1 |
When registering the families, CHW should access information that helps to identify the groups of oral health promotion, protection, and recovery actions. |
2 |
The CHW may contribute to identifying the groups of oral health actions by using indicators of oral health diseases. |
3 |
The CHW should identify simultaneous risk or protection factors for diseases of the oral cavity and other diseases (diabetes, hypertension, obesity, cancer, and people with disabilities). |
4 |
The CHW should identify the main risk factors, such as lack of access to oral hygiene products, excessive and frequent sugar intake, and frequency of dental visits of the families. |
5 |
Mouth cancer is among the main causes of death by neoplasia. Its prevention is simple by focusing on health promotion, increased access to health services, and early diagnosis. The CHW should identify risk situations for mouth cancer in families, such as smoking, alcoholism, and exposure to solar radiation. |
6 |
Programed health care is characterized by people registered in the area who are included in the priority group of the health care unit and require continuing care. It is up to CHW, along with the OHT and the community, to identify these groups. |
7 |
It is up to CHW to identify people with special needs who need to be classified as a priority dental care group. |
8 |
The oral health risk groups identified by CHW are based on criteria of frequency, risk, and vulnerability to diseases, according to the needs of the local population. |
Mapping the Coverage Area
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9 |
Mapping the coverage area of CHW should contribute to diagnose and plan OHT actions. It should also provide relevant oral health information, including access to piped water, private dental offices, and infrastructure of services available. |
10 |
The oral health mapping should identify information in the registration of families regarding oral health risk groups and situations. |
11 |
This map should also identify priority dental care groups. |
12 |
The OHT should cooperate with CHW to formulate this oral health mapping. |
13 |
The mapping should allow the OHT and CHW to assess interdisciplinary risk situations that relate oral health to other health problems. |
Home Visits
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14 |
During home visits, CHW should comply with the plan developed along with the OHT, based on the needs of every family. New risk situations or groups may be identified during the visit, requiring a new plan. |
15 |
During home visits, CHW should stimulate self-care practices in patients for oral health prevention and promotion. |
16 |
During home visits, CHW should identify situations that require diagnosis, treatment, and rehabilitation measures and refer them to the OHT. |
17 |
The oral health home visits should be planned along with the OHT. |
18 |
The CHW may perform educational and preventive procedures in the households, according to the plan established along with the OHT. |
19 |
The CHW should prioritize home visits to oral health risk groups and situations, according to the diagnosis and planning established along with the OHT. |
Work with Community Health Education
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20 |
The content that CHW may address in educational actions includes oral diseases, diagnosis, and prevention; self-care, oral hygiene, toothbrushing with fluoridated dentifrices, and use of dental floss; instructions about diet, oral self-examination, and care after dental trauma; and consumption of alcohol, tobacco, and drugs. |
21 |
The actions of CHW in educational activities should be planned along with the OHT, defining actions per cycle, living conditions, and common risk factors to several diseases. |
22 |
The oral health educational activities performed by CHW should comply with the methodologies and didactics defined along with the OHT. |
23 |
It is up to CHW, during health educational activities, to explain the functioning of oral health care provided by the city, including information about making appointments, procedures performed, the modality of health care, and secondary and tertiary health care flow. |
24 |
The CHW should support and develop oral health activities with the other members of the Family Health Team, integrating health actions in an interdisciplinary manner. |
25 |
The oral health educational activities performed by CHW should not overlap the activities performed by the OHT and they should have a complementary character of oral health surveillance and promotion, as defined in the action plan. |
Participation in the Community
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26 |
It is up to CHW to exchange knowledge with the community of their micro-area, helping the OHT to develop strategies to face the existing problems. |
27 |
The knowledge exchange by CHW with the community may help the OHT to identify the challenges faced by the population regarding access to oral health care in BHU. |
28 |
The CHW should identify social spaces in their micro-area, contributing to the oral health planning of the health team. |
29 |
The CHW should verify oral health challenges in the community and strategies suggested for facing the problems. |
30 |
During the work process, CHW should know, in the community, the living conditions, habits, and measures to solve problem situations and prevent oral health diseases. |
Intersectoral Work
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31 |
It is up to CHW to identify sectors and players outside the health field who may contribute to the planning of oral health actions. |
32 |
The identification of these sectors by CHW should be based on criteria of risk, work potential, and resources available for oral health work. |
33 |
The CHW should recognize conditionalities that interfere with the oral health of individuals such as participation in government social programs (e.g., Bolsa Família) or any other similar income transfer program. |
34 |
The CHW, along with the OHT, should participate in the planning of actions of the School Health Program, helping to identify criteria of risk, resources available, and performance of collective procedures. |