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SOHC Better Oral Care in LTC

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October 27th 2014

Published in: Healthcare
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SOHC Better Oral Care in LTC

  1. 1. Better Oral Care in Long Term Care Best Practice Standards in Saskatchewan Saskatchewan Oral Health Coalition October 27, 2014 Better Oral Care in Long Term Care
  2. 2. Historically… Better Oral Care in Long Term Care
  3. 3. History of Saskatchewan Oral Health Projects in Long Term Care o Dental Health Educators working within their health regions have provided assistance to LTC patients and/or staff. o Individual dental therapists were providing care in a few homes. Better Oral Care in Long Term Care
  4. 4. History of Saskatchewan Oral Health Projects in Long Term Care o In 2005 team discussions occurred. o In 2007 the CDSS initiated the “Senior Oral Services (S.O.S.)” project. o 2008 – “Access to Care” seminar. Better Oral Care in Long Term Care
  5. 5. History of Saskatchewan Oral Health Projects in Long Term Care In 2006 the SDAA proposed a “Dental Assistant Care Plan” for LTC”  Radiography (if available)  Fluoride  Oral hygiene instructions  Place Provisional Restorations  Desensitizing  Labeling dentures  Remove sutures, etc. Better Oral Care in Long Term Care
  6. 6. History of Saskatchewan Oral Health Projects in Long Term Care College of Dental Surgeons of Saskatchewan 2007-2008 Regina: Saskatoon: Santa Maria Senior Citizens Home St. Ann’s Senior Citizens Home Full Dental Operatory Portage Dental Equipment Dr. Maureen Lefebvre Dr. Raj Bhargava Better Oral Care in Long Term Care
  7. 7. Better Oral Care in Long Term Care
  8. 8. Initiatives such as poster’s were sent to each LTC home in Saskatchewan advocating oral care Better Oral Care in Long Term Care
  9. 9. History of Saskatchewan Oral Health Projects in Long Term Care Saskatchewan Dental Hygienists Association o Skill set o Workplaces o Oral Systemic Link o Diabetes Link and Perio Brochure Better Oral Care in Long Term Care
  10. 10. Saskatoon Oral Health Coalition o May, 2010 Coalition formed o May, 2011 Oral Care in Long Term Care was identified as a significant goal o (transcended to Saskatchewan Oral Health Coalition – 2013) Better Oral Care in Long Term Care
  11. 11. Steering Committee - SHR In 2011, the Saskatoon Health Region and the U. of S College of Dentistry partnered with Santa Maria and St. Ann’s, (Community Wellness Grant) to provide: o administration o human resources (dental assistant) o Operation of a pilot project for oral health care Better Oral Care in Long Term Care
  12. 12. Project Overview: o provided education to long term care staff at two long term care homes. o Residents and their families were surveyed on basic oral health information. o The dental assistant works in two long term care homes and facilitates treatment by: Getting clients to the dental suite Assists the dentist visiting the home Works with staff to promote daily oral care Better Oral Care in Long Term Care
  13. 13. Saskatchewan Oral Health Professions o January, 2012 o Saskatchewan made Long Term Care Strategy o Our strategy would be based on the ‘best practices’ o Present our strategy to the Saskatoon Oral Health Coalition… health district personnel… Saskatchewan Health Better Oral Care in Long Term Care
  14. 14. Saskatchewan Oral Health Professions o College of Dental Surgeons of Saskatchewan o Saskatchewan Dental Therapists Association o Saskatchewan Dental Hygienists’ Association o Saskatchewan Dental Assistants’ Association o Dental Director, Saskatoon Health Region Better Oral Care in Long Term Care
  15. 15. Collaboration: o The committee developed a proposal for a LTC Strategy for presentation to Saskatchewan Health; o Reviewed “best practices” in LTC from around the world; o Acquired access to the Australian model to be amended to reflect our model for care; o Secured funding from the SOHP Conference fund to contract development; o Hired a Masters in Public Health to develop the proposal /presentation. Better Oral Care in Long Term Care
  16. 16. SOHP Overall Strategy: o Resources made available to every health region o Resources made available to every long term care home in Saskatchewan. o Endorsed by government Better Oral Care in Long Term Care
