This document discusses the importance of dental and vision care, and challenges that homeless individuals face in accessing these services. It notes that dental problems can cause pain, infection, and negatively impact quality of life and employment prospects. Similarly, untreated vision issues affect daily functioning and long-term health. However, many homeless people lack insurance or ability to pay for these services. The document describes innovative programs that health care for the homeless clinics have implemented to improve access, such as on-site dental and vision clinics, mobile services, and partnerships with outside providers. It emphasizes the importance of preventive care and dedicated clinics that understand homeless patients' needs.
Dentists' Quarterly is a New York County Dental Society publication that provides a source of news and information for it's members and people in the dental community.
this dental administration incorporates routine dental examinations or registration, oral wellbeing guidance, scale and cleaning, extractions, fillings, X-beams, crevice sealants and root channel medicines and looks to address all ebb and flow dental concerns.
Powerpoint of continuing education program on mid-level providers in dentistry. Focus on the training of advanced skills hygienists both in terms of ADHP and prior projects in the United States for training dental hygienists to perform skills traditionally reserved for dentists
Improved oral health of older individuals in saskatchewansaskohc
This document outlines an oral health project proposal for older adults in Saskatchewan. It discusses the growing senior population and factors contributing to poor oral health. Poor oral health is linked to various systemic diseases and impacts quality of life. The status of oral health among older Canadians is generally poor. The document recommends increased oral health programs and services in Saskatchewan to improve outcomes and reduce financial costs.
This document discusses the field of community dentistry/dental public health. It involves assessing dental health needs at the population level rather than individual level. Key aspects include government programs focused on public education, workforce comprising various dental and non-dental providers, and preventive strategies targeting different populations such as pregnant women, children, geriatric patients, and medically compromised groups. Community water fluoridation and dental sealant programs are examples of preventive strategies. The document outlines considerations for treating special populations and emphasizes the importance of oral health education.
This Webinar provides an overview of common oral health barriers for people living with HIV/AIDS (PLWHA) and the importance of overcoming these barriers. It will also share some of the ways HRSA has helped link PLWHA to oral health care, including the SPNS Oral Health Initiative. Featured presenters include:
- Dr. Mahyar Mofidi; Branch Chief of the Division of Community HIV/AIDS Programs and Chief Dental Officer of the HRSA HIV/AIDS Bureau
- Jane Fox, MPH; Project Director of SPNS Oral Health Initiative Evaluation Center for HIV and Oral Health (ECHO), Boston University School of Public Health.
This document discusses geriatric dentistry as a specialty. It begins by defining geriatrics and gerontology. Geriatric dentistry emerged in the 1970s to address the oral health needs of aging populations. The document reviews how geriatric dentistry is recognized and taught internationally, noting variability between countries. Key barriers to teaching geriatric dentistry include curriculum constraints and lack of trained faculty. The needs of geriatric patients are discussed, categorizing them based on independence and health status. The document emphasizes the importance of comprehensive oral care for elderly patients and the role of geriatric dentists in meeting their complex needs.
This annual report summarizes the activities and accomplishments of the Community Health Centers of Burlington (CHCB) in fiscal year 2014. It provides an overview of CHCB's continued efforts to provide affordable, high-quality healthcare to all members of the community regardless of their ability to pay. Key highlights include a 33% increase in youth patients served, treating over 120 patients through medication-assisted treatment for opioid addiction, and the community health team providing care coordination and support to over 1,260 patients. Financially, CHCB ended the year with a net income of $978,695 and over $4 million in cash assets.
Dentists' Quarterly is a New York County Dental Society publication that provides a source of news and information for it's members and people in the dental community.
this dental administration incorporates routine dental examinations or registration, oral wellbeing guidance, scale and cleaning, extractions, fillings, X-beams, crevice sealants and root channel medicines and looks to address all ebb and flow dental concerns.
Powerpoint of continuing education program on mid-level providers in dentistry. Focus on the training of advanced skills hygienists both in terms of ADHP and prior projects in the United States for training dental hygienists to perform skills traditionally reserved for dentists
Improved oral health of older individuals in saskatchewansaskohc
This document outlines an oral health project proposal for older adults in Saskatchewan. It discusses the growing senior population and factors contributing to poor oral health. Poor oral health is linked to various systemic diseases and impacts quality of life. The status of oral health among older Canadians is generally poor. The document recommends increased oral health programs and services in Saskatchewan to improve outcomes and reduce financial costs.
This document discusses the field of community dentistry/dental public health. It involves assessing dental health needs at the population level rather than individual level. Key aspects include government programs focused on public education, workforce comprising various dental and non-dental providers, and preventive strategies targeting different populations such as pregnant women, children, geriatric patients, and medically compromised groups. Community water fluoridation and dental sealant programs are examples of preventive strategies. The document outlines considerations for treating special populations and emphasizes the importance of oral health education.
