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Better oral health in long term care: Best practice standards for saskatchewan update

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May 16th 2016

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Better oral health in long term care: Best practice standards for saskatchewan update

  1. 1. Bet t er Oral Healt h in Long Term Care Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan SOHC May 16, 2016
  2. 2. Bet t er Oral Healt h in Long Term Care
  3. 3. Bet t er Oral Healt h in Long Term Care Oral diseases and conditions can have social impacts on quality of life, including comfort, eating, pain and appearance, and are related to dentate status… 1. Chalmers, JM 2003, “Oral health promotion for our ageing Australian population”, Australian Dental Journal; vol.48. BetterOralHealthinLongTerm Care
  4. 4. Bet t er Oral Healt h in Long Term Care People need to eat and talk comfortably, to feel happy with their appearance, to stay pain free, to maintain self-esteem, and to maintain habits/standards of hygiene and care that they have had throughout their lives1. 1. Chalmers, JM 2003, “Oral health promotion for our ageing Australian population”, Australian Dental Journal; vol.48. BetterOralHealthinLongTerm Care
  5. 5. Bet t er Oral Healt h in Long Term Care •A simple protective oral health care regimen will maintain good oral health. BetterOralHealthinLongTerm Care
  6. 6. Bet t er Oral Healt h in Long Term Care Quality of Life • Poor oral health will significantly affect a resident’s quality of life in many ways: • bad breath • bleeding gums, tooth decay and tooth loss • appearance, self-esteem and social interactions • speech and swallowing • ability to eat, nutritional status and weight loss • pain and discomfort • change in behaviour. BetterOralHealthinLongTerm Care
  7. 7. Bet t er Oral Healt h in Long Term Care BetterOralHealthinLongTerm Care
  8. 8. Bet t er Oral Healt h in Long Term Care •Better Oral Health in LTC: education and training program adapted from Australia to train LTC staff to provide daily oral care. BetterOralHealthinLongTerm Care
  9. 9. Bet t er Oral Healt h in Long Term Care Spring-Summer 2016: • Saskatchewan Seniors’ Oral Health and Long Term Care Strategy – Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan will be presented to the Ministry of Health, Continuing Care Branch. BetterOralHealthinLongTerm Care
  10. 10. Bet t er Oral Healt h in Long Term Care •Saskatchewan Oral Health Professions (SOHP) & the Saskatchewan Oral Health Coalition (SOHC) worked collaboratively to adapt resource for Saskatchewan.
  11. 11. Bet t er Oral Healt h in Long Term Care There are 3 levels of education and training: 1. Professional – the Trainer In health regions, this can be dental public health staff. 2. Educators Educators are trained by professional to train others. 3. Staff Front-line staff who will provide daily care. BetterOralHealthinLongTerm Care
  12. 12. Bet t er Oral Healt h in Long Term Care Better Oral Health in Long Term Care – Best Practice Standards for Saskatchewan •Requires a multidisciplinary team approach to maintain a residents’ oral health care.
  13. 13. Bet t er Oral Healt h in Long Term Care Better Oral Health in Long Term Care – Best Practice Standards for Saskatchewan • The oral health care team (OHCT) may include two or more of: • Oral Health Coordinator (OHC): in Regina & Saskatoon, this is a Dental Assistant. • Oral Health Professional (dentist, dental hygienist, dental therapist, dental assistant, denturist) • Nurses • Special Care Aides • Physicians • Other health professionals: speech-language pathologists BetterOralHealthinLongTerm Care
  14. 14. Bet t er Oral Healt h in Long Term Care •The OHCT is responsible for 4 key areas. 1. Oral Health Assessment 2. Oral Health Care Plan 3. Daily Oral Hygiene 4. Referrals BetterOralHealthinLongTerm Care
  15. 15. Bet t er Oral Healt h in Long Term Care 1. Oral Health Assessment • Performed by licensed oral health professional (or health professional who has been trained to perform oral assessments) on admission. • Performed on a regular basis or as need arises, by oral health coordinator, oral health professional, or nurse, whoever is trained. BetterOralHealthinLongTerm Care
  16. 16. Bet t er Oral Healt h in Long Term Care BetterOralHealthinLongTerm Care
  17. 17. Bet t er Oral Healt h in Long Term Care 2. Oral Health Care Plan • Daily care plan is developed based on basic individualized preventive oral health care regimen. BetterOralHealthinLongTerm Care
  18. 18. Bet t er Oral Healt h in Long Term Care BetterOralHealthinLongTerm Care
  19. 19. Bet t er Oral Healt h in Long Term Care 3. Daily Oral Hygiene • Continuing Care Aides provide daily oral care to residents, based on their individualized Oral Health Care Plan. BetterOralHealthinLongTerm Care
  20. 20. Bet t er Oral Healt h in Long Term Care 4. Referrals • Referrals for comprehensive dental exams and treatment are made, based on the Oral Health Assessment Tool. The majority of residents are best treated in their LTC home. BetterOralHealthinLongTerm Care
  21. 21. Bet t er Oral Healt h in Long Term Care
  22. 22. Bet t er Oral Healt h in Long Term Care BetterOralHealthinLongTerm Care
  23. 23. Bet t er Oral Healt h in Long Term Care
  24. 24. Bet t er Oral Healt h in Long Term Care LTC - Oral Health Coordinator Role: • Dental Assistants • Currently working in: • Regina at Santa Maria Senior Citizens Home • Saskatoon at Parkridge Centre, Sherbrooke Community Centre, and Sunnyside Adventist Care Centre. BetterOralHealthinLongTerm Care
  25. 25. Bet t er Oral Healt h in Long Term Care LTC - Oral Health Coordinator Role: • Trains staff to provide daily care. • Provide health education and promotion. • Communicates/liaison with family. • Coordinates/liaison with LTC staff to expedite effective care. • Coordinates consent/medical history process as required. BetterOralHealthinLongTerm Care
  26. 26. Bet t er Oral Healt h in Long Term Care Oral Health Care Plans based on 6 Best Ways to Maintain a Healthy Mouth: BetterOralHealthinLongTerm Care
  27. 27. Bet t er Oral Healt h in Long Term Care Saskatoon Health Region • Parkridge Centre, Sherbrooke Community Centre, and Sunnyside Adventist Care Centre have adopted Better Oral Health in Long Term Care – Best Practice Standards for Saskatchewan. • Nurse Educators received professional training by dental health educators and/or LTC Oral Health Coordinator: • one 3 hour learning module. • one 3 hour hands-on session. BetterOralHealthinLongTerm Care
  28. 28. Bet t er Oral Healt h in Long Term Care Expansion: • LTC Oral Health Coordinator in Saskatoon Health Region will continue to expand Better Oral Health in Long Term Care training to other interested LTC homes. • Training modules and resources, including all forms, policies, and standard work, are available on Saskatoon Health Region Infonet. BetterOralHealthinLongTerm Care
  29. 29. Bet t er Oral Healt h in Long Term Care Expansion: • All dental public health staff orientated to Better Oral Health in Long Term Care in June 2015. BetterOralHealthinLongTerm Care
  30. 30. Bet t er Oral Healt h in Long Term Care BetterOralHealthinLongTerm Care

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