Special Needs Tx Plan 1
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Dental Hygiene III Treatment planning Assignment #3 Special Needs Treatment Plan
Criteria Sheet & Rubric Points Possible Treatment Planning Assignme rrt #3 To be completed on a special needs patient treated in the clinic. This patient can be taken from Clinic II or Clinic III.
*When completing this assignment, be aware of patient confidentiality; IE change the patient's name. Treatment Plans should be presented in written form, in a labeled folder. Typed, double-spaced, maximum of 5 pages. Site a minimum of two references. (Loss of all formatting points references are incorrect!)
if
Student should utilize the rubric as a guide to completing the treatment planning assignment.
*
Site reference according to attached sample, site references on separate page appropriately titled. It is not necessary to site sources in the body of the plan. References Morrow, M.J. (1988). Teaching about cancer to children. Journal of School Health, 12, (8), 223-228
Grading Criteria
0
I
2
3
Not
Beginning
Developing
Accomplished
Understood, Included, Covered Few
Understood, Included, Covered
Understood, Included, Covered All
0
1
0
1
2 2
0
1
2
0 0 0
1
1
1
2
1
)
0
1
2
0
1
)
0
1
)
Present
I.
Some
Assessesment
patient interview medical/dental history
*identiff
implications
to
treatment of special needs patient social history
vital signs intra-oraUextra-oral
examination periodontal examination
*relate
oral
changes based on
special
\
s)
(
o
(
o 3
( a_) ( (
q)
needs
patient
II.
3-)
radiographs available
if
DH Diagnosis (Problem Identification)
Level of Health *Relate Special Needs to Diagnosis
0 0
I 1
2 2
1
)
( .&) G JJ
Gingivitis Periodontal Disease Caries
III. Plan
( 3\
Consultations Necessary Treatment Goals
0 0
I
2
7 rr*:
Addresses Phases of Treatment
0
1
2
I
0
1
2
0
1
2
fV. Implementation (narrative section) Consultations Instruments used
-q-) (
Methods Homecare Aids
Anesthetic Prescriptions
+Identifu alterations to implementation based on special
(
needs
V.
Evaluation
A
How will you or how did you
0
I
2
evaluate care Follow up charting
S'i \#
0
I
)
u:,
Radiographs
0
1
2
taJ
Patient OH behavior changes
0
1
)
3
0 0
1
F\
Other Items References
Spelling/Grammar
I
2 2
3 3
Total
Final Score
(0m
Criteria Sheet & Rubric Points Possible Treatment Planning Assignme rrt #3 To be completed on a special needs patient treated in the clinic. This patient can be taken from Clinic II or Clinic III.
*When completing this assignment, be aware of patient confidentiality; IE change the patient's name. Treatment Plans should be presented in written form, in a labeled folder. Typed, double-spaced, maximum of 5 pages. Site a minimum of two references. (Loss of all formatting points references are incorrect!)
if
Student should utilize the rubric as a guide to completing the treatment planning assignment.
*
Site reference according to attached sample, site references on separate page appropriately titled. It is not necessary to site sources in the body of the plan. References Morrow, M.J. (1988). Teaching about cancer to children. Journal of School Health, 12, (8), 223-228
Grading Criteria
0
I
2
3
Not
Beginning
Developing
Accomplished
Understood, Included, Covered Few
Understood, Included, Covered
Understood, Included, Covered All
0
1
0
1
2 2
0
1
2
0 0 0
1
1
1
2
1
)
0
1
2
0
1
)
0
1
)
Present
I.
Some
Assessesment
patient interview medical/dental history
*identiff
implications
to
treatment of special needs patient social history
vital signs intra-oraUextra-oral
examination periodontal examination
*relate
oral
changes based on
special
\
s)
(
o
(
o 3
( a_) ( (
q)
needs
patient
II.
3-)
radiographs available
if
DH Diagnosis (Problem Identification)
Level of Health *Relate Special Needs to Diagnosis
0 0
I 1
2 2
1
)
( .&) G JJ
Gingivitis Periodontal Disease Caries
III. Plan
( 3\
Consultations Necessary Treatment Goals
0 0
I
2
7 rr*:
Addresses Phases of Treatment
0
1
2
I
0
1
2
0
1
2
fV. Implementation (narrative section) Consultations Instruments used
-q-) (
Methods Homecare Aids
Anesthetic Prescriptions
+Identifu alterations to implementation based on special
(
needs
V.
Evaluation
A
How will you or how did you
0
I
2
evaluate care Follow up charting
S'i \#
0
I
)
u:,
Radiographs
0
1
2
taJ
Patient OH behavior changes
0
1
)
3
0 0
1
F\
Other Items References
Spelling/Grammar
I
2 2
3 3
Total
Final Score
(0m
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