The OHNEP Undergraduate Interprofessional Oral Health Faculty Tool Kit - Tools for Oral Health Integration into Course Curricula
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
The OHNEP Undergraduate Interprofessional Oral Health Faculty Tool Kit Tools for Oral Health Integration into Course Curricula
Introduction: Interprofessional Oral Health in Undergraduate Nursing Education The Oral Health Nursing Education and Practice (OHNEP) Program is excited to launch the 2nd edition of the OHNEP Undergraduate Interprofessional Oral Health Faculty Tool Kit to provide you with user-friendly curriculum templates and updated teaching-learning strategies and resources to use when integrating oral health and its links to overall health in your undergraduate nursing program. Oral health and its links to overall health has been identified as an important population health issue in Healthy People 2030 (2020). The HRSA Interprofessional Oral Health Core Competencies (2014), The Essentials: Core Competencies for Professional Nursing Education (AACN, 2021) and the IPEC Core Competencies for Interprofessional Collaborative Practice (2016) provide the framework for the oral health curriculum templates and resources that illustrate how oral health and its links to overall health provide a strategy that exposes students to interprofessional experiences by integrating oral health “bytes” into courses across the undergraduate curriculum in baccalaureate and associate degree nursing programs. Exciting tool kit teaching-learning strategies take students from Exposure to Immersion to Competence. These strategies begin in the classroom then link to simulated or live clinical experiences and involve community-based service learning, interprofessional experiences, advocacy, and policy activities. The tool kit provides innovative approaches to “weaving” oral health into all or some of the courses in your existing undergraduate curriculum. Faculty can have students: Read evidence-based articles and resources; Do skill-building activities that incorporate oral health; and Collaborate with students from other professions. The Smiles for Life interprofessional oral health curriculum provides a robust web-based resource for you to use along with the oral health template for each course. A good place to begin oral health integration is by transitioning the HEENT component of the history and physical assessment to the HEENOT approach. In that way, your students will NOT forget about including oral health in the whole person care of their patients. Registered nurses care for patients, families, and communities across the lifespan in primary, acute, home, school, and long-term care settings. Students can be prepared to integrate oral health into the overall care of patients with health promotion issues designed to prevent health problems as well as integrating it in the care of patients with acute and chronic conditions. There is a growing evidence-base about the links between conditions like diabetes, cardiovascular, respiratory, cancer, and kidney disease, as well as HPV, behavioral health, and dementia. These are but a few of the health problems where a collaborative care model can maximize positive clinical outcomes. It is important for Registered Nurses, as essential members of health care teams, to have the interprofessional oral health competencies necessary to recognize both normal and abnormal oral conditions and provide patients with appropriate assessment and interventions, including referrals to dental colleagues as needed. We encourage you and your students to explore the resources in this oral health curriculum templates as you “weave” oral health and its links to overall health into your undergraduate nursing program. If you need additional technical assistance, please feel free to contact us at OHNEP@nyu.edu. © Oral Health Nursing Education and Practice (OHNEP)
Table of Contents
v Microbiology……………………………………………………………………1
v Anatomy & Physiology………………………………………………………..2
v Pathophysiology……………………………………………………………….3
v Research Methods…………………………………………………………….4
v Pharmacology………………………………………………………………….5-6
v Health Assessment & Promotion…………………………………………….7-9
v Fundamentals………………………………………………………………....10-11
v Nursing Care of Adults & Older Adults……………………………………...12-15
v Nursing Care of Children……………………………………………………..16-17
v Maternity & Women’s Health…………………………………………………18
v Community………………………………………………………....................19-20
v Psychiatric-Mental Health…………………………………………………….21-22
v Leadership in Nursing…………………………………………………………23
v Professional Nursing…………………………………………………………..24
© Oral Health Nursing Education and Practice (OHNEP)Smiles for Life: A National Oral Health Curriculum
Access Smiles for Life Courses and Resources here:
https://smilesforlifeoralhealth.org/
Course 1: Relationship of Oral & Systemic Health
Course 2: Child Oral Health
Course 3: Adult Oral Health
Course 4: Acute Dental Problems
Course 5: Pregnancy & Women’s Oral Health
Course 6: Caries Risk Assessment, Fluoride Varnish & Counseling
Course 7: The Oral Examination
Course 8: Geriatric Oral Health
Download the
SFL App!
© Oral Health Nursing Education and Practice (OHNEP)Potential Interprofessional Partners On Your Campus
The Collaborate instructions in each course provide examples of undergraduate health profession programs
as a guide for developing student interprofessional (IP) activities. The following key includes the abbreviations
we use throughout this tool kit:
Adult Gerontology Acute Care AGACNP Pediatric Nurse Practitioner PNP
Nurse Practitioner Physician MD
Adult Gerontology Primary AGPCNP Psychiatric-Mental Health PMHNP
Care Nurse Practitioner Nurse Practitioner
Community Health Worker CHW Physical Therapist/PT PT
Dentist DDS Technician
Dental Hygienist DH Physician Assistant PA
Family Nurse Practitioner FNP Radiation Therapist RDT
Midwife MW Respiratory Therapist/RT RT
Nurse RN Technician
Nurse Practitioner NP Registered Dietitian RD
Occupational Therapist/OT OT Social Worker SW
Assistant Speech & Language Therapist SL
Pharmacist/Pharmacy Pharm Women’s Health Nurse WHNP
Technician Practitioner
© Oral Health Nursing Education and Practice (OHNEP)Whole Person Care
Pharmacy Occupational Physical
Dentistry Therapy Dental Therapy
Technician Hygienist
Assistant Technician
Adult Geron.
Family Nurse
Acute Care Pediatric
Practitioner
NP Nurse
Nurse Practitioner
Nurse
Radiation Practitioner
Therapist Speech &
Language
Therapist
Community
Respiratory Health Worker
Therapist
Patient
Physician
Assistant Adult Geron.
