S P R I N G 2 015 1Message from the Registrar 5Front and Center: Integrating health promotion in practice 9Practice Advisor: FACE IT: Elder Abuse Happens 12Health Promotion in Action: Bridging the Gap 15Noteworthy 16 Continuing Competence Integrating health promotion in practice Registered dental hygienists are important contributors to wellness of individuals and the community through health promotion. The World Health Organization defines health promotion as the process of enabling people to increase control over their health and its determinants, and thereby improve their health. As a healthcare professional you have seen the devastating effects of poor oral health and the impact on overall wellness. Daily in your practice you incorporate evidence-based strategies to address a client’s individual oral health needs, promote wellness, and prevent further disease. We can applaud the work of registered dental hygienists and build on that success to make an even larger impact in our community. Continued on page 5 CRDHA Council Directory InTouch SPRING 2015 Publisher: The College of Registered Dental Hygienists of Alberta. InTouch is published four times a year. Advertising: CRDHA accepts advertising for educational opportunities from recognized educational institutions or other regulatory bodies. To place an advertisement, send camera-readyart or typed text to: Editor, InTouch #302, 8657 51 Avenue NW Edmonton, Alberta T6E 6A8 Phone: (780) 465-1756 Fax: (780) 440-0544 E-mail: [email protected] Rates: InTouch advertising rates are as follows: 7.5” x 9.4” $600 1/2 Page horizontal: 7.5” x 3.625” $325 1/2 Page vertical: 3.625 x 9.4” $325 1/4 Page: 3.625” x 4.5” $175 1/8 Page (BusCard): 3.625” x 2” Website: Maureen Graham, RDH Vice President Calgary [email protected] Shirley Smith, RDH Past President Edmonton [email protected] Jack Belkin, Public Member Edmonton [email protected] Ads/graphics must be submitted as camera ready artwork in high resolution pdf format, .eps or .tiff formats with a minimum resolution of 300 dpi. Text only ads may be submitted in MS Word. Full Page: Aimee Bradley, RDH President Slave Lake [email protected] $100 $75/two weeks Submissions: Story ideas, articles and letters are welcome. Send your submission to the Editor at: [email protected]. The Editor reserves the right to edit content, format and length. Submission Deadlines: November 15 February 15 May 15 August 15 For more information about the CRDHA and the dental hygiene profession in Alberta visit www.crdha.ca Arlynn Brodie, RDH Edmonton [email protected] Geraldine (Gerry) Cool, RDH Canadian Dental Hygienists Association, Alberta Director Carseland [email protected] Joanna Czarnobaj, RDH Edmonton [email protected] Rocell Gercio-Chad, Calgary [email protected] RDH Joshua Jackman, Public Member Edmonton [email protected] Michael Lummerding, Grande Prairie [email protected] Public Member Kathleen Sauze, RDH Edmonton [email protected] Laurie Smith, RDH Calgary [email protected] Jacqueline VanMalsen, Calgary [email protected] RDH Reminders & Announcements • A pril 6, 2015: Early Bird Registration deadline for the CRDHA Annual Continuing Competence Event • April 27 - May 8, 2015: U of A Dental Hygiene Refresher Course • May 7 - 9, 2015: CRDHA Annual Continuing Competence Event • May 9, 2015: CRDHA Annual General Meeting The College of Registered Dental Hygienists of Alberta (CRDHA) invites submissions of original research, discussion papers and statements of opinion relevant to the dental hygiene profession for it’s official newsletter, InTouch. Submissions are subject to editorial approval and may be formatted and/or edited without notice. Contributions to InTouch do not necessarily represent the views of the CRDHA, its staff or Council, nor can the CRDHA guarantee the authenticity or accuracy of reported research. As well, the CRDHA does not endorse, warrant, or assume responsibility for the accuracy, reliability, truthfulness or appropriateness of information regarding products, services, manufacturers or suppliers contained in advertisements within or associated with the newsletter. Under no circumstances, including, but not limited to, negligence shall the CRDHA be liable for any direct, indirect, special, punitive, incidental, or consequential damages arising from the use, or neglect, of information contained in articles and/or advertisements within this publication. S P R I N G 2 015 Message from the registrar Health promotion requires committment Brenda Walker, RDH The College of Registered Dental Hygienists of Alberta (CRDHA) exists so that Albertans will receive, safe high quality dental hygiene care from a continually advancing dental hygiene profession. Successful health promotion requires the commitment of governments, health professionals, communities and individuals. Successful health promotion also requires the implementation of many strategies. One of those strategies is providing people with the appropriate information needed to make change. Registered dental hygienists have a long history of providing Albertans with the information they need to improve their oral health and general well-being. Beginning in the early 1950s, the Alberta government recognized the need for and value of oral health promotion and new strategies to reduce oral disease. The province initially funded Albertans to attend dental hygiene programs at the University of Toronto or in the United States, on the condition these graduates would return to Alberta to provide oral health promotion through Alberta’s community health units. When the University of Alberta Dental Hygiene Program was established in 1963, the province continued to provide education bursaries to dental hygiene students in return for their health promotion services in the community health sector. “Action is needed to increase Albertans’ knowledge and skills to practice behaviours that will help them to be as healthy as possible for as long as possible.” As the body of knowledge linking oral health conditions to general health conditions such as diabetes, rheumatoid arthritis, aspiration pneumonia and coronary heart disease continues to grow, it is ever more important that dental hygienists continue to embrace their role in health promotion. Dental hygienists are well prepared to work with members of the public and the province’s other health professionals to provide Albertans with the information and preventive therapies they need to live long and healthy lives. The feature article in this newsletter highlights the many areas where dental hygienists can and do contribute to health promotion. The Alberta government continues to recognize the importance of health promotion and disease prevention. Alberta’s current Strategic Approach to Wellness, March 2014, http://www. health.alberta.ca/documents/StrategicApproach-Wellness-2013.pdf states: 1 C R D H A I N T OU C H General Notice: Practicing in Alberta when registration is cancelled is unprofessional conduct under the Health Professions Act. Such conduct is subject to sanctions by the hearing tribunal. The Crown can also prosecute for breaches of the Act and impose fines for violation of the Act. Notice of Cancellation of Registration and Practice Permit Notice of Cancellation of Registration and Practice Permit on Request The registration and practice permits of the following individuals have been cancelled in accordance with section 43(1) of the Health Professions Act for failure to submit a complete application for a practice permit and default in payment of any applicable fees or assessments under the Act. These individuals are no longer authorized to practice dental hygiene in the Province of Alberta. In accordance with section 43(5) of the Health Professions Act the registration and practice permits of the following individuals have been cancelled at their own request. These individuals are no longer authorized to practice dental hygiene in the Province of Alberta. Anderson, Robyn ....................................................Vernon, BC Ashbee, Lauren Kathleen.....................................Nanaimo, BC Audet-Gariepy, Marianne Helene........................ Naramata, BC Chong, Evelyn Seok........................................... Slave Lake, AB Dalliday, Ashley Sheila............................................ Calgary, AB Davies, Carol Ina..................................................... Calgary, AB Kaila, Leenu ............................................... Fort McMurray, AB Lee, Kheerstin Natalie...................................... Stony Plain, AB Liu, Louie Wei.................................................... Edmonton, AB McArthur, Daniel Ricky........................................... Calgary, AB McMullin, Chantel Marie.................................... Glace Bay, NS Meger, Sandra L.................................................. Rossland, BC Ricard, Agnieszka.....................................................Airdrie, AB Storey, Donna ........................................................ Calgary, AB Thomas, Lynn Marie...........................................Vancouver, BC Yellowlees, Leandra ............................................... Victoria, BC Notice of Cancellation of Non-Regulated Membership In accordance with section 8.8.1 of the CRDHA Bylaws, the following individuals have been cancelled from the nonregulated member register for failure to submit an application for renewal of membership. As a non-regulated member, these individuals were not authorized to practice dental hygiene in the Province of Alberta. Dawes, Robyn Kay.................................................. Calgary, AB de Klerk, Catherine ................................................ Calgary, AB Godin, Annie .........................................................Nepean, ON Harbidge, Jodie Mae......................................East St Paul, MB Harris, Melia Lynn..................................................Magrath, AB Levac, Danielle Sylvie........................................ Edmonton, AB Maxon, Jessica Dawn.........................................Scottsdale, AZ Ray, Chelsea Dionne....................................... Beaverlodge, AB Robley, Anne Lorraine................................Zuerich, Switzerland Timmer, Laurel Rei................................................. Oyama, BC Vasani, Ryall Dawn................................. St. Thomas, Barbados Williams, Tessa Anne Islay Joan.........................Saskatoon, SK 2 Adam, Marina Dawn.................................................Airdrie, AB Anderson, Christine E....................................... Strathmore, AB Baines, Tara Lee...................................................... Calgary, AB Boys, Helen I...........................................................Stettler, AB Bozic, Stephanie Lia.....................................Drayton Valley, AB Brown, Davia M...................................... Salt Spring Island, BC Brown, Joanne M...................................... Sherwood Park, AB Brunsch, Lorine C.............................................. Edmonton, AB Chan, Carmen Emily.......................................... Edmonton, AB Clarke, Peggy M................................................ Edmonton, AB Corbett, Rebecca Dianne...........................................Woss, BC Cormin, Kory ..................................................... Edmonton, AB Cornelius, Carol Anne.......................................... St. Albert, AB Denton, Sarah Elizabeth............................. Campbell River, BC Deschambault, Karen P........................................ Red Deer, AB Deschenes-LeRoyer, Dominique K............... Spruce Grove, AB Elkadry, Omar Jamil........................................... Edmonton, AB Evanson, Iris ...........................................................Stirling, AB Fairbanks, Hayley .............................................. Edmonton, AB Flannagan, Robin Koreen................................... Edmonton, AB Foidart, Manon ..................................................Bonnyville, AB Fonteyne, Andrea M............................................... Calgary, AB Foster-Assmus, Lorraine J...................................... Calgary, AB Gorecky, Kayla Marie........................................ Newcastle, ON Gourley, Barbara Ann............................................... Vulcan, AB Guenette, Chantal Aline.......................................... Calgary, AB Holtkamp, Anthony Michael..........................Lake Country, BC Hudson-Bradley, Karen Helen........................ Summerland, BC Lees, Margie E.................................................... St. Albert, AB Leonhardt, Alanna Christine......................... Bulimba, Australia Lindsay, Margaret E................................................ Calgary, AB MacLeod, Karen Patricia............................................ Delta, BC Maloney, Carolyn Anne........................................ Lacombe, AB Mar Hoffos, Nancy K...................................................Olds, AB Martinez, Graciela Del Carmen...................... Mississauga, ON McFee, Shannon Crystal..................................... Belleville, ON McGougan, Donna Kathleen.............................. Edmonton, AB Michie, Cynthia Grace............................................. Calgary, AB Mirza, Sumreen ................................................ Winnipeg, MB S P R I N G 2 015 Moore, Allyson Lee.....................................................Elgin, NB Moore, Mary Kathleen............................................ Calgary, AB Neufeld, Donna N................................................... Redcliff, AB Orr, Kortney K....................................................Lethbridge, AB Osborne, Theresa M............................................... Calgary, AB Ross, Betty Anne................................................. St. Albert, AB Salter, Cheryl L......................................................... Barrie, ON Savery, Danielle Marie..........................................Nanaimo, BC Smith, Vanessa J.................................................. Kalispell, MT St. Croix, Candace Nicole.......................................Ottawa, ON Strain, Leslie A........................................................ Calgary, AB Stricker, Christine D........................................... Edmonton, AB Thibault, Lesley Anne..............................................Vernon, BC Turnbull, Marne J............................................... Edmonton, AB Vaughan, Alia ......................................................... Calgary, AB Verma, Sunil Kumar................................................ Calgary, AB Waljee, Safina ........................................................Innisfail, AB Webster, Sharon ....................................................Riondel, BC Weiss-Gutscher, Karin ..............................Schwanau, Germany Whelan, Deborah Dawn......................................... Calgary, AB Williams, Ashley Bernice Sophia................... Swift Current, SK Wilson, Krista Marie...................................... Swift Current, SK Zurawell, Susan ................................................ De Winton, AB Notice of Cancellation of Conditional Registration and Practice Permit The conditional registration and practice permit of the following individuals have been revoked for failure to meet the conditions imposed under Section 30(2) of the Health Professions Act. Ambrus, Alyssa Jean.........................................Lethbridge, AB Beaulieu, Liette......................................................Gibbons, AB Ho, Wendy......................................................... Edmonton, AB Newbury, Natasha Irene............................. Fort McMurray, AB Rickard, Alaina...................................................Saint John, NB Singla, Apeksha................................................. Edmonton, AB Display your Practice Permit in an area visible to clients. If you work in more than one practice and require a duplicate Practice Permit contact [email protected] to request a duplicate Practice Permit. There is no charge for an additional copy. Notice of Cancellation of Non-Regulated Membership on Request In accordance with section 6.3 of the CRDHA Bylaws, the following individuals have been cancelled from the nonregulated member register at their own request. As a nonregulated member, these individuals were not authorized to practice dental hygiene in the Province of Alberta. Akre, Tracy Dawn.................................................Cochrane, AB Apers, Kylee Jean.............................................. Edmonton, AB Blaney, Carolyn A....................................................Phoenix, AZ Bodnarek, Sandra ............................................. Alpharetta, GA Cheema, Amandeep Kaur....................................... Calgary, AB Chetner, Bonnie L.............................................. Edmonton, AB Daigle, Alicia .......................................................... Calgary, AB Dunn, Sacha Nicole.........................................Shellmouth, MB Gill, Ramneet .....................................................Coquitlam, BC Hoffman, Carol R................................................. Red Deer, AB Kalesnikoff, Tamara Lynn......................................... Calgary, AB Kowalchuk, Gloria Anne.......................................... Benito, MB Leishman, Vinessa Michelle........................ Mountain View, AB Morrison, Erin Michelle........................................... Calgary, AB Pierce, Sharon A................................................ Edmonton, AB Sander, Tamara Lindsay.......................................... Calgary, AB St. Jacques, Heather .................................... Swift Current, SK Sutton, Lesley ........................................................ Calgary, AB Taggart, Sheena E................................................... Nanton, AB Wickstrom, Patricia G............................................. Calgary, AB Woodroffe, Kylie Kristine........................... Upper Tantallon, NS 3 C R D H A I N T OU C H Call for Members for Hearing Tribunals and Review Committees In accordance with the Health Professions Act (the Act), College Councils are required to establish and maintain a list of members who will be available to be selected by the College’s Hearings Director to form a hearing tribunal or a complaint review committee. Any hearing tribunal or complaint review committee must also include 25% public representation. Public members are provided from a list maintained by the Government. Pursuant to the Act, the hearing tribunal is responsible for conducting a full and fair hearing regarding allegations of unprofessional conduct of a member. The job of the hearing tribunal is to determine, on the basis of the evidence introduced, whether the conduct of the dental hygienist constitutes unprofessional conduct. A complaint review committee’s powers and duties include reviewing and ratifying alternative complaint resolution settlements and conducting reviews of dismissals of complaints. The complaint review committee’s decision making powers are set out in the Act. Each hearing tribunal and complaint review committee is established on an “as needed” basis. Orientation sessions are conducted by CRDHA legal counsel prior to a hearing or review committee meeting. to the list of members available to be selected for hearing tribunals or reviews, please send your resume and a brief letter describing why such an appointment appeals to you. Submissions should be directed to: The list of available members is comprised of dental hygienists with experience in all spectrums of dental hygiene practice: general practice, specialty practice, independent practice, community health and education. We would like to increase the number of members on the list to provide more flexibility in selecting dates for hearings or reviews. CRDHA Hearings Director 302, 8657 – 51 Ave. NW Edmonton, AB T6E 6A8 by May 15, 2015. We are seeking members with good knowledge of the profession and CRDHA’s professional standards and who exhibit the following qualities: Interviews will be conducted as part of the selection process. VOLUNTEERS REQUIRED! • Fair • Good listener • Non-biased • Respect confidentiality • Confident • Mature judgment Applicants must have 5 or more years of experience as a dental hygienist. If you are interested in submitting your name as a nominee for appointment Reporting Blood Borne Infections to the CRDHA All health care workers with a history of human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV) positivity have an ethical obligation to report to their professional regulatory authority for referral to the Provincial Expert Review Panel if they perform any exposure-prone procedures. Exposure-prone procedures performed by dental hygienists include scaling, root planing and injection of local anaesthesia. Access to the Provincial Expert Review Panel is through referral from a health care worker’s regulatory authority. Registered dental hygienists who have tested positively to HIV, HBV or HCV should contact the CRDHA Registrar, Brenda Walker, in person or by telephone at 780-465-1756 or toll free 1-877-465-1756 for further information and referral to the Expert Review Panel. 4 S P R I N G 2 015 Front and Center: Integrating health promotion in practice The World Health Organization states: “Health promotion focuses on achieving equity in health. Health promotion action aims at reducing differences in current health status and ensuring equal opportunities and resources to enable all people to achieve their fullest health potential. This includes a secure foundation in a supportive environment, access to information, life skills and opportunities for making healthy choices. People cannot achieve their fullest health potential unless they are able to take control of those things which determine their health. This must apply equally to women and men. “ World Health Organization www.who.int/healthpromotion/Milestones_Health_Promotion_05022010.pdf?ua=1 12 Feb 2015 Think globally – Act locally Immunization Antibiotic Awareness The burden of oral diseases and other chronic diseases can be decreased simultaneously by addressing common risk factors.1 Risk factors for oral diseases include an unhealthy diet, tobacco use and harmful alcohol use. These are also risk factors for the four leading chronic diseases – cardiovascular diseases, cancer, chronic respiratory diseases and diabetes – and oral diseases are often linked to chronic disease. Poor oral hygiene is also a risk factor for oral disease. One hundred years ago, infectious diseases were the leading cause of death worldwide. In Canada, they now cause less than 5% of all deaths – thanks to immunization programs across the country. Immunization protects individuals and communities by preventing the spread of disease. As more people are immunized the disease risk for everyone is reduced. Immunization has probably saved more lives in Canada in the last 50 years than any other health intervention. Immunization is the single most costeffective health investment, making it a cornerstone in the effort to promote health.3 Antibiotic resistance (antimicrobial resistance) is a growing problem in Canada and the world. This is because some bacteria that cause infections and illnesses are becoming increasingly resistant to antibiotics.7 Individuals can take actions for themselves and for persons under their care, to prevent disease and maintain health.2 Opportunities exist to expand oral disease prevention and health promotion knowledge and practices among the public through community programmes and in health care settings. Dental hygienists can play a role in promoting healthy choices. For example, you can open a conversation with your clients around the topics of immunization, antibiotic stewardship, fluoride use, use of safety helmets and mouthguards while playing sports, addressing elder abuse, and tobacco reduction education and cessation. While you must be knowledgeable about the topics, you don’t need to be the ultimate expert to be a change agent. Provide evidence-based resources for your clients to consider. There is concern about parents opting out of immunization programs for their children. For example, there have been recent outbreaks of measles in Canada and the USA as a result of children not being immunized. Talk with your clients regarding the importance of routine vaccination against childhood diseases such as measles, mumps, rubella, pertussis, and vaccination against annual influenza and hepatitis A and B. Human papillomavirus (HPV) immunization is also being recommended for boys and girls. It is important to make decisions about vaccination based on facts. The Public Health Agency of Canada provides credible, science-based advice about vaccines.3,4,5,6 Antimicrobial stewardship is a patient safety practice to ensure optimal antibiotic use. Provide information to clients on how to reduce antibiotic resistance. An ongoing Canadian Initiative, AntibioticAwareness.ca, is coordinated by numerous health-related organizations across the country. These groups partner to promote Antibiotic Awareness in Canada.8 Reinforce with clients that using antibiotics when they are not needed increases the risk of antibiotic resistance, a growing threat to the health of all Canadians. The number of bacteria resistant to antibiotics has increased in recent years, and many bacterial infections are resistant to the most common antibiotics. This makes infections harder to treat, and in some cases, these infections can lead to disability or even death. The easiest way to reduce antibiotic resistance is to use antibiotics wisely. This means: 5 C R D H A I N T OU C H • O nly taking antibiotics when you need them • Taking antibiotics exactly as prescribed Healthcare professionals play a vital role in preventing the spread of antibiotic resistance. Using antibiotics only when needed can help reduce antibiotic resistance. Antibiotic stewardship should be practiced whenever antibiotics are used. Fluoride use Community water fluoridation is effective in preventing dental caries in both children and adults. Water fluoridation benefits all residents served by community water supplies regardless of their social or economic status. Alberta Health Services provides links to additional information regarding caries risk assessment and fluoride use.9 Safety helmets and sports mouthguards Sports- and recreation-related injuries make up a significant proportion of unintentional injuries among children and youth up to age 19. In fact, 40 per cent of child and youth injuries treated in Canadian emergency departments are sports- and recreation-related. While the Government of Canada encourages Canada’s children and youth to become more active and live healthy lifestyles, it is also important to ensure their safety while being active.10 Talk with both parents and children about the necessity for the consistent use of a safety helmet and sports mouthguard. Addressing elder abuse Elder abuse has devastating consequences. It jeopardizes the health and well-being of seniors and has significant implications for the health, social support and justice systems. Elder abuse can take on many forms — it can be emotional, financial, physical or sexual in nature. Preventing and addressing elder abuse starts with knowledge. All 6 Albertans need to know the signs of elder abuse and where to go for help. You can be a primary referral source.11 Tobacco reduction education There are over two dozen diseases associated with smoking. About 85% of cases of lung cancer are caused by smoking. Other cancers, heart disease, high blood pressure, and stroke are all associated with cigarette smoking. One of the fastest growing illnesses, chronic obstructive lung disease (COPD), is almost always caused by smoking. Health benefits start almost right away when someone quits smoking and continues for many years. Many of the negative effects from cigarette smoking improve over time. Creating Tobacco-Free Futures: Alberta’s Strategy to Prevent and Reduce Tobacco Use, 2012–2022 outlines a long-range plan to help Albertans avoid and quit using tobacco products including; 1.Introducing legislation restricting the sale of flavoured tobacco; 2.Introducing