Jul 22, 2024  
College Catalog 2022-2023 
College Catalog 2022-2023 [ARCHIVED CATALOG]

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DNHY 2020 - Patient Management Capstone

Credit Hours: 3.00

Prerequisites: Admission into the Dental Hygiene Program; DNHY 2010 , DNHY 2012 , DNHY 2012 , and DNHY 2015  all with grade C or better

Corequisites: PHIL 2100 , DNHY 2022 , DNHY 2024 , and DNHY 2025  

This course provides explores the anatomy, microbiological, pharmacological, assessment, and treatment practices for various special needs populations. Students acquire an in-depth understanding of the treatment approaches for patients with medical, physical, and other special considerations as well as a comprehensive review of the dental hygiene theory, concepts, and techniques taught in the preceding semesters in preparation for the written board and clinical practice. 

Billable Contact Hours: 3

When Offered: Winter semester only

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Transfer Possibilities
Michigan Transfer Network (MiTransfer) - Utilize this website to easily search how your credits transfer to colleges and universities.
Outcome 1: Upon completion of this course, students will be able to discuss the principles of dental hygiene utilizing critical thinking and problem-solving skills.


  1. Develop test taking strategies for the dental hygiene board exams.
  2. Construct dental hygiene board exam questions.
  3. Assess objective and subjective patient findings to formulate an evidenced- based, patient-centered dental hygiene diagnosis.
  4. Compile intervention strategies that promote and maintain oral health.
  5. Take part in mock board exams.

Outcome 2: Upon completion of this course, students will be able to demonstrate the systematic methodology of care.


  1. Discuss the proper use of armamentarium and equipment for providing care to all ASA patient levels.
  2. Discuss successful patient dental management techniques for diverse patient populations.
  3. Assess dental hygiene treatment plans for the prevention and or treatment of oral diseases.
  4. Assess the need for adjunctive topic chemotherapeutic and controlled released agents.
  5. Assess the need for initial and supportive periodontal therapies.
  6. Assess the need for pain and anxiety management strategies.

Outcome 3: Upon completion of this course, students will be able to discuss the general characteristics of dental practice acts.


  1. Discuss the supervision levels of the dental hygienist as defined in the Michigan Dental Practice Act.
  2. Compare the supervision levels of the dental hygienist as defined in the Michigan Dental Practice Act to other States.
  3. Discuss the dental hygiene license application process in the State of Michigan.
  4. Discuss how ethical theories affect ethical decision-making.

Outcome 4: Upon completion of this course, students will be able to apply the principles of data collection.


  1. Construct comprehensive medical history documents based on appropriate follow-up questions and medical references.
  2. Assess a patient’s assessments for contraindications in dental hygiene care.
  3. Analyze treatment modifications based on contraindications.
  4. Choose the correct diagnostic aids to determine and record the vital signs of a patient.
  5. Choose the correct technique to perform an extraoral and an intraoral examination.
  6. Construct documentation of clinical findings using appropriate descriptive terminology.
  7. Formulate the care level of a patient based on assessment data.
  8. Construct a dental hygiene treatment plan based on patient needs.
  9. Assess a patient’s periodontal health.
  10. Choose the appropriate diagnostic aids to chart a patient’s periodontal findings.
  11. Choose the appropriate diagnostic aids to chart a patient’s supra and subgingival calculus.
  12. Choose appropriate diagnostic aids to chart a patient’s caries and restorative findings.
  13. Assess a patient’s oral hygiene through completion of a patient hygiene performance (PHP) index.
  14. Assess a patient’s general and oral health status at subsequent appointments using the appropriate diagnostic aids.
  15. Construct all patient records and clinical forms promptly, accurately, and legibly.
  16. Obtain acceptable X-Rays/images.
  17. Interpret dental X-Rays/images in terms of diagnostic quality and findings.

• Communication: The graduate can communicate effectively for the intended purpose and audience.
• Critical Thinking: The graduate can make informed decisions after analyzing information or evidence related to the issue.
• Global Literacy: The graduate can analyze human behavior or experiences through cultural, social, political, or economic perspectives.
• Information Literacy: The graduate can responsibly use information gathered from a variety of formats in order to complete a task.
• Quantitative Reasoning: The graduate can apply quantitative methods or evidence to solve problems or make judgments.
• Scientific Literacy: The graduate can produce or interpret scientific information presented in a variety of formats.

CDO marked YES apply to this course:
Communication: YES
Critical Thinking: YES
Global Literacy: YES
Information Literacy: YES
Quantitative Reasoning: YES
Scientific Literacy: YES

Week 1: Patient Evaluation and Risk Assessment. 

Week 2: Infective Endocarditis; Hypertension

Week 3: Ischemic Heart Disease; Cardiac Arrhythmia 

Week 4: Heart Failure; Pulmonary Disease; Liver Disease

Week 5: Liver Disease; Gastrointestinal Disease

Week 6: Drugs and Alcohol Abuse

Week 7: Chronic Kidney Disease; Adrenal Insufficiency

Week 8: Diabetes Mellitus; HIV/AIDS (MIDTERM)

Week 9: Thyroid Disease; Common Allergies

Week 10: Rheumatologic Disease; Organ and Bone Marrow Transplantation; Disabilities

Week 11: Cancer and Oral Care for the Cancer Patient

Week 12: Cognitive, Developmental, and Sensory Disorders

Week 13: Neurologic; Behavioral; Psychiatric Patients

Week 14: Disorders of Red Blood and White Blood Cells; Acquired and Congenital Blood Disorders

Week 15: Sleep-related Disorders

Week 16: Geriatric Patient’s; Pregnant or Breast-feeding Patients

Primary Faculty
Ellis, Barbara
Secondary Faculty

Associate Dean
Ellis, Barbara
Mirijanian, Narine

Official Course Syllabus - Macomb Community College, 14500 E 12 Mile Road, Warren, MI 48088

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