Registered Primary Care
Midwife Dietitian NP
Physical
Therapist Social Work
Occupational Physician
Therapist
Women’s Health
Respiratory Pediatric NP
Therapy Nurse Psych-Mental
Practitioner Pharmacist Health NP
Technician
© Oral Health Nursing Education and Practice (OHNEP)Microbiology: Integration of Oral Health 1
Complete Smiles for Life Course 1
IPEC Competencies: Interprofessional
AACN Essentials: Knowledge for Nursing Practice; Interprofessional Partnerships
Communication
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Oral health status and the etiology and • Submit Smiles for Life Completion
Pneumonia
• Discuss with an IP student team (e.g. RN,
prevention of nonventilator hospital- Certificate for course 1
MD, RT, PA, AGACNP) the relevance of
associated pneumonia (Scannapieco et al., • Discuss the infectious process of the oral
pneumonia as an infectious disease and its
2022) microbiome and risk factors for
oral-systemic connection
• Oral microbiome and SARS-Cov-2: beware development of pneumonia for inpatients
of lung co-infection (Bao et al., 2020)
Read Do Collaborate
• Submit Smiles for Life Completion • Discuss with an IP student team (e.g. RN,
• Erythema multiforme attributable to herpes
Herpes
Certificate for course 1 DDS, DH, MD, PA) the relevance of herpes as
simplex virus: clinical aspects and treatment
• Discuss the infectious process of oral an infectious disease and its oral-systemic
(Mtiri et al., 2021)
herpes connection
Read Do Collaborate
Papillomavirus
• Discuss with an IP student team (e.g. RN,
• Submit Smiles for Life Completion
Human
• Genital HPV Infection – Fact Sheet (CDC, MD, WHNP, DH, SW) the relevance of HPV
Certificate for course 1
2022) as an infectious disease and its oral-systemic
• Discuss the epidemiology of oral HPV
connectionAnatomy & Physiology: Integration of Oral Health 2
Complete Smiles for Life Courses 1, 2 & 3
IPEC Competencies: Interprofessional
AACN Essentials: Knowledge for Nursing Practice; Interprofessional Partnerships
Communication
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Ankyloglossia
• Academy of Breastfeeding Medicine
• Submit Smiles for Life Completion
Position Statement on Ankyloglossia in
Certificates for courses 1 & 2 • Discuss with an IP student team (e.g. RN,
Breastfeeding Dyads (LeFort et al., 2021)
• Discuss the anatomy and physiology SL, RD, PNP) the impact of ankyloglossia on
• The effect of frenotomy on long-term
indications for frenotomy or no frenotomy oral health and overall health
breastfeeding in infants with ankyloglossia
(Wongwattana, 2022)
Read Do Collaborate
• Collaborate with an IP student team (e.g.
• Review Eruption Charts (ADA) • Submit Smiles for Life Completion RN, DDS, DH, NP) to identify mixed dentition
Anatomy
• Oral Health in America: Advances and Certificates for course 2 & 3 in a 10 year-old
Challenges (Section 2A) (National Institutes of • Identify both primary and permanent • Collaborate with an IP student team (e.g.
Health, 2021) teeth in a diagram of a child’s mouth RN, DDS, DH, NP) on the ACE.P Mia Jones
Unfolding Case (NLN)
Read Do Collaborate
• Technology for maintaining oral care after
• Identify activities of daily living (ADL) for • Collaborate with an IP student team (e.g.
Mobility
stroke: considerations for patient-centered
patients with mobility disorders that are RN, SW, OT, PT, DDS, DH) to identify and
practice (Gurgel-Juarez et al., 2020)
anatomical or physiological barriers to locate special devices and exercises to
• Toothbrushing for dependent neurological
implementing oral hygiene self-care improve oral hygiene self-care
patients in the intensive care unit (Haning et
al., 2020)Pathophysiology: Integration of Oral Health 3
Complete Smiles for Life Courses 1, 2 & 3
IPEC Competencies: Interprofessional
AACN Essentials: Knowledge for Nursing Practice; Interprofessional Partnerships
Communication
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Submit Smiles for Life Completion
• Oral health and diabetes (Borgnakke et al., • Discuss with an IP student team (e.g. RN,
Diabetes
Certificates for courses 1 & 2
2021) MD, DDS, DH, NP, PA, RD) the oral-systemic
•Students will discuss the inflammatory
• Oral health and diabetes (Darling-Fisher et pathophysiology link between diabetes and
process as the underlying pathophysiology
al., 2017) periodontal disease
linking periodontal disease with diabetes
Read Do Collaborate
• Antibiotic Prophylaxis Prior to Dental
Prophylaxis
• Submit Smiles for Life Completion • Collaborate with an IP student team (e.g.
Antibiotic
Procedures (ADA, 2022)
Certificate for course 1 RN, MD, NP, Pharm, NP) to formulate a care
• Watch: Learning from clinicians and their
• List patients who require dental plan for a patient with an aortic valve
patients: why oral health collaboration is
prophylaxis replacement
essential to overall health outcomes (Santa Fe
Group, 2021)
Read Do Collaborate
• Submit Smiles for Life Completion
• Saliva as a source of biomarkers for
Certificate for course 3
Sjögren’s
periodontitis and periimplantitis (Haririan et • Collaborate with an IP student team (e.g.
• Students will discuss how Sjögren’s as an
al., 2021) RN, DDS, DH, Pharm, MD, PA, RD) to identify
autoimmune condition increases risk for
• Risk factors for caries development in preventive measures to manage xerostomia
oral health problems, including xerostomia
primary Sjogren syndrome (Berman et al.,
and tooth decay
2019)Research Methods: Integration of Oral Health 4
Complete Smiles for Life Courses 1, 2, 5 & 6
AACN Essentials: Knowledge for Nursing Practice; Scholarship for Nursing Discipline; Person-centered
IPEC Competencies: Values/Ethics for
Care; Population Health; Quality and Safety; Interprofessional Partnerships; Systems-based Practice;
Interprofessional Practice; Teams and Teamwork
Professionalism; Personal, Professional, and Leadership Development
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Dental Caries
• Submit Smiles for Life Completion • Collaborate with an IP student team (e.g.