This Webinar provides an overview of common oral health barriers for people living with HIV/AIDS (PLWHA) and the importance of overcoming these barriers. It will also share some of the ways HRSA has helped link PLWHA to oral health care, including the SPNS Oral Health Initiative. Featured presenters include:
- Dr. Mahyar Mofidi; Branch Chief of the Division of Community HIV/AIDS Programs and Chief Dental Officer of the HRSA HIV/AIDS Bureau
- Jane Fox, MPH; Project Director of SPNS Oral Health Initiative Evaluation Center for HIV and Oral Health (ECHO), Boston University School of Public Health.
This document discusses geriatric dentistry as a specialty. It begins by defining geriatrics and gerontology. Geriatric dentistry emerged in the 1970s to address the oral health needs of aging populations. The document reviews how geriatric dentistry is recognized and taught internationally, noting variability between countries. Key barriers to teaching geriatric dentistry include curriculum constraints and lack of trained faculty. The needs of geriatric patients are discussed, categorizing them based on independence and health status. The document emphasizes the importance of comprehensive oral care for elderly patients and the role of geriatric dentists in meeting their complex needs.
This annual report summarizes the activities and accomplishments of the Community Health Centers of Burlington (CHCB) in fiscal year 2014. It provides an overview of CHCB's continued efforts to provide affordable, high-quality healthcare to all members of the community regardless of their ability to pay. Key highlights include a 33% increase in youth patients served, treating over 120 patients through medication-assisted treatment for opioid addiction, and the community health team providing care coordination and support to over 1,260 patients. Financially, CHCB ended the year with a net income of $978,695 and over $4 million in cash assets.
Lecture 1 introduction to preventive dental healthWeam Banjar
This document introduces preventive dental health, defining it as seeking to prevent dental diseases through identification of oral health threats, promotion of health, and targeted awareness campaigns. It notes challenges to preventive dental health in Saudi Arabia include lack of awareness, secure resources and funding, and sufficient human capital. While some may see preventive dental care as a luxury, the document argues it is a necessity, as dental diseases can be prevented through early detection and intervention, reducing economic burdens at both individual and national levels due to its connection to overall health.
- Preventive dentistry aims to prevent dental diseases before they occur through various levels of prevention including primordial, primary, secondary, and tertiary.
- Primary prevention removes the possibility of disease by targeting the entire population or high-risk groups through health promotion, education, environmental modifications, and specific protective measures like water fluoridation or dental sealants.
- Secondary prevention halts disease progression through early diagnosis and prompt treatment while tertiary prevention focuses on rehabilitation and reducing impairments from existing conditions.
This document discusses ways to prevent dental diseases through proper oral hygiene including toothbrushing, flossing, cleaning removable prostheses, and other techniques. It notes that bacteria can enter the bone through the gums, cause infection, and affect the entire body. Prevention through regular toothbrushing, flossing, and cleaning dentures and removable appliances is key to maintaining oral and overall health.
This document provides information about the Canadian Association of Public Health Dentistry (CAPHD). CAPHD is a non-profit organization comprised of public health dentists and oral health professionals dedicated to improving oral health and equity in Canada. The document outlines CAPHD's mission and values, lists its board of directors and committees, and discusses the roles and importance of dental public health professionals in assessing needs, developing programs, policies and collaborations to promote community oral health in Canada.
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
Dr. Janet Bauer of Loma Linda University addresses the growing issue of dental neglect in seniors, particularly those in early to mid-stage dementia who can no longer practice good dental hygeine without assistance. The presentation was part of the June 7, 2013 Glenner Symposium on Elder Abuse and Neglect for San Diego County health care professionals.
This document summarizes awards and events from New Jersey community health centers during National Health Center Week and other recent times. It discusses the Henry J. Austin Health Center winning the 2016 Helping Build Healthy Communities Award. It also describes several New Jersey health centers receiving awards from HHS for improving health outcomes and care quality as well as implementing health information technology and increasing access to oral healthcare. The document provides an overview of various events held by New Jersey health centers during National Health Center Week to engage their communities.
Preventative Dentistry: Patient Education and MotivationKatieHenkel1
This document discusses the importance of preventative dentistry. It emphasizes educating patients of all ages on proper oral hygiene and nutrition to prevent dental diseases. A dental auxiliary's role involves assessing patients, determining their motivations and needs, and developing individualized oral care plans. The goal is to ultimately empower patients to take responsibility for their own oral health through various preventative strategies and treatments. The document also provides a brief history of preventative dentistry and its role in improving overall health outcomes.
