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Oral Care: Part 2 Guidelines

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Complete the Oral Hygiene Knowledge Test ... Toothpaste and Toothbrush Tips: Natural teeth. Denture care ... 801 Commissioner's Road East. London, ON Canada N6C ... – PowerPoint PPT presentation

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Title: Oral Care: Part 2 Guidelines


1
Oral Care Part 2 Guidelines
Knowledge
  • Using a Best Practice Approach in
  • Long-Term Care

2
Introduction Learning Objectives
  • Learn about
  • A best practices approach to oral care using
    guidelines
  • Your knowledge about oral care
  • Complete the Oral Hygiene Knowledge Test

3
A Best Practices Approach to Oral Care in LTC
homes
  • Assessment
  • Review your own personal oral hygiene beliefs
  • Identify factors that increase the risk for oral
    problems
  • Refer to Part 1 Introduction slides
  • Complete a baseline oral health assessment
  • Oral hygiene beliefs
  • Requirements for RAI-MDS and Dental Care RAP
  • Use standardized assessment tools
  • Complete an assessment of current oral care
  • Care Planning
  • Develop an oral hygiene care plan

4
A Best Practices Approach to Oral Care in LTC
homes
  • Care Planning Strategies
  • Implement general oral hygiene care strategies
  • Preparing for oral care
  • Techniques for getting in the mouth
  • Toothpaste and Toothbrush Tips Natural teeth
  • Denture care
  • Communication techniques for oral care
  • Handling responsive behaviours
  • Handling communication, cognition functional
    issues
  • Dry mouth and swallowing problems
  • Palliative oral hygiene care

5
Evidence-Based Approach to Oral
Care for Older Adults from IOWA
  • This evidence-based model of the importance of
    oral hygiene care and dental treatment on
    maintaining oral health from IOWA highlights
    several key areas
  • Regular daily oral care
  • Preventive oral care
  • Assessment
  • Secondary tertiary dental care
  • ?
  • Impacts
  • Systemic health
  • Nutrition
  • Quality of life
  • Overall well-being

6
A Best Practices Approach RNAOs Oral Health BPG
  • Recommendations
  • 12 practice, 2 education and
  • 7 organization policy

7
A Best Practices ApproachRNAOs Oral Health BPG
  • Recommendations
  • 12 practice, 2 education and
  • 7 organization policy

8
A Best Practices Approach to RNAOs Oral Health
BPG Practice
Use the RNAO Oral Health BPG recommendations to
guide a gap analysis of the oral hygiene care
within your LTC home
9
A Best Practices Approach to RNAOs Oral Health
BPG Practice
10
A Best Practices Approach to RNAOs Oral Health
BPG Practice
11
A Best Practices Approach to RNAOs Oral Health
BPG Practice
12
A Best Practices Approach to RNAOs Oral Health
BPG Education
13
A Best Practices Approach to RNAOs Oral Health
BPG Org Policy
14
A Best Practices Approach to RNAOs Oral Health
BPG Org Policy
15
Lets Do the Oral Hygiene Knowledge Test
16
Lets Do the Oral Hygiene Knowledge Test
17
Lets Do the Oral Hygiene Knowledge Test
18
Lets Do the Oral Hygiene Knowledge Test
19
Lets Do the Oral Hygiene Knowledge Test
20
Lets Do the Oral Hygiene Knowledge Test
21
Lets Do the Oral Hygiene Knowledge Test
22
Lets Do the Oral Hygiene Knowledge Test
23
Resources
  • Canadian
  • The Registered Nurses Association of Ontario
    (2008) . Oral health. Nursing assessment and
    interventions. Toronto, ON Author. www.rnao.org
    (Recommendations Fall 2007).
  • The Registered Nurses Association of Ontario and
    Halton Region Health Department (Summer 2007).
    Oral care for resident with dementia
    (DVD)Toronto, ON Author. www.rnao.org or phone
    Dir (416) 907-7965 Fax(416) 907-7962 15
    CDN
  • ML van der Horst (April 2007). The BP Blogger.
    Myth busting The mouth issue. Monthly
    newsletter for LTC that dispels care myths with
    evidence from best practice guidelines. Available
    at www.rgpc.ca
  • Halton Region Health Department (2006). Dental
    health manual for LTC home staff. Halton oral
    health outreach project. Oakville, ON Author.
  • Centre for Community Oral Health- Long Term Care
    Fact Sheets. Nov 2006 www.umanitoba.ca/faculties/
    dentistry/ccoh
  • Best Practice Coordinators in Long-Term Care
    Initiative Central South/South West (February
    2008). Best Practices Approach to Oral Care
    Resource Kit. www.rgpc.ca
  • Oral Care.ca www.oralcare.ca

