JCPSLP Vol 20 No 3 November 2018

Appendix MOHAT tool

MOHAT SCORE RISK CATEGORY ORAL CARE REGIME Score: 0 Usual Care Pre-Breakfast:

Post-Dinner: Clean teeth, gums, tongue Clean teeth, gums, tongue Post-Dinner: Clean teeth, gums, tongue Clean teeth, gums, tongue Pre-Breakfast:

Score: 1-2

Low Risk

Oral Health Assessment

Additional Care Required:

• Low risk category = score of 1 or 2 on some risk areas. • Indicate additional cares required as per these assessment scores. • Repeat oral health assessment in 7 days.

Risk Areas:

Poor awareness of

Post-Oral Intake – Check oral cavity for residue post-meal and clear as needed As Required – Apply sterile white soft paraffin to lips As Prescribed – Administer topical medication as per MO direction As Required – Ensure patient able to access oral care equipment

oral residue

Dry lips

Oral Candidiasis

Impaired mobility

OTHER:

Other cases (please outline):

Increase frequency of cares

Score: 3-8

Medium Risk Pre-Breakfast:

Post-Breakfast: Clean teeth, gums, tongue Mouthwash, artificial saliva product, sterile white soft paraffin to lips Pre-Lunch: Post-Lunch: Clean teeth, gums, tongue Artificial saliva product Between Lunch and Dinner: Artificial saliva product Pre-Dinner: Post-Dinner: Clean teeth, gums, tongue Mouthwash, artificial saliva product, Soft paraffin to lips sterile white soft paraffin to lips Post-Breakfast: Clean teeth, gums, tongue Mouthwash, artificial saliva product, sterile white soft paraffin to lips Pre-Lunch: Post-Lunch: Clean teeth, gums, tongue Artificial saliva product Between Lunch and Dinner: Artificial saliva product Pre-Dinner: Post-Dinner: Clean teeth, gums, tongue Mouthwash, artificial saliva product, Soft paraffin to lips sterile white soft paraffin to lips Overnight (Optional based on patient preference) Apply artificial saliva product Pre-Breakfast:

• Repeat oral health assessment 3rd day to determine whether frequency of care can be reduced

Score: 9-16

High Risk

• Repeat oral health assessment 2nd day to determine whether frequency of care can be reduced

Name:

Signature:

Destination:

Date: / /20

Time: : hrs

** Patients are encouraged to complete oral cares independantly if able to do so, if support is provided a nursing staff member provides necessary support, supervision or assistance with oral care completion following a training session with the speech pathologist outlining routine oral care completion. Adapted from Chalmers et al. (2005, p. 199).

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JCPSLP Volume 20, Number 3 2018

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