This document discusses oral health issues among older adults. It notes that dental professionals' goals are to improve function, maintain independence, promote quality of life, and address oral health. Successful aging depends on factors like behavior, culture, environment, and biology. Common chronic conditions among older adults increase demands on individuals, families, and the healthcare system. The document outlines risk factors for both systemic and oral diseases and conditions commonly seen in geriatric patients like dental caries, periodontal diseases, and oral cancer. It provides information on preventing and managing these conditions and emphasizes the importance of assessing individual risk factors and developing personalized care plans for older adults.
Jc: barriers to dental care for children with special health care needsDr. SHRUTI SUDARSANAN
The document summarizes a study that investigated barriers to providing dental care to children with special needs from the perspective of general dentists in Kerala, India. A survey of 149 dentists found the main barriers were lack of specialized training, inaccessible clinics, and unmotivated caregivers. While most dentists felt oral health disparities should be addressed and were interested in further training, many were unaware of disability rights laws. The study highlights the need for improved education and resources to increase access to dental care for children with special needs.
Tooth loss and importance of retaining teeth for vitality, quality of life an...fdiworlddental
This document discusses the importance of retaining teeth for an aging population. It notes that tooth loss leads to the loss of important structures and functions like mastication and speech. Retaining teeth is important for diet, quality of life, cognition, and longevity. Standards for oral health in older adults include indicators of tooth retention and disease. Studies show that fewer teeth are associated with poorer nutrition, lower quality of life, higher risk of dementia, disability, and mortality. Improving oral hygiene can reduce the risk of pneumonia in elderly patients.
Charlotte Fowler is a current DMD candidate at Tufts School of Dental Medicine seeking a position as a respected clinician. She has over 3 years of experience providing comprehensive dental care to patients in Boston community clinics through her student work. This includes restorative and surgical procedures. She also volunteers her time with programs providing care to underserved groups. Charlotte aims to continue expanding her education to stay current with techniques through continuing education courses.
This document provides an introduction and overview of geriatric dentistry. It discusses that geriatric dentistry involves the diagnosis, treatment, and care of senior citizens age 60 and older, including safely treating medically compromised patients and providing palliative care. It notes the need for geriatric dentistry is increasing as the aging population grows and lives longer. The course overview indicates it is a six-month program for dentists interested in prosthodontics, periodontics, public health, and oral cancer screening, and covers approaches to medically compromised patients and aging oral tissues. The cost of the program is $6,000 plus an additional $265 for membership in the American Society of Geriatric Dentistry.
Claire M. Henry is an experienced healthcare educator and practitioner specializing in dementia care. She has over 20 years of experience managing memory care units and developing training programs. Currently, she owns Caring Resources, a dementia care consulting business, and is the Director of the Lourdes Memory Center.
Prosthodontic care for geriatric and special needs populationManjuGeorge25
This document discusses prosthodontic care for geriatric and special needs patients. It begins by defining geriatric dentistry and outlining some key challenges with India's aging population. It then discusses various psychological factors associated with aging like changes in appearance, senses, and social roles. Various classification systems of elderly patients are presented based on their attitudes and behaviors. Guidelines are provided for managing anxious, depressed, and cognitively impaired elderly patients undergoing dental treatment. The importance of individualized treatment plans and managing patient expectations is emphasized.
The document discusses patient education, motivation, and oral hygiene instruction. It covers domains of learning, theories of motivation like the health belief model, and the process of behavioral change which involves factual education, practical demonstration, motivation, and reinforcement. Key aspects of patient education are discussed like the learning ladder, principles of learning, and changing a patient's attitude towards dental health. Methods of oral hygiene instruction like disclosing agents, toothbrushes, and interdental aids are also summarized.
Best practices for non dental professionals providing oral care in long term ...saskohc
This document discusses best practices for oral care in long-term care facilities. It outlines that caregivers often lack knowledge and training regarding oral health. Successful oral health programs take a multidisciplinary approach, appoint an oral health coordinator, provide educational training and materials to caregivers, and ensure funding for resident dental treatment. The Better Oral Health in Residential Care program and Brushing Up on Mouth Care project provide examples of toolkits and resources to implement good oral care practices.
This document discusses geriatric oral health and prosthodontic treatment. It begins with definitions of key terms like gerontology and gerodontology. It then discusses major physiological changes in aging like loss of senses and teeth. Psychological reactions to aging like reactions to appearance changes or social isolation are also reviewed. Common pathologies in older patients like arthritis and heart disease are summarized. The document emphasizes the importance of considering these medical and physiological factors in geriatric diagnosis and treatment planning to provide appropriate care.
