Long term care facility dental care

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May 26th 2010

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Long term care facility dental care

  1. 1. Pilot Project Inception, September 2008
  2. 2. Collaborative Approach
  3. 3. Access to Care/Vulnerable Population
  4. 4. Dental  =  Systemic   Health        Health                 
  5. 5. Dental Health Systemic Health
  6. 6. PLAQUE
  7. 7. BACTERIA PLAQUE LOAD
  8. 8. BACTERIAL PLAQUE LOAD = BACTEREMIA • • • • • • Myocardial Infarcts Ischemic Strokes Aspiration Pneumonia Poor Glycemic Control Prostheses Failure  Aggressive behavior 
  9. 9. LTC Residents/ Vulnerability           to oral disease
  10. 10. • Cognitive Impairment • Multiple Medications causing  Xerostomia • Syrupy base for meds delivery • Sticky, Soft diets with high starch  content
  11. 11. 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
  12. 12. Presently In Long Term  Care…
  13. 13. • Dentist • Hygienist • Assistant • Mobile Dental Equipment
  14. 14. How To Improve Oral Health In LTC?
  15. 15. Why??? • Premier Medical Care • Decrease Health Care Costs • Vulnerable Population ‐Quality Of Life ‐ Fundamental rights ‐ Limitation of Family Responsibility ‐ State Responsibility ‐ Social Responsibility       
  16. 16. Let’s Study For Solutions? • • • • • • April 2008 July 2008 October 2008 July 2009 April 2010 May 2010 ODA Feds NLDA CDA CDA Saskatoon
  17. 17. 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
  18. 18. 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 
  19. 19. • 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 
  20. 20. 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
  21. 21. 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
  22. 22. 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
  23. 23. 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
  24. 24. 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
  25. 25. 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
  26. 26. 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 
  27. 27. Thank You

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