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Better oral health in long term care update

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May 29th 2017

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Better oral health in long term care update

  1. 1. May 29, 2017
  2. 2. • Met with Health Region Directors of Care on March 15, 2017 • Provided an overview of Better Oral Health in Long Term Care • Provided Better Oral Health in Long Term Care resources to each health region. • Informed Directors of the progress to date of Better Oral Health in Long Term Care.
  3. 3. 2010: Saskatchewan Oral Health Coalition (SOHC) • May, 2010 saw the formation of the SOHC. It consists of health professionals, including oral health professionals, community agencies, health region programs, provincial agencies, First Nations communities, and individuals and groups whose goal is to improve the oral health of Saskatchewan residents. • 2011 – SOHC members identified Oral Health Care in LTC as the top priority to move forward with.
  4. 4. Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan Since 2011, the Saskatchewan Oral Health Professions (SOHP) and Saskatchewan Oral Health Coalition have collaborated to develop a model for oral health care in LTC: • conducted best practice literature review • developed policies and procedures • continued data collection • informed and include other health regions and providers.
  5. 5.  In 2011, the Saskatchewan Oral Health Professions (SOHP) and Saskatchewan Oral Health Coalition (SOHC) endorsed the use and adaptation of the Australian Better Oral Health in Residential Care  Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan program was focus tested in Saskatoon Health Region at Parkridge Centre, in two of their neighborhoods, in early 2014. Better Oral Health in Long Term Care
  6. 6. • Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan is a train-the-trainer model teaching the best practices to provide daily oral care. • The Parkridge Centre pilot was used as the model for full implementation in other LTC homes in Saskatoon Health Region.
  7. 7. Better Oral Health in Long Term Care Educators’ Portfolio Professional Portfolio Staff Portfolio
  8. 8. Better Oral Health in Long Term Care
  9. 9. Better Oral Health in Long Term Care
  10. 10. Better Oral Health in Long Term Care
  11. 11. The oral care costs are included in the $21.25/month charged to each resident for personal care items.(Pilot program at Parkridge Centre in Saskatoon ) Better Oral Health in Long Term Care Residents with Natural Dentition Not Requiring Assistance: $1.74/month, which includes: •Fluoridated toothpaste ($0.72) •Toothbrushes GUM ($0.52) •End-Tuft toothbrushes GUM ($0.50) Residents Needing Assistance or Having Swallowing or Expectorating Difficulties: $2.69/month, which includes: • Perivex ($1.67) • Toothbrushes GUM ($0.52) • End-Tuft toothbrushes GUM ($0.50) Residents that are edentulous: $2.30/month, which includes: •Perivex ($1.67) •Toothbrushes GUM ($0.52) •Polident Tablet ($0.11) Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan Basic Oral Hygiene Supplies
  12. 12. 2011 – Yearly treatments Better Oral Health in Long Term Care
  13. 13.  The oral health kit is based on the model used @ Deer Lodge Centre in Winnipeg. Better Oral Health in Long Term Care Equipment • Perivex can be purchased from Cardinal Health.
  14. 14. Better Oral Health in Long Term Care
  15. 15.  Oct 2015 saw the transition from the pilot project as the Saskatoon Health Region OHP hired a dental assistant into the LTC OH Coordinator position.  LTC OHC has audited/refreshed staff at Parkridge and implemented Better Oral Health in Long Term Care: Best Practice Standards for Saskatchewan at Sherbrooke, Sunnyside home, and just started at Luther care home training times.  Saskatoon Health Region LTC Advisory Committee has the reviewed Better Oral Health in LTC strategy and is supportive.  2 contract dental hygienists with Saskatoon Health Region will work with LTC and within acute care to implement. Better Oral Health in Long Term Care
  16. 16. Oral Health Assessment Tool Kit Better Oral Health in Long Term Care
  17. 17. Oral Health Assessments Daily Care plans completed on the mirror clings
  18. 18. Thankful Residents This particular resident was having her partial dentures cleaned every day, but not her natural teeth! Notice the big smile after the care aide has completed her oral care! This particular care aide requested that I visit and help her become more comfortable doing oral care for this resident, who was new to her area of care. Better Oral Health in Long Term Care