• Prevention of Dental Caries in Children
Certificates for courses 1, 2 & 6 RN, DNP, DDS, DH, MD, PA, Pharm, RD) to
Younger Than 5 Years: Screening and
• Evaluate the strength of the evidence for complete the ACE.P Mia Jones Unfolding
Interventions (USPSTF, 2021)
the recommendations of the USPSTF on Case (NLN)
Prevention of Dental Caries
Read Do Collaborate
• Promoting oral health for mothers and
• Collaborate with an IP student team (e.g.
• Submit Smiles for Life Completion
Pregnancy
children: a nurse home visitor education
RN, DDS, DH, NP, PA, SW) to prepare an oral
program (Haber et al., 2020) Certificates for courses 2 & 5
or poster presentation about best evidence-
• Promoting oral health during pregnancy • Develop a PICO question about an oral
based practices that address an oral health
(Barzel & Holt, 2021) health issue in pregnancy
issue in pregnancy
• MICHC Oral Health Manual and Toolkit
(2017)
Read Do Collaborate
• Implementing oral care as a nursing
• Discuss the incidence and prevalence of • Collaborate with an IP student team (e.g.
NVHAP
intervention to reduce hospital-acquired
NVHAP as a population health issue RN, DH, DDS, Pharm, RT) on developing an
pneumonia across the United States
• Discuss the cost-benefit of implementing evidence-based oral hygiene protocol for
Department of Veterans Affairs Healthcare
an NVHAP prevention program in hospitals hospitalized older adults to prevent NVHAP
System (Munro & Baker, 2018)Pharmacology: Integration of Oral Health 5
Complete Smiles for Life Courses 1 & 3
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and
Interprofessional Practice; Roles/Responsibilities;
Safety; Interprofessional Partnerships; Informatics and Healthcare Technologies; Professionalism;
Interprofessional Communication; Teams and
Personal, Professional, and Leadership Development
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Psychotropics
• Submit Smiles for Life Completion Certificates
• Interview local pharmacist about
• Bruxism and psychotropic medications for courses 1 & 3
counseling psychiatric patients about oral
(Reyad et al., 2020) • Identify relationship between side effects of
health and management of bruxism
psychotropic medications and oral health
• Impact of asthma and its medication on
Respiratory
• Collaborate with an IP student team (e.g.
salivary characteristics and oral health in • Submit Smiles for Life Completion Certificates
RN, DDS, DH, RT, PNP, Pharm) to prepare an
adolescents: A cross-sectional comparative for courses 1 & 3
evidence-based presentation about how to
study (Bairappan et al., 2020) • Identify the relationships between asthma,
prevent oral health problems for asthma
• Impact of asthma on oral health: a review treatment for asthma and oral health
patients
(Mitra, 2021)
• Submit Smiles for Life Completion Certificates
• Collaborate with an IP student team (e.g.
Diabetes
• How to raise awareness of the links for courses 3 & 5
RN, DDS, MD, Pharm, RD) on a case study for
between oral health and diabetes (Mathi et • Identify how nurses can positively impact
a patient with diabetes and periodontal
al., 2021) glycemic control through oral health patient
disease to promote overall health
education
Cardiovascular
• Periodontal disease, systemic inflammation
• Submit Smiles for Life Completion Certificate
and the risk of cardiovascular disease • Present an IP panel (e.g., RN, AGACNP, MD,
Disease
for course 8
(Carrizales-Sepúlveda et al., 2018) DDS, RD, RT) on oral health issues in patients
• List oral health risk factors for patients with
• Interdisciplinary care model: cardiovascular with cardiovascular disease
cardiovascular disease
diseases and oral health (Shimpi et al., 2018)Pharmacology: Integration of Oral Health 6
Complete Smiles for Life Courses 1 & 3
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and
Interprofessional Practice; Roles/Responsibilities;
Safety; Interprofessional Partnerships; Systems-based Partnerships; Informatics and Healthcare
Interprofessional Communication; Teams and
Technologies; Professionalism; Personal, Professional and Leadership Development
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Periodontal Disease
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
for courses 1 & 3 DDS, DH, NP, PMHNP, MD, Pharm) to prepare a
• Periodontal complications of prescription and
• Identify the oral effects of both prescription brochure/presentation on the oral effects of
recreational drugs (Hughes & Bartold, 2018)
and recreational drugs on the periodontal tissue recreational drugs
Read Do Collaborate
Salivary Production
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
• Medication-induced xerostomia and
for courses 1 & 3 DDS, DH, NP, PMHNP, Pharm, MD, PA, RD) to
hyposalivation in the elderly: culprits,
• Identify medications associated with prepare and present evidence based case
complications, and management (Barbe, 2018)
alterations in salivary production study for a patient experiencing xerostomia
Read Do Collaborate
Immunosuppression
• Watch: Learning from clinicians and their • Collaborate with an IP student team (e.g. RN,
• Submit Smiles for Life Completion Certificates
patients: why oral health collaboration is DDS, NP, PMHNP) to develop a collaborative
for courses 1 & 3
essential to overall health outcomes (Santa Fe presentation for oncology providers on the
• Identify oral health risks of patients receiving
Group, 2021) importance of oral health in cancer care
chemotherapy and/or radiation therapyHealth Assessment & Promotion: Integration of Oral Health 7
Complete Smiles for Life Courses 1 & 7
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and Interprofessional Practice; Roles/Responsibilities;
Safety; Interprofessional Partnerships; Informatics and Healthcare Technologies; Professionalism Interprofessional Communication; Teams and
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
HEENOT
• Submit Smiles for Life Completion Certificates • Demonstrate use of HEENOT approach in
• Putting the Mouth Back in the Head: for courses 1 & 7 oral health history and physical exam in a
HEENT to HEENOT (Haber et al., 2015) • Practice HEENOT exam in a simulation or simulation experience with an IP student
clinical setting team (e.g. RN, DDS, MD, Pharm)
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g.