provincial legislation to prohibit tobacco sales to minors; 3.Enacting legislation to protect children from second-hand smoke in vehicles; 4.Increasing social marketing around the harms associated with tobacco use; 5.Enhancing tobacco cessation training for health professionals; and 6.Expanding workplace, school-based and community tobacco-cessation programs. Other initiatives that government will consider over the next 10 years include point-of-sale health warning signage, tobacco tax increases, further restrictions on smoking in public areas, and expanding the availability of tobacco cessation products and resources.12,13 Dental hygienists can become more informed about tobacco use, prevention and cessation and share the information with clients. Self reflection and goal setting Our responsibility as healthcare professionals is to consider health literacy, social determinants of health, and health equity as we address health promotion. We recognize that we cannot and are not expected to address all societal challenges but we can each keep health promotion in mind in our everyday interactions and within our circle of influence. In order to enhance our efforts in health promotion we can engage in self-reflection and set personal and professional goals. (See page 7, bottom box: Use SMART goal setting to address health promotion) • D elve more deeply into the area of health promotion. Become more intentional about incorporating or enhancing health promotion within your dental hygiene practice setting and the community. • B e curious. Ask questions of yourself such as: Why must we as a profession and as individuals within the profession participate in health promotion? What is the evidence on which to base my practice? Why work together to promote health? What will make a difference? How are others incorporating health promotion into their practice? • H ave a clear vision. Consider how can I, personally, make a difference? What do I want to accomplish? What specific goals can I attain? What first steps should I take? • A ssess your competence. What additional knowledge, skills, attitude and judgement do I need regarding health promotion? • E xplore opportunities for collaboration. With whom should I work to advance health promotion within my circle of influence/community? S P R I N G 2 015 • C hallenge yourself. What commitment am I willing to make to promote health? Am I willing to be a champion for health promotion? What Can I Do? Alberta offers opportunities to expand oral disease prevention and health promotion knowledge and practices through community programs and in health care settings. For example, a dental hygienist can become an educator in a tobacco cessation program such as the Quit Core, or in a health behavior change program such as the HealthChange™ Methodology. You could participate in initiatives that address societal needs/determinants of health to help improve society locally. Get involved. Know that even small steps will help make a difference. Below are a few suggestions and options for your consideration. • P romote health in your home. Be an example. • B ecome a literacy coach through an established agency. • Interact with other health professionals to promote overall health; collaborate with interdisciplinary colleagues to learn about how their field and the dental hygiene field intersect. e.g., nursing, gerontologist, pediatrician, pharmacist, dietitian, speech and language pathologist. • V olunteer in community initiatives to stop homelessness. • P articipate in an oral cancer screening community volunteer event. • P articipate in a classroom presentation about oral health and overall wellness. • P articipate in a volunteer program that provides dental hygiene services. • V olunteer at a soup kitchen; learn about the needs of the underserved. • Take action against elder abuse. • A dvocate for change: Use the Advocacy Tool Kit for Canadian Dental Hygienists.17 • P articipate in a presentation about oral health to pregnant and parenting teens. • Invite a speaker to your study club from a community organization that focuses on addressing the needs of the community. • A pproach your local volunteer agency to find a suitable volunteer opportunity. Use SMART goal setting to address health promotion. A SMART Goal is: Specific A specific goal is detailed, focused and clearly stated. Measurable A measurable goal is quantifiable, meaning you can see the results. Attainable An attainable goal can be achieved based on your skill, resources and area of practice. Relevant A relevant goal applies to your current role and is clearly linked to your key role responsibilities. Time-limited A time-limited goal has specific timel;ines and a deadline. This will help motivate you to move toward your goal and to evaluate your progress.14 Example: Goal setting around educating clients about tobacco cessation: As a healthcare provider you play an integral role in helping Albertans quit smoking and lead healthier lives. Research shows that just a three minute conversation with a patient on quitting smoking can increase the odds of that patient quitting by 30%. A small effort has a huge impact.15,16 My Goal Understanding that tobacco use is related to oral health and overall wellness and a social determinant of health, I will enhance my knowledge of tobacco cessation resources available in the community. I will share this knowledge with my clients. By May 15, I will contact the Alberta Health Services Tobacco Reduction Program to ask about the referral program, Alberta Quits. By June 15, I will start to consistently incorporate a brief tobacco intervention into the care plan for each client and review progress at re-care appointments. I will keep a record of the clients who use tobacco and with their permission contact each client with a phone call three weeks after their initial appointment and re-evaluate progress at the client’s next re-care appointment. 7 C R D H A I N T OU C H Examples of dental hygiene volunteer activities • A rrange presentations about oral health to a variety of audiences (school children, long-term care facility staff and families, interprofessional colleagues e.g., nursing, pediatricians, speech and language pathologists). • T he Gift from the Heart is a day set aside for Registered Dental Hygienists across Canada to open their hearts and clinics to provide oral health care to the public who may be financially unable to receive dental hygiene care or who have difficulty accessing dental hygiene treatment; at no cost. At least nine Alberta independent dental hygiene practitioners participated in the 2015 day of giving. Consider joining this initiative in 2016. 18 • D OoR clinic at Red Deer Johnstone Crossing Community Health Centre19 provides urgent dental treatment for children with visible tooth decay, pain, broken teeth and signs of infection. • T he Dental Health Bus (DHB)20 Calgary, provides mobile dental care for children in need, ultimately improving the quality of life for Calgary’s most vulnerable youth. The DHB brings essential preventive oral health services and support to children in identified high needs elementary schools. • C algary Urban Project Society (CUPS) Primary Care Medical Clinic and Women’s Health Clinic21 offers medical and mental health care for low income adults and families living in Calgary. The clinics take a multi-disciplinary, holistic and collaborative approach to patients’ wellness. • H OMELESS CONNECT, Edmonton, is a broad-based community-inspired initiative, providing free appropriate services to people experiencing homelessness and those at risk of becoming homeless, on one day and at one location.22 8 • A boutFace is working to increase and improve access to care in Canada for individuals with facial differences.23 • Participate in a global program such as: o K indness in Action24 is an organization with over two hundred volunteers working on weekly projects in seven countries. o Operation Smile provides free surgeries to repair cleft lip, cleft palate and other facial deformities for children around the globe. 25 o D entistry for All26 committed to helping people in impoverished regions of the world maintain a better quality of life through better dental health. • L earn about volunteer opportunities in your community o G o Volunteer27 http://govolunteer.ca/about.html Public Health Agency of Canada http://www.phacaspc.gc.ca/std-mts/hpv-vph/hpv-vph-vaccine-eng.php. 12 Feb 2015 5 Caring for Kids. A parent’s guide to immunization information on the Internet www.caringforkids.cps. ca/handouts/immunization_information_on_the_ internet 12 Feb. 2015 6 Government of Canada http://healthycanadians. gc.ca/drugs-products-medicaments-produits/antibioticresistance-antibiotique/impacts-repercussions-eng. php#a1 12 Feb. 2015. 