMS OF CLIENT’S GOALS.

AN EVALUATIVE STATEMENT FO EACH GOAL IS RECORDED.1 MODIFY PLAN & CONTINUE THE DENTAL HYGIENE PROCESS

OR2 TERMINATE DENTAL HYGIENE CARE

SUMMARY

• EXPLAIN TO THE CLIENT THE IMPORTANCE OF DEVELOPING A PLAN OF CARE

• EXPLAIN HOW THE NEEDS & VALUES OF THE CLIENT ARE INCORPORATED INTO THE CARE PLAN (EX. CLIENT’S CHIEF COMPLAINT, CLIENT-CENTERED GOALS)

• BE SURE THE CLIENT HAS PARTICIPATED IN THE DEVELOPMENT OF CLIENT-CENTERED GOALS & IS IN COMMITTED TO THE GOALS

• EXPLAIN TO THE CLIENT HOW THE GOALS WILL BE USED & HOW CLINICAL OUTCOMES OF CARE WILL BE RELATED TO THE ORIGINAL GOALS

• REINFORCE THAT THE DENTAL HYGIENIST & CLIENT ARE WORKING IN PARTNERSHIP, AS CO-THERAPISTS, TO ACHIEVE THE CLIENT-CENTERED GOALS