Promotion
Health
for courses 1 & 7 RN, NP, MD, Pharm, PA, RD) to discuss how
• Healthy People 2030 - Oral Conditions
• Describe reasons that oral health is a leading each profession can integrate oral health
(2020)
health indicator for HP 2030 and overall health
• A systematic review of the use of common
• Submit Smiles for Life Completion Certificates • Role play the use of MI in promoting
Motivational
behavioural interventions in oral health and
Interviewing
diabetes management (Ucheka et al., 2021) for courses 1 & 7 positive oral health behavior with a diabetic
• Motivational interviewing: a step in the • Identify the importance of motivational patient with an IP student team (e.g. RN,
right direction to better interprofessional interviewing in promoting oral health DDS, MD, NP)
oral care (Cipollina, 2019)
• "I Didn't Know": Pregnant Women's Oral • Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g.
Literacy
Health Literacy Experiences and Future for courses 1 & 7 RN, DDS, MD, MW) to develop a health
Health
Intervention Preferences (Vamos et al., • Identify health literacy gaps about the literacy brochure to prompt oral health-
2019) importance of prenatal oral health care seeking behaviors in pregnant womenHealth Assessment & Promotion: Integration of Oral Health 8
Complete Smiles for Life Courses 1 & 7
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and Interprofessional Practice; Roles/Responsibilities;
Safety; Interprofessional Partnerships; Informatics and Healthcare Technologies; Professionalism Interprofessional Communication; Teams and
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Vaccine Hesitancy
• Making the case for interprofessional • Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
education and practice collaboration to address for courses 1 & 7 DDS, MD, FNP, PNP) on the case study of an
rising rates of HPV-associated oropharyngeal • Identify reasons why parents refuse the HPV adolescent at his annual check-up with his
cancer (Haber et al., 2021) vaccine for their children primary care provider
Read Do Collaborate
Maternal/Child
• Effectiveness of preventive dental programs
offered to mothers by non-dental professionals
to control early childhood dental caries: a • Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
review (George et al., 2019) for courses 1 & 7 DDS, PMHNP, Pharm, MD) to present
• Identify interventions which can promote interventions to promote maternal/child oral
• Promoting oral health for mothers and
maternal/child oral health health
children: a nurse home visitor education
program (Haber et al., 2020)
Read Do Collaborate
Older Adults
• What's Hot: A Newsletter of the
Gerontological Society of America (GSA, 2020) • Collaborate with an IP student team (e.g. RN,
• Submit Smiles for Life Completion Certificates
• Breaking the vicious circle of diet, DDS, PMHNP) to identify recommendations for
for courses 1 & 7
malnutrition and oral health for the oral health in chronic disease management for
• Identify chronic diseases that impact oral
independent elderly (Antoniadou & Varzakas, older adults
health and overall health of older adults
2020)Health Assessment & Promotion: Integration of Oral Health 9
Complete Smiles for Life Courses 1 & 7
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and Interprofessional Practice; Roles/Responsibilities;
Safety; Interprofessional Partnerships; Informatics and Healthcare Technologies; Professionalism Interprofessional Communication; Teams and
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Nutrition
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
• What's Hot: A Newsletter of the
for courses 1 & 7 DDS, PMHNP, Pharm, MD) to present the
Gerontological Society of America (GSA, 2020)
• Identify the relationship between nutrition relevance of the 2020-2025 Dietary Guidelines
• Nutrition and oral health (Gondivkar et al.,
and oral health (USDA, 2020) for an older adult population
2019)
Read Do Collaborate
Smoking Cessation
• The oral health impact of electronic cigarette
• Submit Smiles for Life Completion Certificates
use: a systematic review (Yang et al., 2020) • Collaborate with an IP student team (e.g. RN,
for courses 1 & 7
• Five Major Steps to Intervention (The "5 A's") DDS, PMHNP, Pharm, MD) to design a plan for
• Identify the five A’s framework to promote
(AHRQ) an adolescent/adult patient to quit smoking
smoking cessation
• Vaping: the smoking gun of poor oral health in cigarettes and/or e-cigarettes
• Identify the oral health risks of e-cigarettes
teens (Cipollina, 2019)
Read Do Collaborate
Substance Abuse
• Cocaine, polysubstance abuse, and oral health
outcomes, NHANES 2009 to 2014 (Bahdila et al.,
• Collaborate with an IP student team (e.g. RN,
2020) • Submit Smiles for Life Completion Certificates
DDS, PMHNP, ACPCNP) to present an
• Oral health in people who use for courses 1 & 7
educational program on the oral health risks of
methamphetamine (Bloxom & Dika, 2021) • Describe the effects of different substance
substance abuse
• Oral Health, Mental Health, and Substance abuse products on oral health
Use Treatment (National Council for Mental
Wellbeing, 2022)Fundamentals: Integration of Oral Health 10
Complete Smiles for Life Courses 1, 3, 7 & 8
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health Scholarship for IPEC Competencies: Values/Ethics for
Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Systems-based practice; Informatics Interprofessional Practice; Interprofessional
and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership Development Communication
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Demonstrate the HEENOT exam in an IP
• Submit Smiles for Life Completion
HEENOT
• Putting the Mouth Back in the Head: HEENT Simulation Lab (OHNEP)
Certificates for courses 1 & 7
to HEENOT (Haber et al., 2015) • Collaborate with an IP student simulation
• Identify components of the oral exam
team (e.g. RN, NP, PA, DDS, DH) to
which must be included in HEENOT
demonstrate the HEENOT exam
Read Do Collaborate
• Efficacy of strategies to provide oral hygiene
• Collaborate with an IP student team (e.g.