7 8 Antibiotic Awareness http://antibioticawareness.ca College of Registered Dental Hygienists of Alberta www.crdha.ca/the-profession/professional-resources/ working-with-clients/dental-caries-and-fluoriderecommendations.aspx 12 Feb 2015 9 10 Public Health Agency of Canada www.phac-aspc. gc.ca/inj-bles/fs-fr/2013_0121-eng.php Addressing Elder Abuse in Alberta A Strategy for Collective Action www.seniors.alberta.ca/documents/ ElderAbuse-Strategy.pdf 12 Feb 2015 11 Alberta Health Services Road to Healthy Living, Tobacco Facts www.albertahealthservices.ca/hp/ if-hp-tr-en-tobacco.pdf 12 Feb 2015 12 Alberta Government Creating Tobacco-free Futures: Alberta’s Strategy to Prevent and Reduce Tobacco Use 2012 – 2022 www.health.alberta.ca/documents/ Tobacco-Reduction-Strategy-2012.pdf 12 Feb 2015 13 College of Nurses of Ontario. Developing Smart Learning Goals www.cno.org/Global/docs/qa/ DevelopingSMARTGoals.pdf 12 Feb 2015 14 Alberta Quits www.albertaquits.ca/helping-othersquit/healthcare-providers.php 12 Feb 2015 15 Learning Opportunities Attend the CRDHA Annual Continuing Competence Event28 for inspiration and resources to address health promotion. The following sessions relate to health promotion: • Dealing with Change • O verview of HealthChange® Methodology • Taking Action Against Elder Abuse • C omprehensive Health Prevention for Older Adults • Telling Your Stories • F eathering Medicine for Dental Hygienists • Community Connections Showcase Tobacco Free Futures Guidelines www.albertaquits. ca/database/files/library/TFF_Guidelines_WebVersion_ Bookmarked_v3_1.pdf 12 Feb 2015 16 17 Canadian Dental Hygienists Association Advocacy Toolkit www.cdha.ca/CDHA/The_Profession/Policy_ Advocacy/AdvocacyToolkit_pdf.aspx 12 Feb. 2015. Gift From the Heart www.giftfromtheheart.ca/ 12 Feb 2015 18 Oral Health Program - Red Deer Johnstone Crossing Community Health Centre www.albertahealthservices.ca/services. asp?pid=saf&rid=1077990 12 Feb 2015 19 The Alex Mobile Health Program www.thealex.ca/ programs-services/health/health-bus-program/ 12 Feb 2015 20 Calgary Urban Project Society www.cupscalgary. com/health-services/ 12 Feb 2015 21 Homeward Trust www.homewardtrust.ca/ programs/homeless-connect.php 12 Feb 2015 22 23 AboutFace www.volunteermatch.org/search/ org92123.jsp 12 Feb 2015 Kindness in Action http://www.kindnessinaction.ca/ 12 Feb 2015 24 Operation Smile www.operationsmile.org/ 12 Feb 2015 25 Dentistry for All http://dentistryforall.org/about-us. html 12 Feb 2015 26 References: World Health Organization www.who.int/ mediacentre/factsheets/fs318/en/ 12 Feb 2015 1 World Health Organization www.who.int/oral_ health/strategies/cont/en/ 12 Feb 2015 2 Public Health Agency of Canada www.phac-aspc. gc.ca/im/index-eng.php 12 Feb. 2015 3 Immunize Canada http://immunize.ca/en/default. aspx 12 Feb 2015 4 27 Go Volunteer http://govolunteer.ca 12 Feb 2015 CRDHA Annual Continuing Competence Event http://accevent.crdha.ca 12 Feb 2015 28 S P R I N G 2 015 Practice Advisor FACE IT: Elder Abuse Happens Marthe Benoit Dental hygienists have the professional responsibility to be aware of and address elder abuse if and when it is encountered. Introduction Historically elder abuse was hidden from public view and for the most part considered a private matter.1 More recently, it has become a public issue, with estimations of prevalence rates in Canada ranging from 4% to 8%, affecting between 148,000 and 370,000 each year.1,2 True estimations on prevalence rates in Canada are difficult due to many factors including, under-reporting, confusion about what constitutes abuse, limitations on police statistics and victims surveys and general lack of awareness on the issue.2,3 Various Canadian studies indicate that up to ten percent of older adults in Canada are likely to experience some type of abuse. Based on today’s population of older adults in Alberta, up to 40,000 older adults could be impacted by one or more forms of elder abuse. In Alberta older adults, or those aged 65 and over, are the fastest growing segment of the province’s population.4 As of January 2015, there were close to 500,000 Albertans 65 and older and about 2,000 Albertans turning 65 each month. By 2036, it is projected there will be more than one million older adults in Alberta. As the number of older adults continues to grow, it is expected that more cases of elder abuse will occur. Increasing the awareness of all members of society about how to recognize and respond to suspected cases of elder abuse will help to address this growing problem. What is elder abuse? The Government of Alberta defines elder abuse as “any action or inaction by self or others that jeopardizes the health or well-being of any older adult.”4 Elder abuse can be divided into six categories: • F inancial: The misuse of an older adult’s funds or property through fraud, trickery, theft or force • E motional: Actions or statements that cause emotional anguish, fear, diminished self-esteem or dignity to factors such as, frailty, social isolation, being dependent on others, cognitive impairment or physical disability.1 Potential signs of abuse that may be observed in clients receiving dental hygiene services might include the following: • F inancial: bounced cheque, missing money • P hysical: Actions that cause physical discomfort, pain or injury • E motional: passive, withdrawn behaviour, fearful, anxious, quiet in the presence of caregiver • S exual: Unwanted sexual behaviours including sexual comments, exploitive use of pornography, fondling or sexual assault • P hysical: bruises, welts, cuts, cigarette or rope burns, fractured teeth or jaw, avulsed or loose teeth. • M edication: The intentional or unintentional misuse of medications and prescriptions, such as withholding or providing doses that cause bodily harm, sedation or other adverse effect(s) • M edication: unfilled prescriptions or running out of medication too quickly; improper use of medication • N eglect: The active (intentional) or passive (unintentional) failure to provide an older adult with a basic level of care The two most frequently identified and reported types of elder abuse are financial and emotional and it is not unusual for multiple forms of abuse to be inflicted. Elder abuse is often committed by someone known to the victim, such as a family member, friend, or caregiver. Who is at risk? Elder abuse can happen to anyone, regardless of socio-economic background, health status, or cultural heritage. However, some older adults may be at a higher risk for abuse and/or neglect due • S exual: laceration of labial frenum, palatal petechiae. • N eglect: unclean appearance, excessive plaque, untreated caries, underweight, dehydrated, long-term use of fractured dentures How dental hygienists can help As the population continues to age, it is expected there will be a higher number of older adults seeking dental services particularly as edentulism decreases and oral care increases due, in part, to enhanced understanding about the potential link between poor oral health and systemic disease.5 Combined, these factors place dental hygienists in a unique position to identify and report suspected cases of abuse or neglect. As a result of legislative changes in 2006, dental hygienists can practice independently without the supervision of 9 C R D H A I N T OU C H a dentist in various practice environments, including long-term care facilities and client residences. This places dental hygienists in closer contact with a higher proportion of the older adult population. Dental hygienists have a professional responsibility to be aware of and address elder abuse if and when it is encountered. Elder abuse resources8 More information about elder abuse, as well as, free print material is available for service providers at www.seniors. alberta.ca. CRDHA Practice Standards and Code of Ethics 6 In addition to legislative requirements, CRDHA members have the professional responsibility to practice in accordance with the CRDHA Practice Standards and Code of Ethics. Review these documents to refresh your understanding about how they relate to addressing elder abuse. Below is a list of provincial and community-based services which can provide information, advice and supports regarding potential cases of elder abuse: What to do if elder abuse is suspected Legislative requirements Reporting abuse is mandatory in Alberta if the client is an adult (18+) who receives care or support services from a publicly funded service provider such as lodge, hospital, nursing home, group home, mental health facility, publicly funded home care, and social care facility. The Protection for Persons in Care Act (PPCA)7 requires all publicly funded service providers to protect clients from abuse and prevent abuse from occurring, and requires all abuse be reported to Protection for Persons in Care, the police or another regulatory body. • U nder section 7(1), every individual who has reasonable grounds to believe that there is or has been abuse involving a client shall report that abuse to a complaints officer; a police service; or to a committee, body or person authorized under another enactment to investigate such abuse. • F or more information on PPCA call 1-888-357-9339 or go to http://www. health.alberta.ca/services/protectionpersons-care.html 10 Who to call for information and community resources • S t. Albert Stop Abuse in Families (SAIF): 780-460-2195 • S t. Albert 50+ Club: 780-459-0433 (Ext. 2) • S trathcona County Elder Abuse Line: 780-464-7233 (24 hours) Emergency Shelters: • A nyone who is being abused and is in imminent danger should contact the police immediately; dial 911. • P rovincial Family Violence Information Line: 310-1818 (information, advice and referrals). This 24 hour number is toll-free and available seven days a week. Service is provided in over 170 languages. • H ealth Link Alberta: 1-866-408-5465 (24 hours) provides advice and information on health related topics. • C algary Elder Abuse Resource Line: 403-705-3250 (24 hours) • C amrose Family Violence Action Society: 780-672-0141 • E dmonton Seniors Protection Partnership: 780-477-2929 • E dmonton Seniors Abuse Help Line: 780-454-8888 (24 hours) • G rande Prairie – Seniors Outreach: 780-539-6255 (information and resources) • L ethbridge Senior Citizens Organization: 403-320-2222 (Ext. 25) • M edicine Hat Community Response to Abuse and Neglect of Elders (CRANE): 403-529-4798 (24 hours) • R ed Deer Helping Elder Abuse Reduction (HEAR): 403-346-6076 or 1-877-454-2580 toll-free (24 hours) • Calgary – Kerby Centre Rotary House: 403-265-0661 • Edmonton – Sage Safe House: 780-702-1520 • T he Alberta Elder Abuse Awareness Network facilitates the sharing of knowledge, resources and tools about elder abuse amongst people who work with seniors in Alberta. Visit the website at www.albertaelderabuse.ca S P R I N G 2 015 June 15 is recognized globally as World Elder Abuse Awareness Day Purple is the colour of World Elder Abuse Awareness Day. You can help us recognize the day by wearing purple and talking to friends and neighbours about this important community issue. http://www.albertaelderabuse.ca/blog.cfm?theBCat=2 http://www.albertaelderabuse.ca/blog.cfm?theBCat=7 Educational Opportunities Canadian Dental Hygienists Association (CDHA) Online resources: Elder Abuse and Neglect for Dental Hygienists www.cdha.ca http://www.cdha.ca/cdha/ Education/Online_Courses/ Elder_Abuse/CDHA/Education/ Courses/Elder_Abuse. aspx?hkey=840b6b49-fa7a-4a58b750-66a5b7c4e15e CRDHA Annual Continuing Competence Event Pre-event session: Taking Action Against Elder Abuse presented by Lori Therrien Thursday, May 7, 2015 9:00 am – 4:00 pm accevent.crdha.ca/program/ program-schedule-may-7,-2015.aspx Face It! Elder Abuse Happens – ‘Building Connections, Creating Solutions’ Hosted by the Alberta Elder Abuse Awareness Network and Alberta Seniors May 21 - 22, 2015 CRDHA is proud to be a sponsor and participate as an exhibitor at this conference. http://www.faceitelderabuse.ca/ References: World Health Organization. Elder abuse (Internet) 2012 (cited Sept 18). Available from: http://www.who.int/ ageing/projects/elder_abuse/en/ 1 Government of Canada. National Senior Council. Report of the national senior’s council on elder abuse. Ottawa; 2007 (cited 2014 Sept 18) Available from: http://www.seniorscouncil.gc.ca/eng/research_publications/elder_ abuse/2007/hs4_38/page00.shtml 2 Government of Canada. Department of Justice. Backgrounder: Elder Abuse legislation. (Internet). 2012 (cited 2014 Sept 18) Available from: http://www.justice.gc.ca/eng/news-nouv/nr-cp/2012/doc_32716.html 3 Addressing Elder Abuse in Alberta A Strategy for Collective Action http://www.seniors.alberta.ca/documents/ ElderAbuse-Strategy.pdf 4 5 Wiseman M, The role of the dentist in recognizing elder abuse. J Can Dent Assoc. 2008; 74(8):715-720 6 CRDHA Practice Standards and Code of Ethics. www.crdha.ca/standards-guidelines.aspx Government of Alberta. Protection for Persons in Care.(Internet) 2014 Available from: www.health.alberta.ca/ services/protection-persons-care.html 7 Government of Alberta. Alberta Seniors. Elder abuse resources (Internet). 2014. Available from: http://www. seniors.alberta.ca/seniors/elder-abuse-resources.html 8 11 C R D H A I N T OU C H Health Promotion in Action: Bridging the Gap Submitted by Tennille Needham, RDH Childhood tooth decay affects up to 60% of school age children and is considered the most common preventable chronic infectious disease. Canada’s community fluoridation rate is only 45% and continues to go down yearly. Dental decay accounts for up to 30% of children’s day surgeries in Canada. Not having dental insurance is a huge barrier to care and over 30% of Canadians are without dental insurance benefits. I am very concerned about the statistics in our country and communities and it is my passion to reach more children. Educating teachers, parents and their children is a significant part of making and keeping oral health a priority. value a registered dental hygienist presenting dental education to their students. For the last 6 years, I have volunteered in multiple schools in Spruce Grove, Alberta providing Kindergarten and Grade 1 dental presentations to close to 300 students. I care about educating more children and highlighting the importance of dental prevention and education in local schools. Year after year I am asked by an increasing number of teachers to visit their school to teach their students. The teachers This year I hope to share my passion about oral health with 1700 children in schools surrounding the Edmonton area. I am targeting mainly Grade 1 students with some presentations to Grade 2 students. Generally, Alberta Health Services (AHS) does not provide classroom education to children in the school system. AHS’s focus and funding is allotted to select high risk schools in and around Edmonton providing fluoride varnish and sealant programs. Dental health is an important and fundamental part of curriculum and I think it is up to oral health professionals to bridge this gap. When I first started volunteering my presentations started off small. I borrowed some tools from the local dental health unit. I soon found out how difficult it was to present and to keep learners’ attention just with a model of teeth! Over the years I have developed my presentation to capture the children’s attention with pictures, puppets, models, books, a plaque experiment, and interactive dental props. I provide a 40-minute exciting dental presentation to students that follows curriculum which is health and nutrition-based. My presentation includes a “ tooth fairy” mascot, a model large teeth and toothbrush, puppets, a dental nutrition and tooth learning board, and various 12 Photo credit: Stony Plain Reporter S P R I N G 2 015 other photos, pictures and teaching tools for students. Some of these include actual pictures of disclosed teeth, dental decay and radiographs. Using interactive learning and visual aids the students learn various aspects of the health of our teeth, gums and how they can affect our body. We conduct a flossing experiment with a student volunteer to visually show the kids why flossing is important. Lastly we emphasize the importance, interval and components of a visit to the dentist and a dental hygienist, hopefully, an oral health professional in their community! A take home bag that includes a toothbrush, floss sticks, coloring page, brushing chart and parent dental health fact-sheet is provided for each for student. Teachers seek and appreciate a dental hygienist teaching the students. Since it is a very interactive dental education presentation the children are captivated throughout and the teachers tell me at every presentation that they even learned something new about their oral health! In order to present to more students, I seek partnership with local dentists to “bridge the gap” and deliver these presentations to schools in their communities. This has been a “pilot” project for me this year. I am requested by teachers to present and I seek out contracts with Grade 1 teachers surrounding Edmonton. This year my goal was to reach 1700 students by volunteer or sponsorship and I am well on my way! So far the reaction by dentists has been positive. I have been successful in meeting many dentists concerned for the dental health of children in their communities. Some of them see sponsorship as a potential benefit to their dental practice. It is great to see dentists stepping up in their communities and being such great advocates for dental health education. Since starting the dental health presentation in 2008, Needham has built relationships with school boards across the Capital Region, visiting schools in Spruce Grove, Stony Plain, Leduc, Sherwood Park, Fort Saskatchewan, Devon, Beaumont, Keephills/Duffield, Onoway, St. Albert and Wetaskiwin. Tennille Needham is a Registered Dental Hygienist from Spruce Grove, Alberta who has worked as a clinical registered dental hygienist for close to 10 years. These sources were considered when this article was written: “Childhood tooth decay affects up to 60% of school age children” Canadian Pediatric Society http://www.cps.ca/en/documents/position/oral-healthcare-for-children Rowan-Legg, A. (2013) Oral Health Care for Children - A Call for Action Paediatric Child Health 18(1):37-43 March 10 2015 World Health Organization http://www.who.int/ mediacentre/factsheets/fs318/en/ American Academy of Pediatrics http://pediatrics.aappublications.org/content/ early/2011/05/25/peds.2011-0847.full.pdf+html March 10 2015 Alberta Health Services Children’s Oral Health Survey 2009-2010 Calgary Zone http://www.albertahealthservices.ca/ps-1042857-cohgen-survey.pdf March 12 2015 April 5-11 April is Oral Health Month and an important part of this celebration is National Dental Hygienists Week™, April 5-11. Focusing on the importance of maintaining good oral health practices and helping Canadians understand the role and importance of the dental hygiene profession, this annual event is sponsored by the Canadian Dental Hygienists Association (CDHA). www.cdha.ca Visit the CDHA booth at the CRDHA Annual Continuing Competence Event, Community Connections Showcase. Federal, Provincial and Territorial Dental Working Group. Summary report on the findings of the oral health component of the Canadian Health Measures Survey 2007-2009: http://www.fptdwg.ca/assets/PDF/CHMS/CHMS-Esumm.pdf March 10 2015 “Canada’s Community fluoridation rate is 45%” Journal of the Canadian Dental Association www.cda-adc.ca/jcda/vol-75/issue-6/451.pdf Rabb-Waytowich, D. (2009) Water Fluoridation in Canada: Past and