BEST PRACTICES FOR NON-DENTAL
PROFESSIONALS PROVIDING ORAL
CARE IN LONG TERM CARE
FACILITIES

By
Vidya Shanmugam
CAREGIVERS PERCEPTION OF POOR ORAL
CARE IN LONG TERM CARE FACILITIES
1.

2.

3.

4.

5.

Lack of knowledge of basic oral h...
ORAL HEALTH EDUCATION PROGRAMS
Unsuccessful Programs
1.

2.

3.
4.
5.

Lack of attendance of care staff for the training
p...
ORAL HEALTH EDUCATION PROGRAMS
Successful Programs (Conducted in Canada, Australia, United
Kingdom and Norway)
1.

2.
3.

...
BETTER ORAL HEALTH IN RESIDENTIAL
CARE (BOHRC) PROGRAM


“Gold Standard” program
Established to create an evidence based ...
EBPRAC - . Encouraging best Practice in Residential Aged Care program
ARCPOH - Australian Research Centre for Population O...
BETTER ORAL HEALTH IN RESIDENTIAL
CARE (BOHRC) PROGRAM
Oral Health Education Toolkit
Professional portfolio

This portfoli...
BETTER ORAL HEALTH IN RESIDENTIAL CARE
(BOHRC) PROGRAM
Facilitator Portfolios
This portfolio was developed for the Registe...
BETTER ORAL HEALTH IN RESIDENTIAL CARE
(BOHRC) PROGRAM
Staff Portfolios
It was developed for the direct care nurses and ca...
BRUSHING UP ON MOUTH CARE PROJECT
Developed in Nova Scotia in 2008
 The purpose of this project was to examine the
effect...
BRUSHING UP ON MOUTH CARE PROJECT
Educational Training Toolkit









Oral health manual
Oral care toolkit
Care ...
BRUSHING UP ON MOUTH CARE PROJECT
Oral Care Toolkit
BRUSHING UP ON MOUTH CARE PROJECT
Oral Care Cards
ORAL HEALTH ASSESSMENT


Brief Oral Health Status Examination (BOHSE)


Oral Health Assessment Tool (OHAT)
RECOMMENDATIONS
What steps should be taken to ensure a
resident admitted in a LTC facility receives
good oral care?
This q...
RECOMMENDATIONS
Who plays the key role in maintaining good oral
health of the residents?







Policy makers
Long T...
RECOMMENDATIONS
What oral care measures have to be taken?
Four key elements are important in providing oral
care to reside...
RECOMMENDATIONS
Oral Health Assessment
Brief Oral Health Status Examination (BOHSE)
 Oral Health Assessment Tool (OHAT)
...
Oral Health Care Plan
RECOMMENDATIONS
How will oral care be provided?
Care of Natural teeth
 Care of Dentures
 Prevention of gum disease
 Rel...
RECOMMENDATIONS
Where will oral treatment be provided?


Dental services should be provided at the facility.

(or)
 Tran...
Best practices for non dental professionals providing oral care in long term care facilities
Best practices for non dental professionals providing oral care in long term care facilities
Best practices for non dental professionals providing oral care in long term care facilities
Best practices for non dental professionals providing oral care in long term care facilities
Upcoming SlideShare
Loading in …5
×

Best practices for non dental professionals providing oral care in long term care facilities

1,871 views

Published on

May 16th 2012

Published in: Health & Medicine, Education
  • Be the first to comment

Best practices for non dental professionals providing oral care in long term care facilities

