Oral health in older people: time for action

Kossioni, Anastassia; Maggi, Stefania; Müller, Frauke; Petrovic, Mirko

doi:10.1007/s41999-017-0004-4

Cited by 12 publications

(9 citation statements)

References 12 publications

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“…The barriers in this study may reflect the nursing staff's insecurity about managing oral care in practice and call for further clinical training to provide quality oral care. Implementing a policy that supports the provision of oral care in nursing practice should be a priority for the hospital and nursing management [42].…”

Section: Discussionmentioning

confidence: 99%

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

Rasmussen

Halberg

Jensen

2023

Scandinavian Caring Sciences

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Aims and objectivesOral care is an integrated part of everyday life. Within nursing, barriers related to providing oral care often lead to unmet caring needs. Poor oral care is associated with a risk of respiratory and cardiovascular complications during hospitalisation. Knowledge on patients' perspectives of maintaining or receiving oral care during admissions are limited. Following the Fundamentals of Care (FOC) framework, this study uses a person‐centred approach to explore patients' perceptions and experiences of receiving or performing oral care, including the nursing staff's clinical practices.Methodological design and justificationA focussed ethnographic approach was used to explore patients' perspectives and clinical practices during acute admissions in an Orthopaedic Department.Ethics issues and approvalThe local Data Protection Agency and the Ethics Committee approved the study.Research methods, results and conclusionsData were collected in an Orthopaedic ward at a Copenhagen University hospital, Hvidovre, and consisted of 14 days of field observations of clinical practices and 15 patient interviews. Data were analysed inductively using qualitative content analysis. Two themes were identified. The first, ‘The purpose of oral care is defined by the eye of the beholder’, describes the social implications for the patients and how patients reject the assumption of oral care being a transgressive act. The second, ‘The unspoken need’, focus on the lack of dialogue, including the limited provision of oral care and how the nursing staff assesses patients' ability to perform oral care (in)dependently without including the patients.ConclusionOral care is related to the patient's psychological and physical well‐being and affects social appearance. When oral care is provided respectfully, patients do not experience oral care as a transgressive act. Nursing staff's self‐assessments of the patients' (in)dependency to perform oral care risk leading to incorrect care. Developing and implementing interventions applicable to the clinical practice is needed.

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Section: Discussionmentioning

confidence: 99%

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

Rasmussen

Halberg

Jensen

2023

Scandinavian Caring Sciences

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“…One of these hypotheses is related to the limited use of dental services [ 54 , 55 ]. It is also possible that dental treatment preferences and expectations of older patients and dentists change with aging and the lack of social policies to protect the elderly people can affect their health [ 54 , 56 , 57 ]. On the other hand, the increase in tooth loss throughout life could be due to the mutilating characteristics of dental care, which historically, including in Brazil, fails to offer an alternative conservative treatment to tooth extraction [ 16 , 21 , 58 – 60 ].…”

Section: Discussionmentioning

confidence: 99%

Contextual and individual factors associated with self-reported tooth loss among adults and elderly residents in rural riverside areas: A cross-sectional household-based survey

et al. 2022

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Background Tooth loss is an oral health condition with high prevalence and negative impact on quality of life. It is the result of the history of oral diseases and their treatment as well as provision of dental care and access to dental services. Socioeconomic characteristics are determinants of tooth loss and living in rural areas is also a risk factor for its incidence. Objective To identify contextual and individual factors associated with self-reported tooth loss among adults and elderly people living in rural riverside areas. Methods A cross-sectional household-based survey was conducted in 2019 with rural riverside communities on the left bank of the Rio Negro River, Manaus, Amazonas. These communities are covered by a fluvial health team and two riverside health teams. Interviews were conducted in a representative random sample of dwellers aged ≥ 18 years, using electronic forms to obtain information on oral health conditions, demographic and socioeconomic characteristics, and use of and access to health services. The outcome was self-reported tooth loss. After the descriptive analysis of the data, a multilevel Poisson regression analysis was performed to estimate the prevalence ratio for the outcome. Variables with p-value ≤0.20 in the bivariate analyses were included in the multiple analysis considering the hierarchy between individual and contextual variables in the multilevel model. Variables with p-value ≤0.10 were kept in the final model and the significance level adopted was 0.05. Results 603 individuals from 357 households were assessed (mean age 44.1 years). The average number of missing teeth was 11.2 (±11.6); 27.4% of individuals had lost more than 20 teeth (non-functional dentition) and 12.1% were completely edentulous. Contextual characteristic of primary healthcare offered was associated with the outcome. The tooth loss was lower in territories covered by riverside health teams. At individual level, tooth loss was greater in older individuals who had experienced dental pain over the past six months and whose sugar consumption was high. Black or brown individuals, individuals whose household income was higher, those who were on the Bolsa Família cash transfer program, those who consulted a dentist over the past year, and those who reported satisfaction with their teeth/oral health reported less tooth loss. Conclusion Tooth loss was associated with contextual territorial factors related to the healthcare service and individual demographic, behavioral, socioeconomic, and service-related characteristics as well as self-perceived oral health conditions. The findings suggest that actions focused on the oral health of these populations involve not only changes in the healthcare service organization, but also intersectoral policies that contribute to reducing social inequalities.

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“…Also relate medication to the impact on oral health, initially assess oral health status, and demonstrate oral hygiene measures for the older adults and their caregivers. All this by developing strategies to overcome barriers to maintaining oral health and access to dental care, deciding when to refer to the dentist, and supporting collaborative practice [16,17].…”

Section: Educational Action Plansmentioning

confidence: 99%

Oral Health and Prevention in Older Adults

Díaz-García¹,

Hernández-Santos²,

Díaz-Ramos³

et al. 2022

Dentistry

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The most prevalent oral diseases such as tooth decay and chronic periodontitis, are the main responsible for tooth loss, this causes a disability in the chewing function, which alters the selection of food, the pleasure of eating, and the state of nutrition. Even the use of total prostheses to replace this loss is not always satisfactory. In the emotional sphere, poor oral health causes discomfort and a decrease in self-esteem. Unfortunately, this continues to occur in older people despite the great scientific and technological advances in dentistry today. Health promotion, which includes health education and prevention, must be present in the course of people’s lives. In the prevention of oral diseases, consider not only biological factors as the only causes, but also alleviate and modify the social determinants of the disease. All those involved in the care of the older adults must promote prevention as the most important tool in favor of oral health, and make older people enjoy life with quality. Oral health is an invaluable asset and reward at this stage of life.

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Oral health in older people: time for action

Cited by 12 publications

References 12 publications

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

‘Why doesn't anyone ask me’? Patients' experiences of receiving, performing and practices of oral care in an acute Orthopaedic Department

Contextual and individual factors associated with self-reported tooth loss among adults and elderly residents in rural riverside areas: A cross-sectional household-based survey

Oral Health and Prevention in Older Adults

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