A 5‐year follow‐up of older adults residing in long‐term care facilities: utilisation of a comprehensive dental programme

Wyatt, Chris

doi:10.1111/j.1741-2358.2009.00305.x

Cited by 26 publications

(25 citation statements)

References 20 publications

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“…LTC residents have poor oral hygiene and limited access to routine dental care [40]. It has been shown that once a comprehensive dental program is implemented into LTC facilities, residents who receive dental care show improvements in caries rates, periodontal health, and other clinical oral disorders [40]. Living in an LTC facility is a barrier to treatment in and of itself.…”

Section: Discussionmentioning

confidence: 99%

Oral health-related quality of life in an aging Canadian population

Kotzer

Lawrence

Clovis

et al. 2012

Health Qual Life Outcomes

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BackgroundThe purpose of the study is to describe the impact of oral health-related quality of life (OHRQoL) on the lives of pre-seniors and seniors living in Nova Scotia, Canada.MethodsThis cross-sectional study involved 1461 participants, grouped by age (pre-seniors [45–64] and seniors [65+]) and residential status (long-term care facility [LTC] or community). OHRQoL was measured using the 14-item Oral Health Impact Profile questionnaire (OHIP-14) in a random digit dialing telephone survey (for community residents) or a face-to-face interview (for LTC residents). Intra-oral examinations were performed by one of six dentists calibrated to W.H.O. standards.ResultsApproximately one in four pre-seniors and seniors reported at least one OHRQoL impact ‘fairly/very often’. The most commonly reported impacts were within the dimensions ‘physical pain’ and ‘psychological discomfort’. It was found that 12.2% of LTC residents found it uncomfortable to eat any foods ‘fairly/very’ often compared to 7.7% in the community, and 11.6% of LTC residents reported being self-conscious ‘fairly/very often’ compared to 8.2% in the community. Of those residing in the community, pre-seniors (28.8%) reported significantly more impacts than seniors (22.0%); but there were no significant differences in OHRQoL between pre-seniors (21.2%) and seniors (25.3%) in LTC. Pre-seniors living in the community scored significantly higher than community dwelling seniors on prevalence, extent and severity of OHIP-14 scores. Logistic regression revealed that for the community dwelling sample, individuals living in rural areas in addition to those being born outside of Canada were approximately 2.0 times more likely to report an impact ‘fairly/very often’, whereas among the LTC sample, those having a high school education or less were 2.3 times more likely to report an impact.ConclusionsFindings indicate that the oral health and OHRQoL of both pre-seniors and seniors in LTC residents is poor. Community dwelling pre-seniors have the highest prevalence rate of oral impacts.

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Section: Discussionmentioning

confidence: 99%

Oral health-related quality of life in an aging Canadian population

Kotzer

Lawrence

Clovis

et al. 2012

Health Qual Life Outcomes

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“…Dental diseases and dysfunction impact quality of life are known to diminish the pleasures of eating, speaking and social interactions [12, 22]. Overall, the oral health status of residents in long-term care is poor [7, 10, 23–25] and those with dementia experience even higher rates of oral disease [26]. …”

Section: Introductionmentioning

confidence: 99%

Action Planning for Daily Mouth Care in Long-Term Care: The Brushing Up on Mouth Care Project

McNally

Martin‐Misener

Wyatt

et al. 2012

Nursing Research and Practice

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Research focusing on the introduction of daily mouth care programs for dependent older adults in long-term care has met with limited success. There is a need for greater awareness about the importance of oral health, more education for those providing oral care, and organizational structures that provide policy and administrative support for daily mouth care. The purpose of this paper is to describe the establishment of an oral care action plan for long-term care using an interdisciplinary collaborative approach.Methods. Elements of a program planning cycle that includes assessment, planning, implementation, and evaluation guided this work and are described in this paper. Findings associated with assessment and planning are detailed. Assessment involved exploration of internal and external factors influencing oral care in long-term care and included document review, focus groups and one-on-one interviews with end-users. The planning phase brought care providers, stakeholders, and researchers together to design a set of actions to integrate oral care into the organizational policy and practice of the research settings.Findings. The establishment of a meaningful and productive collaboration was beneficial for developing realistic goals, understanding context and institutional culture, creating actions suitable and applicable for end-users, and laying a foundation for broader networking with relevant stakeholders and health policy makers.

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“…By understanding the roles of each profession, the students should be able to effectively collaborate with the other health professionals in the LTC setting in the future. The presence of dental support in LTC providing oral health services has shown to improve the oral health status of elders . However, having dental support in an interdisciplinary care setting and at care conferences may further assist in improving the oral and overall health of the elders in LTC.…”

Section: Discussionmentioning

confidence: 99%

Exploring dental student participation in interdisciplinary care team conferences in long‐term care

2017

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A 5‐year follow‐up of older adults residing in long‐term care facilities: utilisation of a comprehensive dental programme

Abstract: Within the limitations of this study, residents who did consent and receive care showed an improvement in their oral health status after 5 years.

Cited by 26 publications

References 20 publications

Oral health-related quality of life in an aging Canadian population

Oral health-related quality of life in an aging Canadian population

Action Planning for Daily Mouth Care in Long-Term Care: The Brushing Up on Mouth Care Project

Exploring dental student participation in interdisciplinary care team conferences in long‐term care

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