Part 6: Practice Test
OHCP Practice Test
Practice using the Oral Health Care Plan (OHCP) by viewing the form for Mrs. Ethel Pulikowski, who is being admitted to your nursing home.
Mrs. Pulikowski has a complete upper denture, which is free of any markings or engraving. She has nearly all of her own bottom teeth remaining. She wears her denture all day but removes it while sleeping. Because she recently fractured her hip and has limited mobility, she needs someone to help with oral care by bringing her toothbrush and other dental products to her. Also, she often needs a reminder to brush her teeth, and to rinse and spit when she is done. However, once a reminder is given and the necessary items brought to her, she is able to clean her own teeth and dentures. Mrs. Pulikowski is under the active care of T. Ethan Gumms, D.D.S., and last visited him two months ago.
OHCP Practice Answer
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Assessment of dentures |
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|---|---|---|
| Upper | Lower | |
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Assessment of natural teeth |
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|---|---|---|
| Upper | Lower | |
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| Interventions for oral hygiene care |
Assessment of Regular Barriers to Care |
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|---|---|---|---|
| Our plan |
We said: | ||
| use mouthswab | No | forgets to do oral hygiene care | Yes |
| use electric toothbrush | No | refuses oral hygiene care | No |
| use suction toothbrush | No | won't open mouth | No |
| use regular toothbrush | Yes | no compliance with directions | No |
| use toothbrush backward bent/2 toothbrushes | No | is aggressive / kicks / hits | No |
| use interproximal toothbrush or floss | Yes | bites toothbrush and/or staff | No |
| use regular fluoride toothpaste morning/night | Yes | can't swallow properly | No |
| scrub denture(s) with soap and water morning/night | Yes | can't rinse or spit | No |
| soak denture(s) at night in water/denture tablet | Yes | constantly grinding / chewing | No |
| use saliva substitute for dry mouth | No | head faces downward/moves | No |
| use fluoride varnish or other fluoride products | No | won't take dentures out at night | No |
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use chlorhexidine mouthrinse (as prescribed by a dentist or medical director) |
No | dexterity or hand problems/arthritis | No |
| Other | No | refuses assistance from caregiver | No |
| other | No | ||
Commentary
Mrs. Pulikowski needs to have her dentures cleaned regularly and her teeth cleaned with a fluoride toothpaste.
Oral Hygiene Care Plan (Chalmers, 2004 for use by the Iowa Geriatric Education Center; reviewed by Marchini, 2016; Review 2023)