Yosef C. Seewald is seeking an entry-level position as a dermatology physician assistant. He has a Master's degree in Physician Assistant Studies from Touro College and will graduate in April 2015. During his clinical rotations, he spent six weeks in dermatology. His experience includes procedures such as biopsy, wound care, laser therapy, and medication administration. He has published an article on phototherapy for psoriasis. Seewald has held positions providing care and support to individuals with disabilities. He is certified in basic life support and will sit for physician assistant national certification in 2015.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the second in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar outlines dental case management programs at the AIDS Care Group (ACG) in Chester, PA and the Native American Health Center (NAHC) in San Francisco, CA. The presenters include Dr. Howell Strauss and Mr. Nelson Diaz from ACG; and Dr. Carolyn Brown and Ms. Lucy Wright, RDH, representing the NAHC. The presentation details the pros, cons, and considerations of dental case management from administrative and clinical perspectives. The presenters also provide tips for being a good dental case manager and how this can result in improved health outcomes.
This document provides an overview of a training module on proper prescribing of controlled prescription drugs. It discusses the objectives of the training, which are to discuss the controlled prescription drug epidemic, define misprescribing, compare the roles of the medical board and DEA, and determine one's risk for misprescribing. It also provides information on the rights and responsibilities around the materials, introduces the topics that will be covered, and gives instructions for how to complete the module.
Whole body ct adult versus ped centers (iep)bahlinnm
1) The study analyzed over 30,000 pediatric trauma patients treated at level I or II adult or pediatric trauma centers to compare the use of whole body CT (WBCT) scans between facilities.
2) It found WBCT scans were used significantly more often on pediatric patients treated at adult trauma centers (31.4%) compared to pediatric centers (17.6%).
3) After adjusting for factors, pediatric patients treated at adult centers were 1.8 times more likely to receive a WBCT, increasing their radiation risk without improving outcomes, as mortality did not differ between the groups. The study concludes guidelines are needed to minimize unnecessary WBCT use across centers.
Lecture 1 introduction to preventive dental healthWeam Banjar
This document introduces preventive dental health, defining it as seeking to prevent dental diseases through identification of oral health threats, promotion of health, and targeted awareness campaigns. It notes challenges to preventive dental health in Saudi Arabia include lack of awareness, secure resources and funding, and sufficient human capital. While some may see preventive dental care as a luxury, the document argues it is a necessity, as dental diseases can be prevented through early detection and intervention, reducing economic burdens at both individual and national levels due to its connection to overall health.
- Preventive dentistry aims to prevent dental diseases before they occur through various levels of prevention including primordial, primary, secondary, and tertiary.
- Primary prevention removes the possibility of disease by targeting the entire population or high-risk groups through health promotion, education, environmental modifications, and specific protective measures like water fluoridation or dental sealants.
- Secondary prevention halts disease progression through early diagnosis and prompt treatment while tertiary prevention focuses on rehabilitation and reducing impairments from existing conditions.
This document discusses ways to prevent dental diseases through proper oral hygiene including toothbrushing, flossing, cleaning removable prostheses, and other techniques. It notes that bacteria can enter the bone through the gums, cause infection, and affect the entire body. Prevention through regular toothbrushing, flossing, and cleaning dentures and removable appliances is key to maintaining oral and overall health.
This document provides information about the Canadian Association of Public Health Dentistry (CAPHD). CAPHD is a non-profit organization comprised of public health dentists and oral health professionals dedicated to improving oral health and equity in Canada. The document outlines CAPHD's mission and values, lists its board of directors and committees, and discusses the roles and importance of dental public health professionals in assessing needs, developing programs, policies and collaborations to promote community oral health in Canada.
abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all
’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease
Dr. Janet Bauer of Loma Linda University addresses the growing issue of dental neglect in seniors, particularly those in early to mid-stage dementia who can no longer practice good dental hygeine without assistance. The presentation was part of the June 7, 2013 Glenner Symposium on Elder Abuse and Neglect for San Diego County health care professionals.
This document summarizes awards and events from New Jersey community health centers during National Health Center Week and other recent times. It discusses the Henry J. Austin Health Center winning the 2016 Helping Build Healthy Communities Award. It also describes several New Jersey health centers receiving awards from HHS for improving health outcomes and care quality as well as implementing health information technology and increasing access to oral healthcare. The document provides an overview of various events held by New Jersey health centers during National Health Center Week to engage their communities.