24
Resources
  • Others
  • The University of Iowa College of Nursing (2002).
    Oral hygiene care for functionally dependent and
    cognitively impaired older adults.
    Evidence-based practice guideline. Iowa City,
    Iowa Author/Gerontological Nursing Interventions
    Research Center. www.nursing.uiowa.edu
  • Joanna Briggs Institute (2004). Oral hygiene
    care for adults with dementia in residential aged
    care facilities. Best Practice, 8(4). Adelaide,
    Australia Author. www.joannabriggs.edu.au

25
References
  • Fallon, T., Buikstra, E., Cameron, M., Hegney,
    D., Mackenzie, D., March, J., Moloney, C.,
    Pitt, J. (2006). Implementation of oral health
    recommendation into two residential aged care
    facilities in a regional Australian city.
    International Journal of Evidence-Based
    Healthcare, 4, 162-119.
  • Federal, Provincial and Territorial Dental
    Directors. (2005). A Canadian oral health
    strategy. Accessed January 4, 2007. Available at
    http//www.fptdd.ca/Canadian20Oral20Health20Str
    ategy20-20Final.pdf.
  • Frenkel, HF., Harvey, I., Needs, KM. (2002).
    Oral health care education and its effect on
    caregivers knowledge and attitudes a randomised
    controlled trial. Community Dentistry and oral
    Epidemiology, 30, 91-100.
  • Frenkel, H., Harvey, I., Newcombe, RG. (2001).
    Improving oral health in institutionalised
    elderly people by educating caregivers a
    randomised controlled trial, 29, 289-297.
  • Nicol, R., Sweney, MP., McHugh, S., Bagg, J.
    (2005). Effectiveness of health care worker
    training on the oral health of elderly residents
    of nursing homes. Community Dentistry and Oral
    Epidemiology, 33, 115-124.
  • Pearson, A. Chalmers, J. (2004). Oral hygiene
    care for adults with dementia in residential aged
    care facilities. Systematic review. JBI Reports,
    2, 65-113.

26
References
  • Seniors Oral Health Collaboration for the Nova
    Scotia Department of Health (SOHC). (2006). The
    oral health of seniors in Nova Scotia. Policy
    Scan and Analysis Synthesis report. Accessed
    January 15, 2007. Available at
    http//www.ahprc.dal.ca/oralhealth/Reports/FINAL.p
    df
  • Thorne SE, Kazanjian A, MacEntee. (2001). Oral
    health in long term care The implications of
    organisational culture. Journal of Aging Studies,
    15, 271-283.
  •  
  • US Department of Health and Human Services (US
    DHHS) (2000). Oral Health in America A Report of
    the Surgeon General. Rockville, MD National
    Institute of Dental and Craniofacial Research,
    National Institutes of Health. Accessed January
    15, 2007. Available at http/www.nidr/nih.gov/sgr
    /oralhealth.asp
  • Wardh, I., Hallberg, L., Berggren, U.,
    Sorensen, S. (2003). Oral health education for
    nursing personnel experiences among specially
    trained oral care aides One-year follow-up
    interviews with oral care aides at a nursing
    facility. Scandinavian Journal of Caring Science,
    17, 250-256.
  • WHO. (2003). The world oral health report.
    Continuous improvement of oral health in the 21st
    century the approach of the WHO Global Oral
    Health Programme. Geneva, SW author. Accessed
    January 15, 2007. Available at
    http//www.who.int/oral_health/publications/report
    03/en/

27
For more information
  • Mary-Lou van der Horst, RN, BScN, MScN, MBA
  • Regional Best Practice Coordinator Long-Term Care
  • Central South Region-Ministry of Health and
    Long-Term Care
  •  Village of Wentworth Heights LTC Home
  • 1620 Upper Wentworth Street, Hamilton, ON Canada
    L9B 2W3
  •   email    mvanderhorst_at_oakwoodretirement.com    
        
  • tel     905.541.0656 
  •      fax     905.575.4450    
    LTC Best Practice Resource Centre
  • www.rgpc.ca
  • Donna Scott, RN, BScN, CHRP
    www.shrtn.on.ca
  • Regional Best Practice Coordinator Long-Term Care
  • Southwest Region-Ministry of Health and Long-Term
    Care
  • Parkwood Hospital
  • 801 Commissioner's Road East
  • London, ON Canada N6C 5J1
  • Email donna.scott_at_sjhc.london.on.ca
  • Tel 519-685-4292 x42337
  • .
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