An oral health care guideline for institutionalised older people

Visschere, Luc M. J. De; Putten, Gert-Jan van der; Vanobbergen, Jacques; Schols, Jos M. G. A.; Baat, C. de

doi:10.1111/j.1741-2358.2010.00406.x

Cited by 50 publications

(56 citation statements)

References 8 publications

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“…To evaluate the factors associated with the frequency of the two dependent variables, they were categorized as `≥ once a day´ and `< once a day´, based on recom-mendations available in the literature (18,19) and on existing protocols in Spain ( Table 1). …”

Section: Methodsmentioning

confidence: 99%

Oral health care activities performed by caregivers for Institutionalized elderly in Barcelona-Spain

Cornejo-Ovalle¹,

Lima²,

Pérez³

et al. 2013

Med Oral

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Objectives: To describe the frequency of brushing teeth and cleaning of dentures, performed by caregivers, for institutionalized elderly people. Methods: A cross-sectional study in a sample of 196 caregivers of 31 health centers in Barcelona. The dependent variables were frequency of dental brushing and frequency of cleaning of dentures of the elderly by caregivers. The independent variables were characteristics of caregivers and institutions. We performed bivariate and multivariate descriptive analyses. Robust Poisson regression models were fitted to determine factors associated with the dependent variables and to assess the strength of the association. Results: 83% of caregivers were women, 79% worked on more than one shift, 42% worked only out of necessity, 92% were trained to care for elderly persons, 67% were trained in oral hygiene care for the elderly, and 73% recognized the existence of institutional protocols on oral health among residents. The variables explaining the lower frequency of brushing teeth by caregivers for the elderly, adjusted for the workload, were: no training in the care of elderly persons (PRa 1.7 CI95%: 1.6-1.8), not fully agreeing with the importance of oral health care of the elderly (PRa 2.5 CI95%: 1.5-4.1) and not knowing of the existence of oral health protocols (PRa 1.8 CI95%: 1.2-2.6). The variables that explain the lower frequency of cleaning dentures, adjusted for the workload, were lack of training in elderly care (PRa 1.7 CI95%: 1.3-1.9) and not knowing of the existence of protocols (PRa 3.7 CI95%: 1.6-8.7). Conclusion: The majority of caregivers perform activities of oral health care for the elderly at least once per day. The frequency of this care depends mainly on whether caregivers are trained to perform these activities, the importance given to oral health, the workload of caregivers and the existence of institutional protocols on oral health of institutionalized elderly persons. Key words:Institutionalized elderly, caregivers, oral hygiene, long-term care, oral health.

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Section: Methodsmentioning

confidence: 99%

Oral health care activities performed by caregivers for Institutionalized elderly in Barcelona-Spain

Cornejo-Ovalle¹,

Lima²,

Pérez³

et al. 2013

Med Oral

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“…Oral health care in long‐term care institutions is usually poor, and seeking answers for how to fix it has stimulated much research and debate, but no resolution has been achieved . A recent study suggested that an effective training program for caregivers to provide oral hygiene for residents should include more than a couple hours of lectures, and needs the training of oral health “champions”—caregivers who would be responsible for training their peers and supervising oral hygiene in a nursing home.…”

Section: Promoting Oral Health Care For Patients With Alzheimermentioning

confidence: 99%

Oral health care for patients with Alzheimer's disease: An update

Marchini

Ettinger

Caprio

et al. 2019

Special Care in Dentistry

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Alzheimer's disease and related disorders (ADRD) are among the age‐associated chronic conditions that are most challenging to health care systems around the globe, as patients with dementia require full‐time, intensive care for multiple years. Oral health care is negatively impacted by cognitive decline, and consequently poor oral health is common among people with ADRD. Poor oral health status is linked with many undesirable consequences for the well‐being of people with ADRD, from excruciating local pain to life‐threatening conditions, as aspiration pneumonia. In this paper, the authors provide an update on the most current concepts about Alzheimer's disease epidemiology, etiology, and management, current oral health care for patients with Alzheimer's disease, oral health promotion strategies for this population, as well as current research and future direction for improving oral health care for patients with Alzheimer's disease. It concludes that oral health care should be included in the patient's routine health care as early as possible in the progression of Alzheimer's disease for preventing rapid oral health deterioration. Establishing oral hygiene routines and providing dental treatment that is customized to the patients’ individual needs and disease stage are important to achieve good oral health outcomes and prevent quality of life decline.

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“…At dental hygienist visits, oral hygiene instructions were reinforced and the DH brushed patients’ teeth. For Group C, Chlorhexidine varnish (FDA approved chemical adjuvant (1% chlorhexidine varnish 1% thymol – Cervitec Plus, Ivoclar Vivadent) 38, 53-56 was applied monthly by the DH to all available natural tooth surfaces. Chlorhexidine varnish was selected over fluoride varnish or silver nitrate since it also might help to reduce microbial burden, thereby improving periodontal health along with protecting against caries 55, 56 , which is desirable for the elderly population.…”

Section: Methodsmentioning

confidence: 99%