  19. 19. Love this Smile This Residents’ body has stiffened up and he can no longer care for his own mouth on his own. A care aide assists him by guiding his hand with the hand over technique, but some days he can’t grip his toothbrush at all. They then provide full assistance. Better Oral Health in Long Term Care
  20. 20. Smiles all Around This resident is happy he is able to see the dentist in his own home, and also that I have been able visit him to help him brush and floss his own teeth more effectively. He told me “no one had ever explained to him why he should brush his teeth”. Better Oral Health in Long Term Care
  21. 21. BEFORE ASSISTANCE AFTER ASSISTANCE Better Oral Health in Long Term Care
  22. 22. BEFORE BRUSHING AFTER BRUSHING Better Oral Health in Long Term Care
  23. 23. Findings From the Six Month Oral Health Assessment* • 93% more residents now have healthy mouths. • 56% fewer residents had areas of concern in mouth. • 81% fewer residents had unhealthy mouths. • Better Oral Health in Long Term Care evaluation report to be completed by September, 2017. * 2 houses in a neighborhood; KV-H6 & H7 (16 residents)
  24. 24. I have been asked by residents and their families: “Why do LTC homes have spaces allotted for beauty salons and physical therapy rooms in the planning of the building development, but no Dental Clinics ?” Better Oral Health in Long Term Care
  25. 25.  Senior Dental Therapist has assessed residents at Stony Rapids Health Centre, and provided oral health supplies.
  26. 26.  DHE provides Oral Health Module for Continuing Care Aides training in Community College.
  27. 27.  Contract dental therapist/hygienist providing dental treatment assessments at Providence Place.  DHE provides annual assessments at Grasslands Health Centre in Rockglen. DHE would like to begin the Better Oral Health in LTC Program there.  Referrals from Prairie Villa and Ross Payant Centennial Home in Assiniboia, Lafleche, and Gravelbourg.  Better Oral Health in LTC will be implemented in neighborhoods at Extendicare.
  28. 28.  The SHR LTC Oral Health Coordinator has trained/orientated a dental hygienist to implement the Better Oral Health in Long Term Care program for Heartland Health Region and Priairie North Health Region.  DHE provides Oral Health Module to Special Care Aides taking course at community college.
  29. 29.  Consultant/referral dentist has provided oral health assessments as requested by Senior Dental Therapist.
  30. 30.  Contract hygienist (Unity) has been trained and will be implementing Better Oral Health in LTC.  In the past, DHE & SLP implemented training for LTC staff in several LTC homes, to provide assessments and daily oral care. Due to staff changes, this has changed.
  31. 31.  DHE provides Oral Health Module for Continuing Care Aides @ Saskatchewan Polytechnic in Prince Albert.  DHE provided assessments in the following LTC homes: Birchview Home (Birch Hills) Evergreen Health Centre (Leoville) Health Complex (Spiritwood) Herb Bassett Home (Prince Albert) Lakeland Lodge Lakeland Lodge (Big River) Mont St. Joseph (Kinistino) Parkland Terrace Pineview Terrace Special Care Centre (Hafford) Wheatland Lodge (Leask) Whispering Pine (Canwood)
  32. 32. • DHE’s & DA’s with Primary Health Care have implemented Better Oral Health in LTC: Best Practice Standards for Saskatchewan, and have completed education in the following LTC homes: Balcarres Integrated Care Centre St. Josephs Integrated Care Centre (Lestock) Centennial Lodge (Broadview) Silver Heights (Raymore) Echo Lodge (Fort Qu’Appelle) South East Integrated Care Centre (Moosomin) Golden Prairie Nursing Home (Indian Head) Whitewood Community Health Centre Grenfell Pioneer Home Wolseley Integrated Care Centre Long Lake Valley Integrated Care Centre (Imperial) Montmartre Health Centre • DHE’s, DA’s, and Director of Care will be trained on Better Oral Health in Long Term Care (assessments, etc.) in June.
  33. 33.  Sunrise Health Region will be starting a pilot in one LTC home using Better Oral Health in LTC: Best Practice Standards for Saskatchewan.  Dental Health Educator trained in Better Oral Health in LTC.  Following a CBC radio interview with Kerrie Krieg, Kamsack has expressed interest in implementing Better Oral Health in LTC: Best Practice Standards for Saskatchewan. http://www.cbc.ca/news/canada/sas katchewan/oral-health-care- saskatchewan-1.3970397
  34. 34. https://youtu.be/OjISugM0Tv8 • Long Term Care documentary in process, for completion by fall 2017.
  35. 35. Questions? For more information, contact: • Leslie Topola – Manager, Oral Health Program 306-655-4469

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