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8/20/2019 Oral Health Assesment Tool (OHAT)
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INTRODUCING THE ORAL HEALTH
ASSESSMENT TOOL
(OHAT)
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Halton Region Health Department
Mission Statement
Together with the Halton community, theHealth Department works to achieve the
best possible health for all.
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Purpose
To provide guidance in the use of the
OHAT tool for long-term care staff.
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Topics covered
•Background
•Categories
•Scoring
•Nursing interventions
•Follow up
•Questions
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Background•OHAT developed by Chalmers 2004
•Featured in RNAO Nursing Best PracticeGuideline: Oral Health: Nursing Assessment and Interventions (Fall 2007)
•Modified with permission by HRHD andMOHLTC Regional Best Practice
Coordinators•Download from: www.rgpc.ca
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Categories
• Lips
• Tongue• Gums & tissues
• Saliva
• Natural Teeth
• Denture(s)
• Oral cleanliness• Dental Pain
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Scoring
0 = healthy
1 = changes
2 = unhealthy
How do I decide?
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Lips
0 = healthy
1 = changes
2 = unhealthy
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Nursing intervention
•Use lanolin, KY Jelly or other lip lubricant
•Do NOT use petroleum based products
•Consider possibility of vitamin B deficiency
•Monitor - if no change after 7 days refer
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Tongue
0 = healthy
1 = change
2 = unhealthy
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Nursing intervention
•Clean tongue twice daily with soft
toothbrush or tongue scraper
•Monitor for changes
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Gums & tissues
0 = healthy
1 = changes
2 = unhealthy
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Saliva
0 = healthy
1 = changes
2 = unhealthy
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Nursing intervention
•Check for medications causing dry mouth
•Use dry mouth products
• Increase fluid intake
•Monitor for changes
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Natural teeth
0 = healthy
1 = changes
2 = unhealthy
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Dentures
0 = healthy
1 = changes
2 = unhealthy
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Nursing intervention
• Identification of dentures
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Oral cleanliness
0 = healthy
1 = changes
2 = unhealthy
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Nursing intervention
•Brush teeth and oral tissues 2 X daily
•Monitor levels of plaque and debris
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Dental pain
0 = healthy
1 = changes
2 = unhealthydraining abscess
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Action Completed
This section serves as a reminder to
ensure either the nursing intervention took
place or the referral was made.
Action
Completed□ YES □ NO
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Follow Up An Oral Hygiene Care Plan must be completed□ Oral Hygiene Care Plan – Date:__________
and a follow up date for a repeat assessmentdecided upon.
□ Oral Health Assessment to be repeated on -Date:__________
Remember to review/update the OHCP aftereach assessment.
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Follow Up
If the resident or the family/guardianrefuses referral and/or dental
treatment this must be recorded.
□ Person and/or family refuses: a) □ Referral -
Date:__________ b) □ Dental Treatment –
Date:__________
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Questions?
For more information call
Halton Region’s Health Department
Dental Health
905-825-6000
Toll free: 1-866- 4HALTON (1-866-442-5866)
TTY 905-827-9833