Care home staff knowledge of oral care compared to best practice: a West of Scotland pilot study

Young, Beth; Murray, Christian; H., Thomson, J. E.

doi:10.1038/sj.bdj.2008.894

Cited by 35 publications

(42 citation statements)

References 21 publications

(20 reference statements)

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“…Authors have pointed to a lack of cooperation by the institutionalized elderly as a major obstacle to oral hygiene, especially in those with cognitive impairment, referring to their incapacity to perform the task and their failure to follow advice in this respect. Other researchers have implicated the shortage of time of caregivers and their lack of training on hygiene and oral health . However, few data are available on caregiver‐related obstacles to oral hygiene in non‐institutionalized patients with dementia.…”

Section: Discussionmentioning

confidence: 99%

Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia

Gil-Montoya

Sánchez-Lara

Carnero-Pardo

et al. 2016

J American Geriatrics Society

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The control of bacterial dental plaque through daily oral hygiene is essential to prevent oral diseases such as caries or periodontal disease, especially in at-risk populations, including the elderly with mild cognitive impairment and dementia. The aim of this study was to determine the association between different levels of cognitive impairment and dementia in an elderly population and their capacity to maintain adequate oral hygiene. A case-control study (elderly with versus without mild cognitive impairment or dementia) was performed in Granada, Spain. Outcome variables were tooth/prosthesis-brushing frequency/day, bacterial plaque index, and gingival bleeding index. Statistical models were adjusted by age, sex, educational level, and tobacco and alcohol habits. The study included 240 cases and 324 controls. The final model, adjusted by age, sex, educational level, and tobacco and alcohol consumption, showed a significant association between degree of cognitive impairment and daily oral hygiene, accumulation of bacterial plaque, and gingival bleeding. In summary, deficient daily oral hygiene, evidenced by greater bacterial dental plaque accumulation and gingival inflammation, is independently associated with cognitive impairment, even at its earliest stage.

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Section: Discussionmentioning

confidence: 99%

Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia

Gil-Montoya

Sánchez-Lara

Carnero-Pardo

et al. 2016

J American Geriatrics Society

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“…Lack of oral‐care routines seems to be widespread, which makes it up to the individual nurse if and how daily oral care is carried out (9, 10). It is also commonly claimed that the nursing home staff do not possess sufficient knowledge to accomplish this kind of task (6–8, 11, 12). Accordingly, there seems to be a need for a uniform verifiable system that assures the quality of the work performed.…”

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confidence: 99%

Long‐term effect of an oral healthcare programme on oral hygiene in a nursing home

Samson

Berven²,

Strand

2009

European J Oral Sciences

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This article reports on the long-term effect of an oral healthcare programme aimed at improving and maintaining the oral hygiene of elderly residents in a nursing home. The method was based on (i) motivation and oral-care training of the nursing staff, (ii) production of picture-based oral-care procedure cards, (iii) distribution of adequate oral-care equipment, (iv) practical implementation of new routines, and (v) assessment of results attained. The level of oral hygiene in the nursing home was assessed using the mucosal-plaque score (MPS) index. Overall evaluation was made before the start of the study, after 3 months, and eventually after 6 yr. Before implementation of the oral healthcare programme, 36% of the residents had an acceptable score. Six years later, the proportion was 70%. The evaluation showed that the introduction of such an oral healthcare programme significantly improved the oral hygiene of the residents on a long-term basis. However, 30% of the residents did not achieve an acceptable score because they were very ill or dying, aggressive or wanted to brush their teeth themselves.

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“…Also, an evaluation of the bivariate analysis showed that being trained at one's current facility, as well as having had previous oral care training, was significant. In a similar study of home care service providers, 76.5% had received training in oral care, while in another study, 57% of managers and 49% of nurses had received training. Other studies of nurses’ aides have shown that providers who were not adequately trained to provide oral hygiene for consumers with SHCN reported many challenges when attempting to provide oral health care.…”

Section: Discussionmentioning

confidence: 99%

Group home caregivers' comfort levels regarding physical resistance during oral hygiene care

Risma¹,

Weber‐Gasparoni

Swenson

et al. 2015

Special Care in Dentistry

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The purpose of this study was to investigate perceived comfort levels, behaviors, and barriers reported by group home caregivers who provide oral hygiene measures to consumers with special health care needs (SHCN) who physically resist the care. A 24-item survey was sent to 884 caregivers employed at six care facilities in Iowa. Bivariate analyses and logistic regression models were used to analyze the data (alpha = 0.05). The overall response rate was 52%. An analysis of the data indicated that caregivers who felt more comfortable providing oral hygiene for consumers who physically resisted the care experienced a higher frequency of consumers not opening their mouths (p = 0.0003), pushing the caregiver away (p = 0.0002), moving their heads uncontrollably (p = 0.0004), spitting at (p = 0.0099), hitting and/or kicking the caregiver (p = 0.0011). Furthermore, these caregivers provided weekly direct care for a greater number of consumers (p = 0.0044), received oral care training from their current facility (p = 0.0424), brushed the teeth of uncooperative consumers at least 75% of the time (p < 0.0001), and felt "somewhat comfortable to very comfortable" flossing their teeth (p < 0.0001). The caregivers' comfort level in providing oral hygiene measures to those consumers with SHCN who physically resist the care appears to be significantly associated with their training and experience working with this population.

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Care home staff knowledge of oral care compared to best practice: a West of Scotland pilot study

Cited by 35 publications

References 21 publications

Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia

Oral Hygiene in the Elderly with Different Degrees of Cognitive Impairment and Dementia

Long‐term effect of an oral healthcare programme on oral hygiene in a nursing home

Group home caregivers' comfort levels regarding physical resistance during oral hygiene care

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