Dietry

Dental Nutrition Patient Counseling and Reflection Paper Grading Rubric

Patient Appt 1

Poor 1 pt

Fair 2 pts

Good 3 pts

A. Patient Selection

CRITICAL ERROR: 0 pts

Patient was identified prior to initiation and/or completion of assessment.

o Patient was persuaded to participate to fulfill student requirement OR

o Did not adequately identify oral habit or condition that would benefit from dental nutritional counseling OR

o Did not identify any significant factors or daily routine habits that may impact oral health OR

o Not a suitable patient for nutritional counseling by dental hygiene student

o Patient was marginally suitable for nutritional counseling by dental hygiene student OR

o Inadequately identification of significant habits or daily routine habits that may impact oral health OR

o Nutritional issue(s) that may improve dental health as a result of counseling are slight.

o Excellent patient choice AND

o Patient participated as a result of preventative need presented by student AND

o Student completed all assessment prior to identifying patient AND

o Student identification of significant factors or daily routine habits that may impact oral health AND

o Has a nutritional issue(s) that may improve dental health as a result of counseling.

B. Medical and Dental History

o Did not adequately discuss medical or dental history OR

o Did not identify factors from medical and dental history that would benefit from nutritional counseling

o Some details of medical history or dental history were excluded OR

o Did not identify all factors from medical and dental history that would benefit from nutritional counseling

o All of the patient’s medical and dental history was discussed AND

o Indicated factors from medical and dental history that demonstrated the patient would benefit from nutritional counseling

C. Caries Risk Score and Form, Frequency, Timing of Foods

o Caries risk score not addressed OR

o Forms of sugars primarily consumed by patient on 24 hour food record not discussed OR

o Incorrectly identified dietary factors in regards to form, frequency and timing that could have an impact on oral health

o Caries risk score minimally addressed OR

o Forms of sugars primarily consumed by patient on 24 hour food record briefly discussed OR

o Partially identified dietary factors in regards to form, frequency and timing that could have an impact on oral health

o Caries risk score properly addressed AND

o Forms of sugars primarily consumed by patient on 24 hour food record discussed in detail AND

o Correctly identified dietary factors in regards to form, frequency and timing that could have an impact on oral health

D. Dietary Analysis Using Food Tracker

o Analysis of dietary intake was incomplete or inaccurate OR

o Dietary goals specific to oral health not set.

o Analysis of dietary intake was incomplete or inaccurate OR

o Dietary goals specific to oral health inaccurate.

o Analysis of dietary intake was evaluated and complete AND

o Appropriate dietary goals specific to oral health set.

In between Appt

#1 and #2

Poor 1 pt

Fair 2 pts

Good 3 pts

Faculty meeting to Review Patient Info prior to Counseling

o Student not fully prepared OR

o Incomplete analysis OR

o No patient recommendations

o Inadequate list of patient recommendations

o Well prepared—had all requested information AND

o Dietary analysis completed AND

o Adequate list of patient recommendations

Patient Appt #2

Poor 1 pt

Fair 2 pts

Good 3 pts

A. Presentation of Findings and Recommendations to Patient

o No counseling provided OR

o Progress notes incorrectly written/incomplete

o Incomplete counseling, did not address all deficiencies noted in Food Tracker or Nutrients Report

o Complete counseling provided AND

o Correctly documented in progress notes.

B. Application of Knowledge

o Student does not clearly demonstrate the relationship of diet to dental disease when providing nutritional counseling to the patient

o Student shows some understanding of relationship of diet to dental disease, but fails to apply the knowledge in a logical manner for patient

o Student demonstrates clear understanding of relationship of diet to dental disease as demonstrated by the educational service provided to the patient

C. Forms and Records

o No documentation of nutritional counseling noted in progress notes OR

o Written nutritional recommendations not completed prior to sending patient home with their Food Record

o Incomplete documentation of progress notes OR

o Inaccurate or incomplete written nutritional recommendations given prior to sending patient home with their Food Record

o Correct documentation on all progress notes AND

o Accurate and complete written nutritional recommendations given prior to sending patient home with their Food Record

Identification of Nutrition Patient

Patient name: ________________________________ Date: _______________

Scheduled Review Appointment with Clinic Coordinator

Date of appt: ________________ Signature: ____________________________

Provide dental nutrition Counseling in Clinic

Date of Patient Follow-up Appointment; __________________

Faculty Signature: ___________________________________________