  1. 1. BEST PRACTICES FOR NON-DENTAL PROFESSIONALS PROVIDING ORAL CARE IN LONG TERM CARE FACILITIES By Vidya Shanmugam
  2. 2. CAREGIVERS PERCEPTION OF POOR ORAL CARE IN LONG TERM CARE FACILITIES 1. 2. 3. 4. 5. Lack of knowledge of basic oral health and oral diseases among care providers in the facilities. Inadequate training at university level or at the LTC facility about oral health and training on oral care provision. Time constraint faced by the staff, due to various other works that has to be completed within a timeframe Even if care staff were willing to provide oral care, the most common barrier they faced were uncooperative residents. Lack of oral care supplies available to the care providers for provision of daily oral care to the residents.
  3. 3. ORAL HEALTH EDUCATION PROGRAMS Unsuccessful Programs 1. 2. 3. 4. 5. Lack of attendance of care staff for the training program. Lack of knowledge and training to provide adequate oral care. Time constraint faced by the care givers. Lack of standard of oral care practice. Lack of interest in oral care among both the administrators and the care staff.
  4. 4. ORAL HEALTH EDUCATION PROGRAMS Successful Programs (Conducted in Canada, Australia, United Kingdom and Norway) 1. 2. 3. 4. 5. 6. 7. A multidisciplinary approach should be made. This team should include care givers, oral health professionals, general physicians, facility managers and other key stakeholders. An oral health coordinator (a dental hygienists/dental therapist) should be appointed, who aides in running the program. An OCLN or “Oral Health Contact Person” (a qualified RN/LPN) can also be appointed. This person can aide in training other new caregivers and also help in checking if daily oral care is provided to the residents. Caregivers should be pursued to follow guidelines and standard protocols when providing oral care. Educational training should be provided to all caregivers. This training should be both theoretical and hands-on demonstrations. Educational materials (information sheets, manuals) should also be provided along with training. Funding should be made available for residents, who cannot afford to pay for their dental treatment.
  5. 5. BETTER ORAL HEALTH IN RESIDENTIAL CARE (BOHRC) PROGRAM  “Gold Standard” program Established to create an evidence based model which can be utilized by general physicians, nurses and other care workers in residential aged care.  The four key elements of the program were:      Oral health assessment, conducted by a general practitioner and a registered nurse. Oral care planning, to be developed by registered nurses. Preventive oral care to be implemented by nursing staff and other care workers. Based on the oral assessment, dental referral should be done for detailed oral examination and treatment.
  6. 6. EBPRAC - . Encouraging best Practice in Residential Aged Care program ARCPOH - Australian Research Centre for Population Oral Health BOHRC - Better Oral Health in Residential Care
  7. 7. BETTER ORAL HEALTH IN RESIDENTIAL CARE (BOHRC) PROGRAM Oral Health Education Toolkit Professional portfolio This portfolio was developed for General Physicians and Registered Nurses as a selflearning tool. It contains,  Oral Health Assessment Toolkit  Oral Health Care Planning Guidelines  Dental Referral Protocol
  8. 8. BETTER ORAL HEALTH IN RESIDENTIAL CARE (BOHRC) PROGRAM Facilitator Portfolios This portfolio was developed for the Registered Nurses, for them to provide educational training for the care workers. It contains information on,  Principles in adult learning  Presentation tips  Competency outlines, session plans  Facilitator notes  DVD ( Dental Rescue)  CD with powerpoint presentation, pre and post quiz with downloadable answers  Resource kit  Posters
  9. 9. BETTER ORAL HEALTH IN RESIDENTIAL CARE (BOHRC) PROGRAM Staff Portfolios It was developed for the direct care nurses and care workers. It comprises of three modules: Module 1 – Good oral health is essential for healthy ageing ( knowledge) Module 2 – Protect your residents oral health ( skills) Module 3 – It takes a team approach to maintain a healthy mouth.
  10. 10. BRUSHING UP ON MOUTH CARE PROJECT Developed in Nova Scotia in 2008  The purpose of this project was to examine the effect of implementing oral care for frail and dependent older adults in variety of continuing care settings in Nova Scotia. 
  11. 11. BRUSHING UP ON MOUTH CARE PROJECT Educational Training Toolkit         Oral health manual Oral care toolkit Care Cards Daily and annual oral health assessments Posters Information sheets on topics such as proper technique for brushing and flossing Oral care products and aids Educational videos
  12. 12. BRUSHING UP ON MOUTH CARE PROJECT Oral Care Toolkit
  13. 13. BRUSHING UP ON MOUTH CARE PROJECT Oral Care Cards
  14. 14. ORAL HEALTH ASSESSMENT  Brief Oral Health Status Examination (BOHSE)
  15. 15.  Oral Health Assessment Tool (OHAT)
  16. 16. RECOMMENDATIONS What steps should be taken to ensure a resident admitted in a LTC facility receives good oral care? This question can be answered if the following subset of questions can be answered.  Who plays the key role in maintaining good oral health of the residents?  What oral care measures have to be taken?  How will oral care be provided?  Where will oral treatment be provided?
  17. 17. RECOMMENDATIONS Who plays the key role in maintaining good oral health of the residents?       Policy makers Long Term Care facility’s administrators/managers Care staff Oral health professionals General physicians Oral health coordinator
  18. 18. RECOMMENDATIONS What oral care measures have to be taken? Four key elements are important in providing oral care to residents: 1. 2. 3. 4. Oral Health Assessment Oral Health Care Plan Daily Oral Hygiene Dental Treatment
  19. 19. RECOMMENDATIONS Oral Health Assessment Brief Oral Health Status Examination (BOHSE)  Oral Health Assessment Tool (OHAT)  Modified Oral Health Assessment Tool 
  20. 20. Oral Health Care Plan
  21. 21. RECOMMENDATIONS How will oral care be provided? Care of Natural teeth  Care of Dentures  Prevention of gum disease  Relief of dry mouth  Reduce Tooth decay 
  22. 22. RECOMMENDATIONS Where will oral treatment be provided?  Dental services should be provided at the facility. (or)  Transportation arrangements should be available for the residents to travel to the dental clinic.

×