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

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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

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A Best Practices ApproachRNAOs Oral Health BPG

• Recommendations
• 12 practice, 2 education and
• 7 organization policy

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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
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A Best Practices Approach to RNAOs Oral Health
BPG Practice
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A Best Practices Approach to RNAOs Oral Health
BPG Practice
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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
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A Best Practices Approach to RNAOs Oral Health
BPG Org Policy
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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Lets Do the Oral Hygiene Knowledge Test
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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 [phone] Fax[phone]
  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

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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

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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.

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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/

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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     [phone] 
•      fax     [phone]    
  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 [phone] x42337
• .