Oral Health Of Underserved

As a nurse in a skilled nursing facility, oral hygiene care is very important, but the importance significantly increases when our patients are functionally dependent or cognitively impaired. These patients are unable to perform this task and depend on nurses to provide daily care. Nurses need to pay close attention for potential problems. They will need to perform assessments, develop oral care plans, and identify preventions and strategies to eliminate any potential problems. Poor oral health has been linked to serious systemic illnesses including diabetes mellitus, stroke, hypertension, myocardial infarction and aspiration pneumonia (Dyck et al., 2012). Patients who suffer from a lack of oral care can have a dramatic impact to their

The purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

The accessibility of dental care in relation to race, ethnicity, income level, and overall socioeconomic status is evaluated. Across the board, a huge lack of dental care is seen in individuals of low-income levels and minority groups. In addition, the most susceptible groups to dental disease are identified as children, low-income adults, and the elderly. Ways to improve the oral health status of these groups are recognized. The various needs of underserved communities with respect to the access of dental care are assessed, despite a lack of sufficient dental insurance coverage of individuals who are members of these communities. This includes the improvement of both preventative and restorative care via public health programs, such as

As society continues to age, one fourth of the world will be 65 years or older, thanks to the influx of baby boomers. Due to this rapid growth in longevity, this will multiply the problem of access to care. Attention towards systemic conditions such as Alzheimer’s disease, cardiovascular disease, diabetes, and strokes are being discussed by government agencies and health care professionals. (Overview of oral health, 2017). There is evidence linking oral health to systemic health, therefore, a need for a more collaborative approach towards prevention is critical to achieve overall health for the public (Jin, 2016).

The first health disparity I would like to discuss is Oral health interventions among Hispanics, especially among Hispanic children. An article, “Community-based oral health self-care intervention for Hispanic families”, By Hull and other authors, focuses on monitories who are at high risk for poor oral health have dental caries, oral disease and not having much access to dental care based on their socioeconomic status Hull, 2013).

Dental hygienist focuses on oral health. They clean the patient’s teeth, tell them how they can improve their oral health, and tell the patient about any oral disease that they have or can possibly happen from poor oral hygiene. To become a Dental Hygienist you have to graduate from an accredited dental hygiene program and have a license in the state they have practiced. It takes 2-6 years to become a Dental Hygienist, they make an average salary of $55.307 annually. The dental hygienist work in many places such as: private dental practice, community health centers, hospitals, nursing homes, prisons, practice clinics, schools and state/federal government services.

The patient has a four unit bridge on her upper anteriors, she has ten missing teeth

A health system defined as ‘all the activities whose primary purpose is to promote, restore and/or maintain health’ (WHO 2013). A good health system is indicated by its capability to delivers quality services, when and where the people need them (Australian Institute of Health and Welfare 2014). Australia’s health-care system is a combination of public welfare and private market provision (Willis, Reynolds & Keleher 2009). There are multiple layers of responsibility and funding provided by governments, individuals, health providers and private health insurers (Biggs 2013).

This proves that the lack of dental insurance within these low-income households plays a key role in whether or not these children will receive dental care. When these children do not visit the dentist, they increase their chances of developing dental caries significantly. The British Dental Journal disclosed that, “Sugars consumption varies by social class. National food surveys reveal a higher consumption of sugar and sugar-containing foods and drinks amongst low income groups”(Watt 8). Healthy food is expensive; therefore lower class families resort to unhealthy food because it is significantly cheaper. This extensive consumption of sugar-ridden foods is extremely detrimental to the enamel. The British Dental Journal also declared that “oral inequalities will only be reduced through the implementation of effective and appropriate oral health promotion policy”(Watt 6). The dental program will make the inequalities in dental care known and work to reduce those inequalities. Dental health is often times overseen because it is typically expensive and people are unaware of how the condition of their teeth affects the condition of the rest of their body. The all-inclusive dental health program will give people the treatment they need, regardless of their socioeconomic status.

“The impact of unmet oral health care needs is magnified by the well-established connection between oral health and overall health” (Fineberg, H. 2011, p. ix). Oral health status is linked with general health, as evidenced by the association between poor oral health and chronic diseases, such as diabetes, cardiovascular disease, and respiratory disease. Poor oral hygiene can also lead to other health issues such as, oral facial pain and digestive problems. “The silent epidemic of oral diseases disproportionately affects disadvantaged communities,

Socioeconomic status (SES) is the strongest determinant of health outcomes (Marmot & Bell, 2011). Parents and children of lower socioeconomic status are at higher risk of negative oral health outcomes and poor oral health-related quality of life (Jones, Shi, Hayashi, Sharma, Daly, & Ngo-Metzger, 2013 and Wells, Caplan, Strauss, Bell & George, 2010). Women with lower socioeconomic status are 30% less likely to utilize dental services. Likewise, they are 30% more likely to report unmet dental needs than women in higher socioeconomic gradients (Kaylor, Polivka, Chaudry, Salsberry, & Wee, 2010).

Dental Hygienists have an enormous amount of problems with their patients, one problem being that their patients have diabetes. Patients don 't realize that if they have diabetes they are more susceptible to getting serious gum disease. Studies have shown that 90-95% of patients have Type 2 Diabetes Mellitus (http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0082158). The goal of this problem is for patients to not accrue the disease of diabetes by taking care of their oral hygiene. The relevance of this topic is for patients to know the importance of their oral hygiene and what can happen to their health. Hygienists can approach this problem by explaining the complications, for instance xerostomia, thrush, burning

We are in a unique position at the frontier of the healthcare system and our potential role can have significant impacts on the patient's’ oral health-related quality of life by adopting cultural humility, considering our patient’s social determinants, and providing educational information. I want to continue my research and clinic works to bring positive changes to more people’s

Lastly, low income countries have 62% of the world population and there world health expenditure is 2%. By looking at this information “Evidence based intervention for all major oral diseases exist. But they are not available or implemented in majority of countries” (Beaglehole Pg 91). Please refer to appendix 5 and 6

Although many Americans have good oral hygiene due to fluoride and making everyday good decisions, others do not have any access at all to oral health care. Over the years, dentists have been trying to demonstrate the importance of oral care. (“Access to Dental Care”) From commercials to campaigns, dentists will continue to demonstrate to their patients as well as to the people who don't have insurance the importance of oral health care. They will teach them preventative care and some techniques on how to prevent from getting any diseases.