Preventative Dentistry: Patient Education and MotivationKatieHenkel1
This document discusses the importance of preventative dentistry. It emphasizes educating patients of all ages on proper oral hygiene and nutrition to prevent dental diseases. A dental auxiliary's role involves assessing patients, determining their motivations and needs, and developing individualized oral care plans. The goal is to ultimately empower patients to take responsibility for their own oral health through various preventative strategies and treatments. The document also provides a brief history of preventative dentistry and its role in improving overall health outcomes.
This document discusses oral health issues among older adults. It notes that dental professionals' goals are to improve function, maintain independence, promote quality of life, and address oral health. Successful aging depends on factors like behavior, culture, environment, and biology. Common chronic conditions among older adults increase demands on individuals, families, and the healthcare system. The document outlines risk factors for both systemic and oral diseases and conditions commonly seen in geriatric patients like dental caries, periodontal diseases, and oral cancer. It provides information on preventing and managing these conditions and emphasizes the importance of assessing individual risk factors and developing personalized care plans for older adults.
Jc: barriers to dental care for children with special health care needsDr. SHRUTI SUDARSANAN
The document summarizes a study that investigated barriers to providing dental care to children with special needs from the perspective of general dentists in Kerala, India. A survey of 149 dentists found the main barriers were lack of specialized training, inaccessible clinics, and unmotivated caregivers. While most dentists felt oral health disparities should be addressed and were interested in further training, many were unaware of disability rights laws. The study highlights the need for improved education and resources to increase access to dental care for children with special needs.
Tooth loss and importance of retaining teeth for vitality, quality of life an...fdiworlddental
This document discusses the importance of retaining teeth for an aging population. It notes that tooth loss leads to the loss of important structures and functions like mastication and speech. Retaining teeth is important for diet, quality of life, cognition, and longevity. Standards for oral health in older adults include indicators of tooth retention and disease. Studies show that fewer teeth are associated with poorer nutrition, lower quality of life, higher risk of dementia, disability, and mortality. Improving oral hygiene can reduce the risk of pneumonia in elderly patients.
Charlotte Fowler is a current DMD candidate at Tufts School of Dental Medicine seeking a position as a respected clinician. She has over 3 years of experience providing comprehensive dental care to patients in Boston community clinics through her student work. This includes restorative and surgical procedures. She also volunteers her time with programs providing care to underserved groups. Charlotte aims to continue expanding her education to stay current with techniques through continuing education courses.
This document provides an introduction and overview of geriatric dentistry. It discusses that geriatric dentistry involves the diagnosis, treatment, and care of senior citizens age 60 and older, including safely treating medically compromised patients and providing palliative care. It notes the need for geriatric dentistry is increasing as the aging population grows and lives longer. The course overview indicates it is a six-month program for dentists interested in prosthodontics, periodontics, public health, and oral cancer screening, and covers approaches to medically compromised patients and aging oral tissues. The cost of the program is $6,000 plus an additional $265 for membership in the American Society of Geriatric Dentistry.
Claire M. Henry is an experienced healthcare educator and practitioner specializing in dementia care. She has over 20 years of experience managing memory care units and developing training programs. Currently, she owns Caring Resources, a dementia care consulting business, and is the Director of the Lourdes Memory Center.
Prosthodontic care for geriatric and special needs populationManjuGeorge25
This document discusses prosthodontic care for geriatric and special needs patients. It begins by defining geriatric dentistry and outlining some key challenges with India's aging population. It then discusses various psychological factors associated with aging like changes in appearance, senses, and social roles. Various classification systems of elderly patients are presented based on their attitudes and behaviors. Guidelines are provided for managing anxious, depressed, and cognitively impaired elderly patients undergoing dental treatment. The importance of individualized treatment plans and managing patient expectations is emphasized.
The document discusses patient education, motivation, and oral hygiene instruction. It covers domains of learning, theories of motivation like the health belief model, and the process of behavioral change which involves factual education, practical demonstration, motivation, and reinforcement. Key aspects of patient education are discussed like the learning ladder, principles of learning, and changing a patient's attitude towards dental health. Methods of oral hygiene instruction like disclosing agents, toothbrushes, and interdental aids are also summarized.
Best practices for non dental professionals providing oral care in long term ...saskohc
This document discusses best practices for oral care in long-term care facilities. It outlines that caregivers often lack knowledge and training regarding oral health. Successful oral health programs take a multidisciplinary approach, appoint an oral health coordinator, provide educational training and materials to caregivers, and ensure funding for resident dental treatment. The Better Oral Health in Residential Care program and Brushing Up on Mouth Care project provide examples of toolkits and resources to implement good oral care practices.