Present, Journal of the Canadian Dental Association, Vol.75, 451-454 March 10 2015 “Dental Decay accounts for up to 30% of children’s day surgeries” Journal of the Canadian Dental Association www.jcda. ca/uploads/pdf/ccsa/ECC-Report-FINAL-April-2010_forjcda-website.pdf March 10 2015 Canadian Institute for Health Information http://www.cihi.ca/cihi-ext-portal/pdf/internet/ dentalcaries_infosheet_2013_en March 10 2015 13 C R D H A I N T OU C H Notice Board Live, Love, Laugh, Brush, Floss, Smile! The CRDHA promotes health. During April 2015 watch for oral health promotion messages at your local library. Live, Love, Laugh, Brush, Floss, Smile! Dental disease can be prevented. Library Till Tapes The CRDHA is proud to partner with 273 public libraries throughout Alberta to promote oral health. We recognize libraries as being significant community resource centers. Libraries remain an important destination for Alberta residents of every age group and cultural background seeking information, entertainment and relaxation. Busy, friendly and readily accessible Alberta public libraries engage the best in Canadians – their curiosity and imagination, and visits continue to increase every year. Advertising in libraries lends a reliable air of credibility to our message. Generous computer availability, tutorials and Internet accessibility continually attracts new waves of library users – both young and old. Creatively designed artwork/messaging is dynamically printed in full colour, on the back of each Due Date Receipt on library till tape provided directly to every library patron when they checkout library material. Book marks are available at those libraries which do not have automated checkout. The right combination of careful home care, a healthy diet and professional oral health services can help make a child’s future as bright as their smile. Your Partners in Oral Health www.crdha.ca Live, Love, Laugh, Brush, Floss, Smile! Oral health is part of your overall wellness. The right combination of careful home care, a healthy diet and professional oral health services can enhance overall wellness. Your Partners in Oral Health Visit your library in April, 2015 to view the till tapes firsthand. The right combination of careful home care, a healthy diet and professional oral health services can help make a child’s future as bright as their smile. 7 Simple Steps to Better Oral Health • • • • • • Brush Floss Use an oral rinse Eat a healthy diet Eliminate tobacco use Have a thorough and regular oral cancer screening • See a Registered Dental Hygienist regularly www.crdha.ca Reduce Your Risk of Developing Oral Cancer • Strive to be tobacco free • Limit alcohol consumption • Protect your lips from the sun • Protect yourself from Human Papillomavirus (HPV) infection • Don’t wait contact your dental hygienist for an oral cancer screening Your Partners in Oral Health www.crdha.ca 14 Your Partners in Oral Health www.crdha.ca Your Partners in Oral Health www.crdha.ca S P R I N G 2 015 Noteworthy Welcome New Public Members Public members under the Health Professions Act (under the authority of the Lieutenant Governor and the Premier of Alberta and formalized by an Order in Council), are appointed to serve as active participants and observers on CRDHA Council. As a guiding principle, CRDHA Public Members provide accountability to ensure CRDHA operates in the interest of the public. On behalf of the CRDHA Council and members we extend our appreciation to Arlaine Monaghan and Bill Katz who have diligently completed their terms as CRDHA public members. The CRDHA is pleased to welcome two new public members, Jack Belkin and Joshua Jackman. Jack Belkin, Public Member Jack received his primary schooling in Calgary and successfully attained a degree in Business Management from the University of Calgary. He spent over 35 years in the Real Estate Industry attaining extensive professional accreditation while managing several rewarding ventures. As well Jack has a diverse background in merchandizing and distribution. He has managed large portfolios of multifamily housing units. He was responsible for developing the initial Property and Real Estate Management courses at Grant MacEwan Community College where he taught for 10 years. He has had an extensive association with the Edmonton Board of Health. As the Facilities Manager he was responsible for ensuring the public health programs and staff were properly and safely housed in order to provide services to the citizens of Edmonton. Additionally, Jack has very extensive experience as a past member of several municipal and provincial committees and quasi-judicial appeal boards. i.e., City Housing Authorities – Assessment and Development Appeal Boards. Joshua Jackman, Public Member With over ten years of experience in investments, banking, and financial services, I have strong client relationship skills which complement my quantitative abilities. I hold a Bachelor of Science degree in mathematics (minor in economics) from the University of Alberta and my hope is that I can bring my analytical approach to problem-solving and decision-making to the council of the College of Registered Dental Hygienists of Alberta (CRDHA). Prior to my appointment to the CRDHA, I have been involved with the boards and committees of the Government of Alberta’s ministry of health. I know the importance of being involved and positively contributing to change that will improve the lives of people in my province. In addition to serving on these boards, I have a passion for learning and teaching and have volunteered extensively through Junior Achievement, a non-profit organization that strives to educate students on life-skills and business fundamentals. It has been a very rewarding experience to be able to encourage, teach, and motivate a younger generation. I am excited to be on the council and look forward to furthering the cause of the CRDHA by giving my full efforts to help it achieve and exceed its goals. An avid runner, you can find me training on the track or running outdoors in preparation for my first marathon! 15 C R D H A I N T OU C H Continuing Competence REMEMBER that taking on-line courses simply to meet the Continuing Competence Program credit requirements without regard to your learning needs is not acceptable. U of A Continuing Dental Education September 2015 The University of Alberta’s Continuing Dental Education (CDE) program provides specialized education and certification programs to postgraduate dentists, dental hygienists, dental assistants and dental laboratory technicians. TORONTO, ON Canadian Association of Public Health Dentistry September 25 & 26, 2015 www.caphd.ca/professionaldevelopment/caphd-annual-conference Courses of interest to registered dental hygienists include: • • • • Business in Dentistry Dental Hygiene Refresher Course Local Anaesthetic Nitrous Oxide Oxygen Conscious Sedation • Orthodontic Module www.dentistry.ualberta.ca/ ContinuingDentalEducation.aspx Contact: (780) 492-1894 May 2015 CRDHA Annual Continuing Competence Event: Intersections of Aging May 7-9, 2015 Various speakers and workshops. All members of the oral health team may register. Sponsored by CRDHA Contact: [email protected] Online registration starts February 9, 2015, http://accevent.crdha.ca August 2015 ST. JOHN’S, NFLD Canadian Academy of Periodontology CAP annual meeting August 26-29 2015 www.cap-acp.ca/ 16 C R D H A A N N U A L C O N T I N U I N G C O M P E T E N C E E V E N T • M AY 7 - 9 , 2 015 • E D M O N TO N , A L B E R TA 2015 Community Connections Showcase Premium Supporters DRUMHELLER. AB Alberta Seniors September 29 & 30, 2015 The Grey Matters Conference is a twoday event that offers provincial service providers opportunities to network, gain knowledge and increase awareness of issues, supports and services for seniors. www.greymatters2015.com/ September 2015 VICTORIA, BC Canadian Dental Hygienists Association September 25 & 26, 2015 October 29-31, 2015 www.cdha.ca Valued Supporters • Alzheimer Society, Alberta and NWT • Alberta Health Services: Population, Public and Aboriginal Health, Healthy Living • Canada Vigilance: MedEffect Program • Canadian Dental Hygienists Association • Colgate • Coltene • Government of Alberta: Elder Abuse Prevention • Hedy Canada • Hu-Friedy • Oral Dent Pharma • Oral Science • Orascoptic • Philips • Primary Care Networks Program Management Office • Premier Dental Products • Sterling Dent-a-Prises • Sunstar • Valuemed S P R I N G 2 015 U of A Continuing Dental Education Independent Dental Hygiene Practice The University of Alberta’s Continuing Dental Education (CDE) program provides specialized education and certification programs to postgraduate dentists, dental hygienists, dental assistants and dental laboratory technicians. If you are a CRDHA member who is Using innovative, evidence-based educational activities, CDE develops, provides and evaluates learning opportunities and resources and as a result, the CDE participants are better able to meet their own professional development requirements. Courses of interest to registered dental hygienists include: • • • • • Business in Dentistry Dental Hygiene Refresher Course Local Anaesthetic Nitrous Oxide Oxygen Conscious Sedation Orthodontic Module Examples of specific courses that are offered: • April 11, 2015 Topics in Periodontics, Edmonton • April 25, 2015 Ultrasonics, Calgary •April 24-26, 2015 Nitrous Oxide and Oral Sedation Program, Calgary •May 2, 2015, Common Clinical