Oral Health Assesment Tool (OHAT)

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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•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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•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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• Identification of dentures


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Oral cleanliness

0 = healthy

1 = changes

2 = unhealthy


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•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

Documents

Oral Health Assesment Tool (OHAT)