This document discusses geriatric oral health and prosthodontic treatment. It begins with definitions of key terms like gerontology and gerodontology. It then discusses major physiological changes in aging like loss of senses and teeth. Psychological reactions to aging like reactions to appearance changes or social isolation are also reviewed. Common pathologies in older patients like arthritis and heart disease are summarized. The document emphasizes the importance of considering these medical and physiological factors in geriatric diagnosis and treatment planning to provide appropriate care.
Yosef C. Seewald is seeking an entry-level position as a dermatology physician assistant. He has a Master's degree in Physician Assistant Studies from Touro College and will graduate in April 2015. During his clinical rotations, he spent six weeks in dermatology. His experience includes procedures such as biopsy, wound care, laser therapy, and medication administration. He has published an article on phototherapy for psoriasis. Seewald has held positions providing care and support to individuals with disabilities. He is certified in basic life support and will sit for physician assistant national certification in 2015.
The goal of Integrating HIV Innovative Practices (IHIP) is to enable health care providers to implement proven innovations in HIV care and services within their own practices. This Webinar is the second in a three-part series exploring innovative approaches to delivering oral health care and services to people living with HIV/AIDS, featuring grantees of the Health Resources and Services Administration’s Special Projects of National Significance (SPNS) Innovations in Oral Health Care Initiative (Oral Health Initiative).
This Webinar outlines dental case management programs at the AIDS Care Group (ACG) in Chester, PA and the Native American Health Center (NAHC) in San Francisco, CA. The presenters include Dr. Howell Strauss and Mr. Nelson Diaz from ACG; and Dr. Carolyn Brown and Ms. Lucy Wright, RDH, representing the NAHC. The presentation details the pros, cons, and considerations of dental case management from administrative and clinical perspectives. The presenters also provide tips for being a good dental case manager and how this can result in improved health outcomes.
This document provides an overview of a training module on proper prescribing of controlled prescription drugs. It discusses the objectives of the training, which are to discuss the controlled prescription drug epidemic, define misprescribing, compare the roles of the medical board and DEA, and determine one's risk for misprescribing. It also provides information on the rights and responsibilities around the materials, introduces the topics that will be covered, and gives instructions for how to complete the module.
Whole body ct adult versus ped centers (iep)bahlinnm
1) The study analyzed over 30,000 pediatric trauma patients treated at level I or II adult or pediatric trauma centers to compare the use of whole body CT (WBCT) scans between facilities.
2) It found WBCT scans were used significantly more often on pediatric patients treated at adult trauma centers (31.4%) compared to pediatric centers (17.6%).
3) After adjusting for factors, pediatric patients treated at adult centers were 1.8 times more likely to receive a WBCT, increasing their radiation risk without improving outcomes, as mortality did not differ between the groups. The study concludes guidelines are needed to minimize unnecessary WBCT use across centers.
La Unión Europea ha anunciado nuevas sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen prohibiciones de viaje y congelamiento de activos para más funcionarios rusos, así como restricciones a las importaciones de productos rusos de acero y tecnología. Los líderes de la UE esperan que estas medidas adicionales aumenten la presión sobre Rusia para poner fin a su guerra contra Ucrania.
This document contains personal and career information for Azugha Miumuni Daniel. It outlines his contact information, objective to pursue a career in information technology, education history including a National Diploma in Computer Science and various professional certificates. It also lists his work experience in roles such as computer instructor, system engineer and administrator. Additional sections provide details on his skills, interests and referees.
El documento presenta una introducción a la contabilidad, describiéndola como una técnica que registra y clasifica las operaciones de una entidad económica para producir estados financieros que ayudan en la toma de decisiones. También incluye el programa de estudios sobre sistemas de información financiera, normas contables, estados financieros y control interno contable.
This document summarizes the services provided by Fisher Arnold related to electrical distribution, transmission, and substation design. It discusses their engineers' design of quality projects focusing on client needs and safety. Their goal for 30 years has been satisfied clients. They work to ensure optimum design and safety on each project through experience and technology. They partner with public and private entities to facilitate sustainable electrical networks and infrastructure to meet future power needs.
Group homes provide housing and rehabilitation services for individuals with mental illnesses and intellectual disabilities. They aim to help residents reintegrate into the community by teaching daily living skills. Group homes emerged in response to deinstitutionalization as a more community-based alternative to institutions. They have been shown to improve residents' mental health and independence while reducing readmissions to hospitals. However, group homes also face challenges related to affordability, community opposition, and limited availability of housing options for residents.
The document outlines the key details of a home sale including the purchase price of $450,000, a closing date of January 15, 2023, and contingencies requiring the home to pass inspection and the buyer to obtain financing by December 15, 2022.
This document summarizes information about the water vole or rat d'aigua in three languages. It provides the common and scientific names in Catalan and English, describes its physical characteristics as a medium-sized rodent with small ears and feet and a long tail. It also notes that water voles always live near water and have an underwater entrance.
