Treatment planning for patients in nursing homes

Kerson, Jerome

doi:10.14219/jada.archive.1974.0439

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…The results of the present study seem to confirm this view. Mental disorders have often been reported to cause difficulties in dental management of the aged (4,5,8,9,11). This view seems to be confirmed by the present results, as treatability was considered very poor or poor more frequently among subjects with neurologic and mental disorders (25%) than among all the subjects studied (19%).…”

Section: Discussionsupporting

confidence: 88%

“…The assessment of dental management may be difficult if treatment has not been attempted (11). In regard to the present study this seems to be true.…”

Section: Discussionmentioning

confidence: 54%

“…Several factors have been reported to restrict the dental care of the elderly, among them economic, practical, and health conditions (10, 13), although the list could be almost endless (13). The factor most often reported to hinder the dental treatment of the elderly is poor general health (4,5,8,9,11,14,15).…”

Section: Discussionmentioning

confidence: 99%

“…The dental treatability was then assessed by the examiner on a four-point scale. Particular attention was given to the subject's ability to communicate and to his or her cooperation (11). Also included was the subject's ability to cope with the stress resulting from the interview and examination.…”

Section: Methodsmentioning

confidence: 99%

“…the most common problems associated with the dental treatment of old, disabled persons are their medical conditions, physi-cal disabilities, little or no motivation, inability to adapt to essential routines, and difficulty in communicating. Without communication and cooperation, dental treatment is impossible (11). These attributes may, however, be limited or entirely lacking in patients with physical illnesses and/or mental disorders.…”

mentioning

confidence: 99%

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General diseases and dental treatability of the institutionalized elderly Finnish population

Ekelund

1988

Comm Dent Oral Epid

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The purpose of the present study was to investigate the relationship between such general diseases and dental treatability of the elderly living in municipal old people's homes in Finland. The sampling methods used were PPS sampling (probabilities proportionate to size), and non-randomized and randomized sampling. The subjects were 480 residents of 24 municipal old people's homes in different parts of Finland. Of the subjects 153 were men and 327 women, and their ages ranged from 65 to 100 yr. Data on the general diseases was obtained from the subjects' medical histories. The assessment of dental treatability was based on the subjects' communicative ability and cooperation during interview, on a clinical oral examination, and on the subjects' ability to cope with the stress of an interview and examination. Eleven percent of the subjects had no diagnosed diseases, whereas 28% had three or more. The most common diseases in both men and women were cardiovascular diseases followed by respiratory disorders in men and endocrine disorders in women. The dental treatability was considered very poor or poor in 29% and good in 26% of cases. No clear statistical correlation was found between dental treatability and the number of diseases suffered by the subject. However, cardiovascular diseases and neurologic and mental disorders were found to reduce dental treatability more than other disorders.

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Section: Discussionsupporting

confidence: 88%

“…The assessment of dental management may be difficult if treatment has not been attempted (11). In regard to the present study this seems to be true.…”

Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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General diseases and dental treatability of the institutionalized elderly Finnish population

Ekelund

1988

Comm Dent Oral Epid

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Treatment of complete denture patients in a geriatric facility

Fellman¹

1976

The Journal of Prosthetic Dentistry

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Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit*

Benson

Niessen²,

Toga

1984

J Public Health Dent

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Planning the provision of dental care in nursing homes requires evaluation of both dental needs and demand for services. Dental treatment needs have been documented for residents of longterm care facilities. This paper examines the actual dental care provided to institutionalized persons demanding care. Dental records of 144 patients at a Veterans Administration Nursing Home Care Unit (NHCU) were reviewed to evaluate needs and treatment demands. About 20 percent of the NHCU patients were currently receiving dental treatment; the remainder were on recall (closed cases). Of the total services needed, slightly over half were denture related services, about a quarter were oral surgical services, and 16 percent were operative procedures. Almost a third refused some or all of the proposed dental treatment; seven percent were unable to be examined or treated. No statistically significant difference was found between the age and the level of nursing home care needed for those receiving treatment and those refusing treatment. Once the backlog of need was met, this NHCU dental program consisted primarily of recall exams, and prosthetic and oral surgical treatment. The case mix and refusal rate may change, however, as future cohorts of elders retain more teeth and have experienced preventive dental services during their lifetimes.

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Treatment planning for patients in nursing homes

Cited by 4 publications

References 5 publications

General diseases and dental treatability of the institutionalized elderly Finnish population

General diseases and dental treatability of the institutionalized elderly Finnish population

Treatment of complete denture patients in a geriatric facility

Dental Treatment and Demand for Services in a Veterans Administration Nursing Home Care Unit*

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