ORAL CARE IN
LONG-TERM CARE
ORAL CARE FOR ALL
Laura Carney
Speech-Language Pathologist
Saskatoon Health Region, Long-Term ...
POPULATION
THOSE LIVING IN LTC IN SHR
AGEING
DEMENTIA
POST STROKE, PARKINSON’S DX
OTHER NEUROLOGICAL DX
RESPIRATORY/CARDIA...
TWO PRIMARY GROUPS
THOSE WITH ORALPHARYNGEAL DYSPHAGIA
THOSE WITH NO DX OF
DYSPHAGIA BUT WHO HAVE
BEEN DX WITH ASPIRATION
...
GROUP ONE: DYSPHAGIA
HIGH # OF MEDICAL CONDITIONS
WHICH PREDISPOSE PERSON TO
DYSPHAGIA
MEDICATIONS MAY INCREASE RISK
OF DY...
GROUP TWO
ASPIRATION PNEUMONIA
NOT INITIALLY REFERRED FOR
SWALLOWING ASSESSMENT;
SEEN POST-DISCHARGE AND
NOW DX AS DYSPHAG...
GROUP TWO:
ASPIRATION PNEUMONIA
FACTORS INCLUDED:
DEPENDENT FOR FEEDING
DEPENDENT FOR ORAL CARE
NUMBER OF DECAYED TEETH
TU...
ORAL CARE IN LTC
EDUCATION: ORAL CARE AND
CHEST HEALTH
NURSING
CARE AIDES

OWNERSHIP OF
RESPONSIBILITY
EXPECTATION THAT CA...
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Oral care in long term care oral care for all

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Published on

May 26th 2010

Published in: Business, Economy & Finance
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Oral care in long term care oral care for all

  1. 1. ORAL CARE IN LONG-TERM CARE ORAL CARE FOR ALL Laura Carney Speech-Language Pathologist Saskatoon Health Region, Long-Term Care Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  2. 2. POPULATION THOSE LIVING IN LTC IN SHR AGEING DEMENTIA POST STROKE, PARKINSON’S DX OTHER NEUROLOGICAL DX RESPIRATORY/CARDIAC DX Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  3. 3. TWO PRIMARY GROUPS THOSE WITH ORALPHARYNGEAL DYSPHAGIA THOSE WITH NO DX OF DYSPHAGIA BUT WHO HAVE BEEN DX WITH ASPIRATION PNEUMONIA Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  4. 4. GROUP ONE: DYSPHAGIA HIGH # OF MEDICAL CONDITIONS WHICH PREDISPOSE PERSON TO DYSPHAGIA MEDICATIONS MAY INCREASE RISK OF DYSPHAGIA CONTROVERSY: USE OF THICKENED FLUIDS (LOGEMANN ET AL, 2008) STAFF TIME VARIES FOR INTERVENTION ORAL CARE: POCKETING OF FOOD Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  5. 5. GROUP TWO ASPIRATION PNEUMONIA NOT INITIALLY REFERRED FOR SWALLOWING ASSESSMENT; SEEN POST-DISCHARGE AND NOW DX AS DYSPHAGIC SUSPECT IS SALIVA LANGMORE ET AL (1998): DYSPHAGIA NOT A PRIME RISK FOR AP UNLESS OTHER RISK FACTORS ON BOARD Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  6. 6. GROUP TWO: ASPIRATION PNEUMONIA FACTORS INCLUDED: DEPENDENT FOR FEEDING DEPENDENT FOR ORAL CARE NUMBER OF DECAYED TEETH TUBE FEEDING MULTI MEDICAL DIAGNOSES NUMBER OF MEDICATIONS SMOKING Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
  7. 7. ORAL CARE IN LTC EDUCATION: ORAL CARE AND CHEST HEALTH NURSING CARE AIDES OWNERSHIP OF RESPONSIBILITY EXPECTATION THAT CARE WILL BE GIVEN Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
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