El documento describe las cuatro capas principales de la Tierra: la geosfera, la atmósfera, la hidrosfera y la biosfera. También explica la actividad interna de la Tierra, incluyendo el movimiento de las placas tectónicas y los procesos geológicos como los pliegues, fallas, volcanes y terremotos. Además, describe los procesos geológicos externos como la erosión, el transporte y la sedimentación causados por agentes como el agua, el viento y los seres humanos.
1. The document discusses a study conducted on a group of students to analyze how different factors influence their learning process.
2. The study collected data on variables like gender, previous academic performance, and socioeconomic status to determine their impact.
3. The results showed that gender and academic history had little effect, but socioeconomic background influenced a student's ability to overcome challenges through constructive group work and creative problem-solving.
This document is a scanned copy of a letter from the United States Department of Justice to the United States Senate Committee on the Judiciary. The letter informs the committee that the special counsel investigation is complete and a confidential report has been delivered to the Attorney General. No further public report will be made by the special counsel, but the Attorney General may disclose information related to the report as he deems appropriate.
The EPA released a draft assessment examining the impacts of hydraulic fracturing (fracking) on drinking water resources. The assessment found that while fracking has not led to widespread or systemic impacts on drinking water, it did identify some potential vulnerabilities, including water withdrawals in low water areas, inadequately cased wells, and spills of fracking fluids. The EPA concluded the vulnerabilities are not intrinsic results of fracking itself. Supporters say fracking can be done safely under regulations, while opponents say it risks contaminating drinking water. The EPA plans further review before finalizing its assessment.
Este documento analisa e compara as funcionalidades de várias plataformas de gestão de conteúdo. Discute requisitos para a gestão de informação genérica, cronológica e sigilosa, bem como para a gestão de documentos e trabalho colaborativo. Avalia se as plataformas cumprem cada requisito, identificando oportunidades de melhoria.
El documento presenta el Pacto por México, un acuerdo entre los principales partidos políticos para impulsar reformas que fortalezcan al estado mexicano, democratice la economía y amplíe los derechos sociales. El pacto incluye cinco acuerdos, entre ellos, crear un sistema de seguridad social universal, un sistema nacional para combatir la pobreza, y reformas para mejorar la calidad y equidad de la educación a través de una mejor gestión y evaluación educativa. El objetivo general es construir una sociedad de derechos e impuls
Customer satisfaction is a top-down approach that begins with a corporate philosophy of putting the customer first. It is a culture that permeates the entire organization, from managers to associates, with the goal of exceeding customer expectations. Achieving customer satisfaction is a team effort where all associates work together to ensure the number one priority is satisfying the customer through both technical aspects like clean stores and personal aspects like friendliness. While store policies must be followed, the goal of customer delight means giving customers the benefit of the doubt to avoid damaging the store's reputation in the community. Building relationships with customers through individual attention helps create loyal, satisfied customers.
The Four major areas of oral public health are ; Health Policy and administration; research; oral health promotion and disease prevention; and delivery systems. Policy work includes such dissimilar concerns as developing dental programs for low-income communities and making recommendations for the state dental practice act.
This document discusses dental public health in India and compares practices in other countries. It finds that in India, dental public health/community dentistry is often misunderstood and seen merely as a way to increase patient numbers rather than prevent disease. National oral health policies in India also remain unimplemented. By contrast, countries like the UK, Nordic nations, and the Netherlands integrate public dental health practitioners and preventive services into their universal healthcare systems. The document calls for India to better define the role of public dental health to improve oral health outcomes.
1000am Catalanotto, Frank - In Defense of Dental Dental Therapy Master _3_9_1...HASAN SHAHRIAR
Dental therapists are oral health professionals who work under the supervision of dentists to provide services like preventive care, restorations, and minor surgical procedures. They are intended to expand access to care for underserved populations. Around 190 million Americans lack regular access to dental care due to issues like a shortage of dentists, especially in rural areas. Dental therapists could help address this access problem and improve oral health outcomes while also assisting overburdened dentists. Recent evaluations of dental therapy programs in Minnesota and Alaska found they effectively expanded access to care without compromising quality.
What Are You Willing to Change to Promote Your Patients' Oral Health?Dr Marielle Pariseau
This article, reprinted with the permission of the Ontario Dental Association and Ontario Dentist 2013, offers an introduction to Motivational Interviewing (MI) and its potential for improving the overall process of oral health care for patients and dental staff. Like any new skill, MI takes learning and practise. With training, you can take MI (an evidence-based, patient-centred communication method) and include it in the repertoire of your dental practices and skills so you can more effectively meet your patients’ oral health needs.