Problems in Oral Medicine and Pathology •May 23-24, 2015 Local Anaesthetic Clinical Refresher •October 3, 2015 Alberta Pediatric Dentistry Endowed Lectureship considering setting-up an independent dental hygiene practice please contact the CRDHA to access a series of emails with information related to independent practice. Contact us early for guidance on addressing legislative requirements and business resources. For more information contact Darlene Fraser, Member Services Coordinator Phone: (780) 465-1756 or TF 1-877-465-1756 Email: [email protected] April 27 - May 1, 2015 (5-Day course) Course and content are subject to confirmation. April 27 -dates May 8, 2015 (10-Day course) Certain courses are subject to limited enrollment; School of Dentistry, Faculty of and Dentistry, University participants are enrolled onMedicine a first-come-first-served of Alberta, Edmonton, Alberta basis. Please contact the Division of Continuing Dental Education at [email protected], or 780-492-1894 For further information about the to U place of A’syour CDEname on the contact listopportunities for further information and details about this course. learning visit www.dentistry.ualberta.ca/ ContinuingDentalEducation.aspx or email Please visit www.dentistry.ualberta.ca/CDE for course information [email protected] and registration in early 2015 U of A Dental Hygiene Refresher Course April 27 - May 1, 2015 (5-Day course) April 27 - May 8, 2015 (10-Day course) Contact: [email protected] www.mydentalhygienist.ca Please contact APPDHA directly for more information about joining this organization for independent dental hygiene practitioners. Please note: The CRDHA is not affliated with this organization and does not have further information. School of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta Please contact the Division of Continuing Dental Education at [email protected], or 780-492-1894 to place your name on the contact list for further information and details about this course. Please visit www.dentistry.ualberta.ca/CDE for course information and registration in early 2015 17 C R D H A I N T OU C H Continuing Competence Online Assigning Program Credits for Online Courses Following are some online sites which were accessible at the time of printing this newsletter. Providers may assess a user fee and/or require registration with user name and password. The CRDHA Competence Committee determines the eligibility of specific courses for Continuing Competence Program credit. CRDHA Continuing Competence Program (CCP) Rule 9.1.3 Self Directed Study states: ”Program credits are granted according to recommendations made by the course provider, the publisher, or the Competence Committee, with consideration given to the amount of time necessary to cover the material and to take the examination. Assignment of program credits will not include the additional time the registrant takes to study or review the materials.” The Competence Committee makes the final approval for the number of credits awarded for any course. Canadian Dental Hygienists Association (CDHA) www.cdha.ca Some CDHA courses have limitations on the eligibility for CCP credit. Refer to the CDHA Course Credit Table. American Dental Association www.adaceonline.org American Dental Hygienists Association www.adha.org/CE_courses/index.html On behalf of the University of Alberta Dental Students’ Association, I wanted to thank you once again for choosing to sponsor our Annual SPRING Charity Ball. We were able to raise $42,500 for “Dentistry for All”, making this our most successful year to date. This would not have been possible without your thoughtful generosity. Thank you so much. Cheyanne Olsen 18 The Competence Committee has determined that the number of credits allocated to some courses by the course providers is not consistent with the content of the courses. The Competence Committee considered the allocation of program credit from the following online course providers and determined the following: Courses from these providers named below are eligible for 50% of the credits indicated by the provider. Crest Oral B/Proctor and Gamble; (Dental Resources; Dental Care) www.dentalcare.com/en-CA/index.jspx Forsyth Institute (Colgate Oral Care Report) https://secure.colgateprofessional.com/app/ cop/ocr/ Hygienetown www.towniecentral.com INR Biomed Paper based courses I Need CE (Penwell, Hu-Friedy) www.ineedce.com Pharmacy Times: Courses relate mostly to the Pharmacy Profession. www.pharmacytimes.com CDE World www.cdeworld.com/courses Courses from these providers named below are eligible for the number of the credits indicated by the provider. American Dental Association www.adaceonline.org American Dental Hygienists Association www.adha.org/careerinfo/continuing_ education.htm Dental Learning Network (Academy of Dental Learning) www.fice.com Dimensions of Dental Hygiene (Belmont) https://dimensions.absorbtraining.com/#/ login Health Studies Institute www.healthstudies.com Public Health Agency of Canada: Skills Enhancement for Public Health www.phac-aspc.gc.ca/php-psp/ccphcesp/index-eng.php Online continuing dental education is a convenient way to learn at your own pace, anywhere, anytime. The CRDHA Continuing Competence Program Rule 7.4 stipulates: “In the event that a learning activity continues into the evening hours, a maximum of 10 program credits per 24-hour period may be claimed.” S P R I N G 2 015 Resources Make the most of your CRDHA Annual Continuing Competence Event participation. Join dental hygiene colleagues at the Pre-Event Thursday, May 7, 2015 for practice-related workshops: Protect Yourself and Others. http://accevent.crdha.ca Pre-registration required. Setting up a Dental Hygiene Practice Are you considering setting up an independent dental hygiene practice? If so, as you research setting up your dental hygiene practice CRDHA staff can assist you. Call us to talk about your initial ideas so we can provide you regulatory and practical information that could save you from costly “experiential learning experiences” (sometimes referred to as mistakes). CRDHA has developed the Informed Entrepreneur as an introduction to setting up a practice. We also have a series of practice-related emails that we can send to those people who are seriously considering setting up a practice. If you have done your research and developed your business plan CRDHA staff can provide feedback on the following: This book has information from a Canadian perspective and while it is not a “cookbook” it does provide basic information required to plan, start and manage a small business or some form of selfemployment. The style of the text is intended to: • Show you where to get help • Use your learning time efficiently • Use your existing knowledge • Get you moving It can be ordered from your favorite bookstore. • your business plan. • y our draft floorplan. Send it to us at least 3 months before you break ground or make equipment purchases. • y our customized draft Infection Prevention and Control manual. • y our draft promotional materials (website, print advertising, radio spots) Send at least 1 month before you initiate or have them printed. The Canadian Dental Hygienists Association (CDHA) offers an online Certificate Program: Independent Practice for Dental Hygienists. Check the CDHA website www.cdha.ca for updates. CDHA’s informative and practical program will provide the necessary knowledge and tools for dental hygiene entrepreneurs to move forward with their dream of establishing and operating their own practices. 19 C R D H A I N T OU C H Your source for brain development albertaQuits free | convenient | personalized call helpline toll-free for information, counselling and referral click online quit with powerful tools, advice and 24/7 support Look for our spring issue on newstands or call 403.943.1993 for copies. be healthy | be well | be informed applemag.ca 20 Join groups group support programs for adults albertaquits.ca 1-866-710-7848 free, convenient, personalized support to quit tobacco. S P Rfall I N G 2 014 5 Advocacy Toolkit now available PMS 527 (PA CDHA wants Canada’s federal and provincial decision makers to understand just how vital oral health is for all Canadians. Our goal is to make the voices of dental hygienists, and those we serve, heard and understood. CDHA members who support our advocacy efforts in their local communities will help to ensure our success. To that end, we have developed an Advocacy Toolkit that includes key oral health messages for you to convey to your elected representatives, a letter template, meeting guide, and other resources. Download it today and join the movement to keep governments focused on oral health care as a priority for Canadians! Visit with CDHA staff at our booth at the upcoming CRDHA Annual Continuing Competency (ACC) event in Calgary, April 24-26, 2014. www.cdha.ca/advocacy DVD Q uarter ly of Dental Hygiene Add to your Continuing Competence Program credits at home Completion Certificates 12 hr/yr CDHA Members Receive a 25% Pricing Discount CDHA Member Cost $149.95 + 13% HST = $169.45 (CDHA non-member cost $199.95 + 13% HST = $225.95) Vi s i t w w w. d v d q u a r t e r l y. c o m t o s u b s c r i b e , o r c a l l 1 - 8 6 6 - 9 9 9 - 2 9 9 9 21 Return undeliverable Canadian addresses to: College of Registered Dental Hygienists of Alberta 302, 8657 51 Avenue NW Edmonton, AB T6E 6A8 Canadian Publications Agreement #40012431
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