Oral health care in private and small long‐term care facilities: a qualitative study

Mello, Ana Lúcia Schaefer Ferreira de; Padilha, Dalva Maria Pereira

doi:10.1111/j.1741-2358.2008.00238.x

Cited by 27 publications

(50 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[79-82], or have documented barriers to oral care provision for this group, e.g. [83-88], one major barrier to accurate oral care support from nurses remains largely unaddressed. Good oral health of residents is generally not incorporated in the list of performance indicators that serve to evaluate the quality of a residence and its managers.…”

Section: Discussionmentioning

confidence: 99%

The impact of frailty on oral care behavior of older people: a qualitative study

2013

View full text Add to dashboard Cite

BackgroundFrailty has been demonstrated to negatively influence dental service-use and oral self-care behavior of older people. The aim of this study was to explore how the type and level of frailty affect the dental service-use and oral self-care behavior of frail older people.MethodsWe conducted a qualitative study through 51 open interviews with elders of varying frailty in the East-Netherlands, and used a thematic analysis to code transcripts, discussions and reviews of the attributes and meaning of the themes to the point of consensus among the researchers.ResultsThree major themes and five sub-themes emerged from our analyses. The major themes indicate that frail elders: A) favor long-established oral hygiene routines to sustain a sense of self-worth; B) discontinue oral hygiene routines when burdened by severe health complaints, in particular chronic pain, low morale and low energy; and C) experience psychological and social barriers to oral health care when institutionalized. The subthemes associated with the discontinuation of oral care suggest that the elders accept more oral pain or discomfort because they: B1) lack belief in the results of dental visits and tooth cleaning; B2) trivialize oral health and oral care in the general context of their impaired health and old age; and B3) consciously use their sparse energy for priorities other than oral healthcare. Institutionalized elderly often discontinue oral care because of C1) disorientation and C2) inconveniencing social supports.ConclusionThe level and type of frailty influences people’s perspectives on oral health and related behaviors. Frail elders associate oral hygiene with self-worth, but readily abandon visits to a dentist unless they feel that a dentist can relieve specific problems. When interpreted according to the Motivational Theory of Life Span Development, discontinuation of oral care by frail elderly could be viewed as a manifestation of adaptive development. Simple measures aimed at recognizing indicators for poor oral care behavior, and providing appropriate information and support, are discussed.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of frailty on oral care behavior of older people: a qualitative study

2013

View full text Add to dashboard Cite

show abstract

“…There has been little data to investigate these issues in developing countries 16,17,23,27 . and the consequences of this approach, such as high prevalence of periodontal disease, dental caries experience, compromised chewing and lowquality nutritional intake 3,6,16 .…”

Section: Discussionmentioning

confidence: 99%

“…Social communication and self-esteem are also affected 12 . Oral healthcare across the world is commonly neglected by health policies aimed at the elderly and is not adequately considered in most protocols of personal hygiene and general health in hospitals and long-term care (LTC) facilities 4,17 . Oral healthcare across the world is commonly neglected by health policies aimed at the elderly and is not adequately considered in most protocols of personal hygiene and general health in hospitals and long-term care (LTC) facilities 4,17 .…”

Section: Introductionmentioning

confidence: 99%

“…These professionals usually do not receive any specific instructions for oral healthcare for the age group they are dealing with. In addition, it is known that these caregivers face many difficulties and barriers when providing oral care practices for the elderly, due to residents' cognitive and physical impairment and the working environment burden 14,17,21,24 . In addition, it is known that these caregivers face many difficulties and barriers when providing oral care practices for the elderly, due to residents' cognitive and physical impairment and the working environment burden 14,17,21,24 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Caregivers’ attitudes regarding oral health in a long‐term care institution in Brazil

et al. 2012

Self Cite

View full text Add to dashboard Cite

show abstract

“…A lack of oral health knowledge and oral health care skills of even qualified nurses is an important inhibiting factor in achieving an acceptable level of residents' oral hygiene [31]. No prioritisation to oral health care of the residents themselves and their family is another barrier of proper oral health and daily oral hygiene care [32,33]. Furthermore, in many cases a resident's repeated resistiveness is disincentive for nurses and nurse aides, leading to inadequate daily oral hygiene care [34].…”

Section: Introductionmentioning

confidence: 99%

Supervised versus non-supervised implementation of an oral health care guideline in (residential) care homes: a cluster randomized controlled clinical trial

Putten¹,

Visschere

Schols

et al. 2010

BMC Oral Health

View full text Add to dashboard Cite

BackgroundThe increase of the proportion of elderly people has implications for health care services. Advances in oral health care and treatment have resulted in a reduced number of edentulous individuals. An increasing number of dentate elderly people have tooth wear, periodontal disease, oral implants, and sophisticated restorations and prostheses. Hence, they are in need of both preventive and curative oral health care continuously. Weakened oral health due to neglect of self care and professional care and due to reduced oral health care utilization is already present when elderly people are still community-dwelling. At the moment of (residential) care home admittance, many elderly people are in need of oral health care urgently. The key factor in realizing and maintaining good oral health is daily oral hygiene care. For proper daily oral hygiene care, many residents are dependent on nurses and nurse aides. In 2007, the Dutch guideline "Oral health care in (residential) care homes for elderly people" was developed. Previous implementation research studies have revealed that implementation of a guideline is very complicated. The overall aim of this study is to compare a supervised versus a non-supervised implementation of the guideline in The Netherlands and Flanders (Belgium).Methods/DesignThe study is a cluster randomized intervention trial with an institution as unit of randomization. A random sample of 12 (residential) care homes accommodating somatic as well as psycho-geriatric residents in The Netherlands as well as in Flanders (Belgium) are randomly allocated to an intervention or control group. Representative samples of 30 residents in each of the 24 (residential) care homes are monitored during a 6-months period. The intervention consists of supervised implementation of the guideline and a daily oral health care protocol. Primary outcome variable is the oral hygiene level of the participating residents. To determine the stimulating or inhibiting factors of the implementation project and the nurses' and nurse aides' compliance and perceived barriers, a process evaluation is carried out.DiscussionThe method of cluster randomization may result in a random effect and cluster selection bias, which has to be taken into account when analyzing and interpreting the results.Trial registrationCurrent Controlled Trials ISRCTN86156614

show abstract

Oral health care in private and small long‐term care facilities: a qualitative study

Abstract: Analysis of the statements given reveals that oral care does not follow any kind of protocol or standardisation. The persistence of this situation could lead to unsatisfactory oral health care in private and small LTC facilities.

Cited by 27 publications

References 14 publications

The impact of frailty on oral care behavior of older people: a qualitative study

The impact of frailty on oral care behavior of older people: a qualitative study

Caregivers’ attitudes regarding oral health in a long‐term care institution in Brazil

Supervised versus non-supervised implementation of an oral health care guideline in (residential) care homes: a cluster randomized controlled clinical trial

Contact Info

Product

Resources

About