Oral Hygiene
activities (Jablonski et al., 2018) • Submit Smiles for Life Completion
RN, DDS, DH, AGACNP) to develop an
• Integrating oral health care into patient Certificates for courses 1 & 8
interprofessional oral hygiene care plan for a
management to prevent hospital-acquired • Demonstrate integration of oral hygiene
hospitalized patient with dementia, poor
pneumonia: a team approach (Munro et al., in care plan of patient to prevent hospital-
oral hygiene, tooth decay and/or
2019) acquired pneumonia (HAP)
periodontal disease
• Nurses' oral hygiene care practices with
Oral Health Patient Fact Sheets (OHNEP)
Read Do Collaborate
• Nutrition care practices of dietitians and
Nutrition
oral health professionals for oral health • Submit Smiles for Life Completion • Collaborate with an IP student team (e.g.
conditions: a scoping review (Lieffers et al., Certificates for courses 1 & 3 RN, RD, MD, PA, AGACNP) to increase
2021) • Conduct an appropriate oral health knowledge of older adult patients about
• What's Hot: A Newsletter of the history including frequency of nutrition and their oral health
Gerontological Society of America (GSA, 2020) sugar/tobacco/alcohol intakeFundamentals: Integration of Oral Health 11
Complete Smiles for Life Courses 1, 3, 7 & 8
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship
IPEC Competencies: Values/Ethics for
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Systems-based Practice;
Interprofessional Practice; Interprofessional
Informatics and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership
Communication
Development
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Submit Smiles for Life Completion
Diabetes
• How to raise awareness of the links • Collaborate with pharmacy and/or pharm
Certificates for courses 1 & 7
between oral health and diabetes (Mathi et tech students to discuss medications that
• Use MI strategies to engage diabetic
al., 2021) promote glycemic control to decrease risk of
patients in making lifestyle changes to
periodontal disease
improve glycemic control
Read Do Collaborate
• Collaborate with student oral health team
• Toothbrushing for dependent neurological • Submit Smiles for Life Completion
Stroke
members (e.g. RN, DDS, DH, OT, PT, SL) to
patients in the intensive care unit (Haning et Certificates for courses 1 & 8
develop an oral care plan for a patient who
al., 2020) • Identify risk factors that contribute to
has had a stroke
poor oral health for stroke patients
Read Do Collaborate
• Collaborate with an IP team (e.g. RN, MD,
Surgery
• Submit Smiles for Life Completion
• In Hospitals, Pneumonia is a Lethal Enemy NP, Pharm, NP) to develop a health literacy
Certificates for courses 1 & 3
(Lagnado, 2018) handout to explain rationale for tooth
• Role play explaining to a patient why they
brushing before surgery
should brush their teeth before surgeryNursing Care of Adults & Older Adults: Integration of Oral Health 12
Complete Smiles for Life Courses 1 & 8
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship IPEC Competencies: Values/Ethics for
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Systems-based Practice; Interprofessional Practice; Roles/Responsibilities;
Informatics and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership Interprofessional Communication; Teams and
Development Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Nutrition care practices of dietitians and
• Submit Smiles for Life Completion • Collaborate with an IP student team (e.g.
Nutrition
oral health professionals for oral health
conditions: a scoping review (Lieffers et al., Certificates for courses 1, 3 & 8 RN, SW, DDS, MD, NP, CHW, Pharm) to
2021) • List the social determinants of health develop an interprofessional care plan that
• What's Hot: A Newsletter of the (SDH) associated with tooth loss addresses social determinants of health for
Gerontological Society of America (GSA, 2020) patients at risk of tooth loss
Read Do Collaborate
• Submit Smiles for Life Completion
• Oral complications in cancer patients: a review • Collaborate with an IP student team (e.g.
Certificates for courses 1 & 8
of practical interventions in the dental setting RN, AGACNP, DDS, RD, RDT) to develop an
Cancer
• Discuss SDOH that contribute to
(Bissonette et al., 2020) oral care plan for patients with cancer
disparities in oral cancer screenings
• Dental and oral complications of cancer • Identify when to collaborate with a dentist
• Develop an evidence-based oral care plan
treatment (Leukemia & Lymphoma Society, or dental hygienist for a patient on
to prevent mucositis in patient on
2021) chemotherapy
chemotherapy
Read Do Collaborate
• The effect of periodontal treatment on
clinical and biological indicators, quality of • Collaborate with an IP student team (e.g.
Arthritis
life, and oral health in rheumatoid arthritis • Submit Smiles for Life Completion
RN, NP, PA, MD, DH, DDS, RD, RDT) to
patients: a quasi-experimental study (Posada- Certificate for course 1
develop oral care plan for patient with
López et al., 2022) • List oral complications related to arthritis
rheumatoid arthritis
• Oral health-related quality of life among
individuals with rheumatoid arthritis (de
Azevedo Branco et al., 2019)Nursing Care of Adults & Older Adults: Integration of Oral Health 13
Complete Smiles for Life Courses 1, 3 & 8
AACN Essentials: Knowledge for Nursing Practice; Scholarship for Evidence-based Practice; Information IPEC Competencies: Values/Ethics for
Management and Application of Patient Care Technology; Interprofessional Communication and Interprofessional Practice; Roles/Responsibilities;
Collaboration for Improving Patient Health Outcomes; Clinical Prevention and Population Health; Interprofessional Communication; Teams and
Professionalism and Professional Values; Baccalaureate Generalist Nursing Practice Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Pathological characteristics of periodontal • Collaborate with an IP student team (e.g.
