Long term care facility   dental care
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Long term care facility dental care

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May 26th 2010

May 26th 2010

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Long term care facility   dental care Long term care facility dental care Presentation Transcript

  • Pilot Project Inception, September 2008
  • Collaborative Approach
  • Access to Care/Vulnerable Population
  • Dental  =  Systemic   Health        Health                 
  • Dental Health Systemic Health
  • PLAQUE
  • BACTERIA PLAQUE LOAD
  • BACTERIAL PLAQUE LOAD = BACTEREMIA • • • • • • Myocardial Infarcts Ischemic Strokes Aspiration Pneumonia Poor Glycemic Control Prostheses Failure  Aggressive behavior 
  • LTC Residents/ Vulnerability           to oral disease
  • • Cognitive Impairment • Multiple Medications causing  Xerostomia • Syrupy base for meds delivery • Sticky, Soft diets with high starch  content
  • Picture This… Plaque Tooth Decay Swollen, Painful, Bleeding          gums Swollen, Dry, Red Tongue Burning Mouth  Difficulty Eating, Chewing,       Swallowing, Speaking Broken Down Sharp Edges  of teeth
  • Presently In Long Term  Care…
  • • Dentist • Hygienist • Assistant • Mobile Dental Equipment
  • How To Improve Oral Health In LTC?
  • Why??? • Premier Medical Care • Decrease Health Care Costs • Vulnerable Population ‐Quality Of Life ‐ Fundamental rights ‐ Limitation of Family Responsibility ‐ State Responsibility ‐ Social Responsibility       
  • Let’s Study For Solutions? • • • • • • April 2008 July 2008 October 2008 July 2009 April 2010 May 2010 ODA Feds NLDA CDA CDA Saskatoon
  • To Access Oral Health Care in the  Long Term Care Sector • ODA, RCDSO, ODHA • April 2008 ‐Lack of Funding ‐Need For Education ‐Logistics, Administration for Dentistry within  LTC
  • Oral Health Care For Elders In  Residential Care  “Dignity With A Smile” • Federal Dental Advisory Committee • July 2008 ‐Oral Health Care Essential To Residential Care ‐Mgmt. of Oral Health Care in Residential Care ‐Education ‐Assessing Oral Health 
  • • NEWFOUNDLAND OCTOBER 2008 • A process by which seniors may be provided  access to Dental Health services • “Healthy Aging” became a Prov. Priority • In 2020 ‐ 20% ‐ 65 or older • In 2040 ‐ 60% ‐ 65 or older • Access to Dental Care based on income for Srs. • Based on program similar to Saskatchewan Social  Services Dental Fee Guide 
  • Newfoundland Oct 2008 • • • • • Promote Oral Health for Seniors Provide CE Courses Connect With LTC Facilities Work in Collaboration with Dept of Health Program to cover:  Dental Exams, Fillings,  Extractions, Cleanings, Basic Removable  Prosthodontics
  • Canadian Dental Association  July 2009 Optimal Oral Health  for Frail Older Adults Best practices along the continuum of care for:  ‐Aging Adults in Private Practice ‐Dental Care for the Homebound ‐Oral Care in LTC Facilities
  • CDA July 2009 • Multidisciplinary Approach  ‐(MD, DMD, RN, BPharm, Nutrition, Social  Worker) • Access to Care • Facility Policy for Oral Care ‐Oral Assessments, Oral Care Plan,                     Education of Staff
  • CDA President‐Dental Health Month April 2010 • • • • “Collaborative” Approach Needed To Ensure  Equitable Access to Oral Health Care for  Canadians Dental Profession Oral Health Professions Federal and Provincial Governments Non‐Govt Community Agencies
  • CDA Pres April 2010 • Increase/Place Public Funding as Needed ‐Inability to pay is barrier to access • Enhanced Dental Coverage for Special Needs  that Addresses Medically Complex Reqments • Establish Baseline Std for LTC Facilities to  provide daily oral care for residents and  access to annual professional oral health  care
  • Bhargava’s Oral Health Care Plan for  Sask Residential Delivery May 2010 5 R’s 4 Oral Health ‐Responsibility of LTC Facilities ‐Responsibility of Health Regions ‐Responsibility of College of Dentistry ‐Responsibility of College of Dental  Surgeons of Sask et al ‐Responsibility of Government
  • U{tÜztätËá j|á{ _|áà • Mandate by Ministry of Health, with  guarantee of funding, to plan, create, and  activate a Saskatchewan Oral Health Action  Plan for Dental Care of the  Homebound/Residence (Institution) Bound ‐Collaboration of all stakeholders ‐Saskatchewan based plan that is  affordable now and viable in the future 
  • Thank You