  17. 17. SOHP Goal #1 That the Saskatchewan Government, Ministry of Health endorse the Saskatchewan Seniors Oral Health and Long Term Care Strategy developed by the Saskatchewan Oral Health Professions collaboratively with Long Term Care. Better Oral Care in Long Term Care
  18. 18. SOHP Goal #2 That legislated Oral Health Care Policies/Standards for Long Term Care and Personal Care Homes are established based on best practice to strive for optimal oral and overall health for the people of Saskatchewan. Policies should ensure that every senior and long term care resident has the right and access to oral health care services: 2.1 An individualized oral health care plan 2.2 Basic oral hygiene supplies 2.3 Daily oral hygiene 2.3 Professional dental services 2.4 Oral health record included within the resident’s health record 2.5 Dental recommendations/orders are followed Note: As per Section 23 of the current Personal Care Home Regulation, each resident receive a dental examination, as necessary. Better Oral Care in Long Term Care
  19. 19. SOHP Goal #3 That an Oral Health Coordinator (OHC)(s), who is a licensed oral health professional, should be employed in each health region to facilitate the delivery of initial oral assessments, dental examinations and treatment, daily oral hygiene for residents and oral health education. The Oral Health Coordinator will work collaboratively with the long term care, multi-disciplinary team to improve the oral and overall health of residents. Better Oral Care in Long Term Care
  20. 20. SOHP Goal #4 That upon entry into a Long-Term Care (LTC) home, an initial oral assessment must be completed by a licensed oral health professional, through the general/medical consent provided by the long term care home. 4.1 Oral assessments should be routinely performed every 6 months thereafter, by an oral health professional or a health care professional trained in oral health. 4.2 Non-oral health professionals performing oral health assessments or care will receive appropriate training developed by this project. 4.3 All training will be provided by oral health professionals. Better Oral Care in Long Term Care
  21. 21. SOHP Goal #5 That initial oral assessments may trigger a referral to a dentist for a full dental examination to include: 5.1 Personal client record, including consent for dental examination 5.2 Review of medical and dental history 5.3 Complete examination of the oral cavity, to include: 5.3.1 Assessment of hard and soft tissues 5.3.2 Assessment of oral hygiene care 5.3.3 Oral cancer screening 5.3.4 Denture Assessment 5.4 Treatment plan/progress notes 5.5 Estimate/Consent for financial responsibility 5.6 Consent for treatment Better Oral Care in Long Term Care
  22. 22. SOHP Goal #6 Treatment needs based on the dental examination, may be provided by dentists, denturists, dental hygienists, dental therapists and/or dental assistants. Residents may access dental services through their personal oral health professional or through dental services as available through the long term care home. Better Oral Care in Long Term Care
  23. 23. SOHP Goal #7 That the Saskatchewan government establish a safety net program for more equitable access to oral health services for low income residents. Better Oral Care in Long Term Care
  24. 24. SOHP Goal #8 That the Saskatchewan Seniors Oral Health and Long Term Care Strategy is incorporated into post-secondary educational health training programs, orientation, and continuing professional development (i.e. for physicians, nurses, care aides, etc). Better Oral Care in Long Term Care
  25. 25. SOHP Goal #9 That the standard for new long term care homes includes provision for a treatment room suitable for a variety of health professionals including access to portable dental equipment to facilitate dental treatment. Better Oral Care in Long Term Care
  26. 26. SOHP Goal #10 That the implementation of a Saskatchewan electronic health record includes an oral health component. Better Oral Care in Long Term Care
  27. 27. SOHP Goal #11 That surveillance, evaluation and continuous quality improvement be performed on an ongoing basis to demonstrate improved health and oral health status outcomes. Better Oral Care in Long Term Care
  28. 28. Together, making a difference Better Oral Care in Long Term Care

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