Kidney Disease
disease in patients with chronic kidney disease • Submit Smiles for Life Completion
RN, DDS, DH, MD, Pharm) to develop an
and kidney transplantation (Kitamura et al., Certificates for courses 1 & 8
evidence-based protocol for
2019) • Develop care plan for patients with
interprofessional management to prevent
• Watch: Learning from clinicians and their periodontal disease and chronic kidney
patients: why oral health collaboration is periodontal disease for patients with chronic
disease
essential to overall health outcomes (Santa Fe kidney disease
Group, 2021)
Read Do Collaborate
• Collaborate with an IP student team (e.g.
GI Disease
• Submit Smiles for Life Completion RN, DH, OT, PT, SLP, RD) to develop an
• The impact of GERD on oral and dental
Certificates for courses 1 & 8 evidence-based care plan for a patient with
health (Moein, 2021)
• Describe oral health symptoms of GERD GERD
Read Do Collaborate
Cardiovascular
• Interdisciplinary care model: cardiovascular
• Collaborate with an IP student team (e.g.
Disease
diseases and oral health (Shimpi et al., 2018) • Submit Smiles for Life Completion
RN, AGPCNP, MD, DDS, nutritionist, PT) to
• Periodontal disease, systemic inflammation Certificates for courses 1, 3 & 8
present on oral health issues in patients with
and the risk of cardiovascular disease • Identify oral health risk factors in CAD
CAD
(Carrizales-Sepúlveda et al., 2018)Nursing Care of Adults & Older Adults: Integration of Oral Health 14
Complete Smiles for Life Courses 1, 3 & 8
IPEC Competencies: Values/Ethics for
AACN Essentials: Scholarship for Evidence-based Practice; Person-centered Care; Population Health;
Interprofessional Practice; Roles/Responsibilities;
Quality and Safety; Interprofessional Partnerships; Systems-based Practice; Informatics and Healthcare
Interprofessional Communication; Teams and
Technologies; Professionalism; Personal, Professional, and Leadership Development
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Oral care and ventilator-associated • Develop an oral care plan for a
• Collaborate with an IP student team (e.g.
VAP/NV HAP
pneumonia (Namrita et al., 2019) mechanically ventilated patient using the
RN, MD, PA, RT, Pharm, NP) to develop an
• Implementing oral care as a nursing VAP bundle
interprofessional plan to implement
intervention to reduce hospital-acquired • Develop an evidence-based oral hygiene-
evidence-based VAP or NV HAP prevention
pneumonia across the United States focused care plan for non-ventilated
Department of Veterans Affairs healthcare guidelines in a hospital
hospitalized patients
system (Munro et al., 2022)
Read Do Collaborate
• Submit Smiles for Life Completion
Certificate for course 8
Dementia
• Randomized clinical trial: Efficacy of • Collaborate with DDS and DH students on
• Develop a list of oral hygiene strategies to
strategies to provide oral hygiene activities to an oral hygiene care plan for patients with
facilitate mouth care for patients with
nursing home residents with dementia who dementia living in a nursing home
dementia
resist mouth care (Jablonski et al., 2018)
• Watch Providing Mouth Care for Persons
with Dementia
Read Do Collaborate
Parkinson’s Disease
• Submit Smiles for Life Completion
• Collaborate with nutrition and speech &
• Download the Parkinson’s Disease Oral Certificates for courses 1 & 8
language pathology team members about
Health Course: Interprofessional Coordination • Develop a list of oral hygiene strategies to
strategies to promote adequate nutrition for
of Care (Jeter et al., 2018) provide care for patients with Parkinson’s
Parkinson’s patients with dysphagia
DiseaseNursing Care of Adults & Older Adults: Integration of Oral Health 15
Complete Smiles for Life Courses 1 & 8
AACN Essentials: Scholarship for Evidence-based Practice; Information Management and Application of IPEC Competencies: Values/Ethics for
Patient Care Technology; Interprofessional Communication and Collaboration for Improving Patient Health Interprofessional Practice; Roles/Responsibilities;
Outcomes; Clinical Prevention and Population Health; Professionalism and Professional Values; Interprofessional Communication; Teams and
Baccalaureate Generalist Nursing Practice Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
ACE.S (NLN, 2019):
• Importance of Oral-Systemic Health in • Collaborate with an IP student team (e.g.
Older Adults
Older Adults • Submit Smiles for Life Completion Certificates
RN, DDS, DH, PA, AGPCNP, CHW) on a
• Oral Health for the Older Adult Living in the for courses 1 & 8
scavenger hunt to identify affordable oral
Community • Develop a presentation about the importance
health resources in local zip codes for older
• Developing Interprofessional Education and of oral health for older adults at a senior center
adults
Practice in Oral Health
• Performing Oral Health Assessments
• Practical Guidelines for Physicians in
Promoting Oral Health in Frail Older Adults
(Kossioni et al., 2018)
• Submit Smiles for Life Completion Certificates
Elder Care
• Senior oral health: a community-based, • Describe the oral health roles and
for courses 1 & 8
interprofessional educational experience for responsibilities of the geriatric
• Discuss the relevance of the 6 oral health
nursing and dental students (Greenberg et interprofessional team
history questions from Kossioni et al., 2018 to
al., 2020)
overall health of older adults
• Oral Health in Residential Aged Care
(Villarosa et al., 2018)
• Oral health problems among palliative and
terminally ill patients: an integrated
systematic review (Venkatasalu et al., 2020)
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g.
