Assignment 1
Evidence based practice
"Oral Hygiene for adults with Dementia"
-Introduction-
The purpose of this essay is to discuss a clinical skill or nursing action by referring to the nursing and allied health literature to explain and support evidence based practice. The skill I wish to examine is the practice of oral hygiene for adults with dementia in residential aged care facilities. In this essay I aim to provide the reader with adequate references to support the best practice for oral hygiene for people with dementia.
-Evidence based practice -
Good oral health is important for a person's sense of well being and quality of life (Fiske, 2001). Inadequate oral hygiene can lead to pain, tooth loss, oral disease,
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Another assessment tool is the Oral Health Assessment tool and is a condensed alteration of the BOHSE. It can be completed before implementing an individualized oral hygiene care plan. Completing this assessment will help the health care professional assess the patients current oral status and factors, which can contribute to their risk for oral disease. This makes it possible to put into practice the most appropriate care, plan for the residents needs. There is only a small amount of literature providing quality evidence based on the use of a successful oral health assessment tool for people with dementia (JBI, 2004). There is no published evidence to this date that has directly linked the use of the assessment tool and the standard of oral hygiene and care given within residential aged care facilities (JBI, 2004). For successful assessment of the residents with dementia the assessment should be undertaken by trained staff and on admission the assessment should also involve a dentist (JBI, 2004). Assessment should be done on a regular basis, at least every 8 weeks (JBI, 2004).
Research has shown that staff training in oral hygiene and the use of an individualised Oral Hygiene Care Plan is beneficial to the resident and also the nurse and will allow appropriate care (National Guideline Clearing house [NGC], 2003).
The Oral hygiene care
Experienced nurses find ways of incorporating oral care into regular assessments – combining the two encourages performing the oral hygiene care and saves time. Dale, et al. (2016) quoted an un-named ICU administrator who commented, “I would hope that they are teaching (mouth care) in the critical care curriculum.” Stressing the importance of oral care early in the training of a new critical care nurse should help to solidify the inclusion of oral care into regular daily practice.
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
For a dental hygienist, each patient is different because each one has different main concerns. Therefore, the hygienist must create a process of care to meet those needs. The dental hygiene process of care is a five-step process that will allow the patient to receive the most comprehensive care as if the patient is the most important person in the hygienist’s life. I will use my most important person, my mother, to outline the dental hygiene process of care to address her main concern, dry mouth.
The following document is a case study written by an intensive care nurse, who will explore the oral care provided to a patient admitted in an Intensive Care Unit (ICU) and will assess the overall care process. Additionally, the frequency, products used and techniques performed will be evaluated.
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).
In Dr. Parson’s presentation, I learned that there are still many seniors with out dental insurance. This is sad because the population by 2030 is going to double and more will eventually need treatment done by a dentist. According to her presentation oral care is not a concern to the nursing home staff. Some families show up to brush their family members teeth. With the limited financial resources for dental care these patients have it is one of their barriers to getting treatment done if needed or even cleaning. Therefore, we as dental hygienist can help make a difference by going out to the community and offering dental care education to the nursing staff because they must first know how to take care of their oral health before taking care
In clinical settings next fall and spring I intend to use research methods to assist my patients in achieving patient’s human needs. Before starting to work on the patient the treatment plan based on each patient’s need will be developed by me. As a dental hygienist student I would provide efficient educational methods by administering evidence-based facts when preparing individualized patient-centered
As dental hygienists, we will see a variety of patients in our dental office. Each patient will present with a unique medical history. It is essential to know how to treat our patients to the best of our ability, so that they are comfortable and cared for throughout the entire treatment process. They might have a certain disability, disorder, or disease that may alter or affect how we treat them.
The patient was keen to get her oral hygiene up to a good standard and prevent any
The student must provide clinical dental hygiene services to patients with all classifications of periodontal disease for eight to twelve hours per week during freshman year and twelve to sixteen hours per week during sophomore year. While in the clinical setting, the student must show competence and include the process of care for the following patients: children, teens, adults, geriatrics and special needs. The competencies include the following: life-long education and knowledge of present research-based publishings, delivery of proper medical services in an emergency situation, ethical rationale and resolution, collecting and understanding patients’ overall health status, evaluating findings in order to incorporate ideal care plans, recognizing the level of success with the patient, and documenting all findings accurately. All of these will show that the hygienist is competent and capable of formulating care plans and managing patients’ health within the community through assessing, planning, implementing, and evaluating. All of the education, experience and competencies are incorporated to prepare the hygienist for his or her career (Joint Commission on National Dental Examinations,
If you haven’t figured out enough reasons to take good care of your mouth, teeth and gums, the relationship between your oral health and your overall health provides even more, because choosing to practice a good oral hygiene equates to making an investment in your overall
A dental hygiene diagnosis is used to identify areas of deficit that need attention. It is important to use critical thinking in order to develop a dental hygiene diagnosis within the scope of practice of dental hygiene. The dental hygiene diagnosis is based on the assessment of data from the medical history, dental chart, radiographs, periodontal chart, and twelve page assessment about the patient's dental hygiene care needs. These findings are important in order to plan and implement an effective dental hygiene treatment plan.
Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in
Maintaining good oral health is essential to maintaining good overall health. Oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental problems, most commonly, dental cavities, gingivitis, periodontal disease, and tooth loss. Preventing these dental diseases are
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.