End of Life
• Watch: Supporting family caregivers to
for courses 1 & 8 RN, MD, PA, NP) to develop an end-of-life
provide oral palliative care for older adults
• List strategies for oral care for patients at end oral care plan that promotes comfort and
(National Center for Equitable Care for
of life dignity
Elders, 2021)
• Watch: Oral Health for Older Adults in
Palliative Care and Long-Term Care SettingsNursing Care of Children: Integration of Oral Health 16
Complete Smiles for Life Courses 2, 6 & 7
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Quality and IPEC Competencies: Values/Ethics for
Safety; Scholarship for Nursing Discipline; Interprofessional Partnerships; Systems-based Practice; Interprofessional Practice; Roles/Responsibilities;
Informatics and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership Interprofessional Communication; Teams and
Development Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Submit Smiles for Life Completion Certificates • Collaborate with an IP student team (e.g. RN,
Assessment
for courses 2, 6 &7 DDS, DH, PNP) to host oral health screenings at
Oral
• Oral Health Recommendations for • Watch Knee-to-Knee video on SFL website a Head Start center
Preventive Pediatric Health Care (AAP, 2021) and practice pediatric oral assessments using • Using the MCOH Head Start Tip Sheets ,
the knee-to-knee exam at a Head Start center develop a new Head Start or preschool staff
or preschool oral health tip sheet
• ACE.P Mia Jones Unfolding Case (NLN) • Submit Smiles for Life Completion Certificates
• Perinatal and Infant Oral Health Care (AAPD, for courses 2 &7 • Choose an age group and collaborate with
Well-Child
2021) • Perform appropriate oral health history of
an IP student team (e.g. RN, DDS, PNP, FNP,
• Caries-risk Assessment and Management child, including frequency of carb/sugar intake
(AAPD, 2019) SW) to develop a parent advice column on
• Use motivational interviewing to engage
promoting their child’s oral health
• The Interprofessional Role in Dental Caries parent/caretaker into adopting one change that
Management (AAPD, 2019) promotes child’s oral health
• Management of autistic patients in dental • Collaborate with an IP student team (e.g.
office: a clinical update (Chandrashekhar & • Identify the barriers to dental care for
RN, DDS, DH, PNP, SW) to present an
Autism
Bommangoudar, 2018) children with autism
educational program to other professions on
• Autism spectrum disorders and oral health • Describe 4 questions to ask parents about
status: review of the literature (Ferrazzano et sensory adaptive dental environments for
their children’s oral hygiene practice
al., 2020) children with autism
• HPV Oral Health Fact Sheet (OHNEP)
• Policy on Human Papilloma Virus
Papillomavirus
• Collaborate with an IP student team (e.g.
Vaccinations (AAPD, 2020) • Discuss factors contributing to increased HPV RN, DDS, DH, PNP, SW) on the case study of
Human
• Making the case for interprofessional
vaccine confidence in parents and children an adolescent at his annual check-up with his
education and practice collaboration to
address rising rates of HPV-associated primary care provider
oropharyngeal cancer (Haber et al., 2021)Nursing Care of Children: Integration of Oral Health 17
Complete Smiles for Life Courses 2, 6 & 7
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship
Interprofessional Practice; Roles/Responsibilities;
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Informatics and Healthcare
Interprofessional Communication; Teams and
Technologies; Professionalism; Personal, Professional, and Leadership Development
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Fluoride Varnish
• Oral Health Toolkit for Primary Care Practice
• Submit Smiles for Life Completion • Collaborate with an IP student team (e.g.
(2022)
Certificates for courses 2, 6 & 7 RN, FNP, PNP, MD) to develop a parent
• Prevention of Dental Caries in Children
Younger Than 5 Years: Screening and • Demonstrate application of FV in advice column on benefits of fluoride
Interventions (USPSTF, 2021) Simulation lab varnish for children age 0-5
Read Do Collaborate
GI/Celiac Disease
• Collaborate with an IP student team (e.g.
• Describe oral manifestations of celiac
• GERD (Gastroesophageal Reflux Disease) in RN, RD, MD, NP, PA, DDS) on a case study of
disease
children (2022) child with celiac disease to develop an
• Discuss GI diseases that have oral
• The effects of celiac disease on oral health interprofessional care plan that includes oral
manifestations
in children and adults (Balucci & Jones, 2022) health
Read Do Collaborate
• Dental Management of Pediatric Patients
• Provide anticipatory guidance about the
Receiving Immunosuppressive Therapy
importance of oral hygiene and regular
Cancer
and/or Radiation Therapy (AAPD, 2021) • Collaborate with Hem-Onc team (e.g. RN,
dental care for children with cancer
• Oral health, caries risk profiles, and oral NP, PA, MD, DH, DDS, RD, SW) to plan for
• Identify risk factors for oral health side
microbiome of pediatric patients with oral health needs of child with cancer
effects of cancer treatment
leukemia submitted to chemotherapy (Wang
et al., 2021)Maternity & Women’s Health: Integration of Oral Health 18
Complete Smiles for Life Courses 2, 3, 5 & 8
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship IPEC Competencies: Values/Ethics for
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Systems-based Practice; Interprofessional Practice; Roles/Responsibilities;
Informatics and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership Interprofessional Communication; Teams and
Development Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
• Improving access to dental care for pregnant
Pregnancy
women (APHA, 2020) • Collaborate with an IP student team (e.g.
• Submit Smiles for Life Completion Certificates
• Integrating oral health care into primary care: A RN, WHNP, MW) on a case presentation,
resource guide (Barzel & Holt, 2020)
for courses 2 & 5
including an antepartum and postpartum
• Promoting oral health for mothers and children: • Identify barriers to accessing oral health care
care plan for promoting the mother’s and
a nurse home visitor education program (Haber during pregnancy
baby’s oral health
et al., 2020)
• Develop an anticipatory guidance plan for
• Policy on Oral Health Care Programs for
Newborn
parents about promoting the oral health of
Infants, Children, Adolescents, and • Collaborate with an IP student team (e.g.
their infant
Individuals with Special Health Care Needs RN, MW, SW, DDS, DH, CHW) to write an
• Use motivational interviewing to engage
(AAPD, 2020) oral health parent advice column
parent/caretaker in one activity to promote
• Oral Health Campaign Toolkit (AAP, 2020)
their child’s oral health
• Oral Health Topics (ADA, 2019) • Submit Smiles for Life Completion Certificates
• HPV and Oropharyngeal Cancer (CDC, 2021)
for courses 3 & 5
• Making the case for interprofessional • Collaborate with an IP student team (e.g.
• Identify oral health lesions associated with
STI
education and practice collaboration to RN, WHNP, MW, SW) to identify strategies
address rising rates of HPV-associated STIs
to teach STI prevention, including HPV
oropharyngeal cancer (Haber et al., 2021) • Develop a 2-minute presentation that
• Oral Health Patient Fact Sheet: HPV (OHNEP) advocates for HPV vaccinations
• Submit Smiles for Life Completion Certificate
menopause
• Collaborate with an IP student team (e.g.
• Oral manifestation and its management in for course 8
Post-
RN, WHNP, SW) to educate about oral health
postmenopausal women: an integrated • Identify risk factors associated with oral
issues in menopausal and post-menopausal
review (Sen et al., 2020) health problems in menopausal and post-
women
menopausal womenCommunity: Integration of Oral Health 19
Complete Smiles for Life Course 1
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship IPEC Competencies: Values/Ethics for
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Systems-based Practice; Interprofessional Practice; Roles/Responsibilities;
Informatics and Healthcare Technologies; Professionalism; Personal, Professional, and Leadership Interprofessional Communication; Teams and
Development Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Social Determinants of
• Oral Health in America: Advances and • Hold a scavenger hunt with students from other
• Submit Smiles for Life Completion Certificate
Health (SDOH)
professions (e.g. RN, DDS, DH, MD, PA) to locate
Challenges (Section 1) (National Institutes of for course 1
affordable oral health providers and resources for
Health, 2021) • Identify older adult patients’ concerns about
older adults in each assigned zip code
• Disparities in access to oral health care reforms for Medicare dental benefit
• Collaborate with an IP student team (e.g. RN,
(Northridge et al., 2020) • Identify how SDOH impact global oral health DDS, DH, MD, PA) to identify SDOH that are
• Oral diseases: a global public health challenge • Identify common SDOH in communities that barriers to obtaining oral health services for a
(Peres et al., 2019) are barriers to obtaining oral health services specific population
Read Do Collaborate
• Household food insecurity and children's oral
• Submit Smiles for Life Completion Certificate • Collaborate with an IP student team (e.g. RN,
Nutrition
health: Findings from the 2016–2018 National
for course 1 DDS, DH, CHW) to present an evidence-based
Survey of Children's Health (Jackson & Testa,
• Identify the relationship between food nutrition and oral health education program in
2020)
insecurity and dental caries in children senior centers
• What's Hot: A Newsletter of the
Gerontological Society of America (GSA, 2020)
Read Do Collaborate
Health Literacy
• Each student will choose one racial/ethnic
• The evolving role of health literacy in improving • Collaborate with an IP student team (e.g. RN,
population and report on oral health beliefs
oral health (Horowitz et al., 2020)
and practices of that population DDS, DH, SW) to develop an oral health literacy
• Oral Health (HRSA, 2022)
• Identify specific SDOH in a community that brochure
• Oral Health Patient Fact Sheets (OHNEP)
are barriers to obtaining oral health servicesCommunity: Integration of Oral Health 20
Complete Smiles for Life Course 1
IPEC Competencies: Values/Ethics for
AACN Essentials: Knowledge for Nursing Practice; Person-centered Care; Population Health; Scholarship
Interprofessional Practice; Roles/Responsibilities;
for Nursing Discipline; Quality and Safety; Interprofessional Partnerships; Informatics and Healthcare
Interprofessional Communication; Teams and
Technologies; Professionalism; Personal, Professional, and Leadership Development
Teamwork
Exposure: Introduction Immersion: Development Competence: Entry-to-Practice
Read Do Collaborate
Public Water Supply
• Students will identify importance of public • Present an IP debate on the pros and cons of
• Water fluoridation and dental caries in U.S.
access to water and identify problems in public water fluoridation
children and adolescents (Slade et al., 2018)
water supply • Collaborate with an IP student team (e.g. RN,
• America’s Path to Drinking Water
• Students will investigate fluoridation policies DH, DDS, CHW, SW) to develop and present an
Infrastructure Inequality and Environmental
in their community using My Water’s Fluoride evidence-based campaign for community
Injustice: The Case of Flint, Michigan (Katner et
• Students will investigate the incidence and water fluoridation
al., 2018)
prevalence of ECC in their state
Read Do Collaborate
• Submit Smiles for Life Completion Certificate
Infectious Disease
• Human papillomavirus and oral manifestations
in a patient with HIV: A case report and for course 1 • Collaborate with an IP student team (e.g. RN,
literature review (Rajarammohan et al., 2021) • Discuss oral manifestations of STIs, special
DDS, DH, CHW) to develop and implement
• HPV and Oropharyngeal Cancer (CDC, 2020) focus on HPV
evidence-based oral cancer screening program
• Sexually Transmitted Diseases and Your Mouth • Discuss communication strategies for building
(Mouth Healthy) vaccine confidence
• Oral Health Patient Fact Sheet: HPV (OHNEP)
Read Do Collaborate
Medicare/Medicaid
• 2021 Santa Fe Group Updated Plan and Cost
Estimates for Medicare Part B Dental Coverage • Identify affordable oral health resources for • Collaborate with an IP student team (e.g. RN,
• Comprehensive Health Without Oral Health: The patients with Medicare DDS, DH, NP, MD) to develop and implement
Medicare Paradox (Santa Fe Group, 2019) • Identify dental resources in your zip code an advocacy program for obtaining a Medicare
• The association between medicaid adult dental that accept Medicaid for children’s dental care dental benefit
coverage and children’s oral health (Lipton et al.,
2021)You can also read