Improving Oral Health Access Migrant and Seasonal WorkersMPCA
Migrant farmworkers face significant barriers to accessing oral healthcare. Dental disease is one of the top 5 health problems for farmworkers aged 5-29. The main barriers include lack of insurance, inability to afford care, and lack of providers accepting Medicaid. Several organizations in Michigan provide dental services to migrant farmworkers, but they can only serve about 15-20% of this population due to limited resources. Expanding access will require innovative models of care delivery and increasing funding for preventive oral health programs.
Improving Oral Health Access Migrant and Seasonal WorkersMPCA
Migrant farmworkers face significant barriers to accessing oral healthcare. Dental disease is one of the top 5 health problems for farmworkers aged 5-29. The main barriers include lack of insurance, inability to afford care, and lack of providers accepting Medicaid. Several organizations in Michigan provide dental services to migrant farmworkers, but they can only serve about 15-20% of this population due to limited resources. Expanding access will require innovative models of care delivery and increasing funding for preventive oral health programs.
Guideline On Management Of Dental Patients With Special2171ceo_dentalsurgery
This document from the American Academy of Pediatric Dentistry provides guidelines for managing dental patients with special health care needs (SHCN). It discusses that individuals with SHCN are at increased risk for oral diseases that can impact overall health. It recommends that dental practices establish a dental home for these patients to implement individualized preventive oral health practices. It also stresses the importance of effective communication, medical consultations, informed consent, and addressing barriers to care for patients with SHCN. Preventive strategies like dental sealants, fluorides, and addressing diet and medications are especially important for these patients.
Since the 2000 US Surgeon General's report on oral health in the United States, important but insufficient results have been achieved in accessing and providing oral health care.
This document discusses improving oral health outcomes through a dental wellness plan approach. It begins by outlining the chronic infectious nature of dental diseases and how current treatment methods do not effectively address the underlying causes. It then proposes a dental wellness plan that would identify high-risk plan members through shared risk assessment, treat the infections causing dental decay through an evidence-based antibacterial coating, and differentiate care levels based on risk status. The goal is to contain costs and improve outcomes by shifting from a surgical response to managing the oral infections driving dental diseases.
Health Education and Promotional Program Planning II Project Binderjordan fordham
The document outlines a health education program called "Maintain Your Smile" that was presented at the Hearts and Hands Clinic to teach participants basic dental hygiene. It includes biographies of the project team, an abstract, introduction discussing the need for the program, and sections on planning the intervention, budget, methods, and evaluation. The goal was to emphasize the importance of proper oral care to those with low incomes who have limited access to dental services.
This document provides guidelines for managing dental patients with special health care needs (CSHCN). It defines CSHCN as children who have disabilities that affect daily activities and require modified dental care. The document outlines the history of caring for CSHCN and the establishment of special needs dentistry. It describes different types of special needs including intellectual, physical, medical, and psychiatric disabilities. Recommendations are provided for scheduling appointments, establishing a dental home, and thoroughly assessing patients to provide appropriate care for CSHCN.
Targeting poor health improving oral health for the poor and the underservedAlexander Decker
This document discusses improving oral health for poor and underserved populations in developing countries. It notes that huge differences exist in oral health between urban and rural populations as well as between rich and poor urban residents in developing nations. The poor and marginalized form the majority in developing countries and have poor oral health due to inability to afford care. "Dental safety nets" refer to public and nonprofit providers that deliver oral healthcare to underserved groups. However, the capacity of safety nets is limited compared to private dentistry. Effective policies are needed to establish minimum emergency dental care standards and support safety net providers.
11.targeting poor health improving oral health for the poor and the underservedAlexander Decker
This document summarizes the key issues around improving oral health for underserved populations in developing countries. It discusses how huge differences exist in oral health between urban/rural and rich/poor populations due to differences in socioeconomic status and access to care. While developing countries have many dental graduates and facilities, the high cost of private dental care means most of the poor population cannot afford basic services. Safety net programs aim to improve access for these underserved groups, but capacity is limited. The document examines dental safety nets in other countries and discusses policy options for expanding access to care for poor populations in developing nations.
This document discusses several organizations that provide charitable care in communities. It describes non-profit dental clinics, food banks, meals programs, and healthcare organizations that offer free or low-cost services to low-income and uninsured individuals. These services include dental cleanings and treatments, medical care, food assistance, and support for those with HIV/AIDS. The document emphasizes the importance of these charitable resources in improving health and reducing health disparities for vulnerable populations.
11.[12 18]targeting poor health improving oral health for the poor and the un...Alexander Decker
This document summarizes a study on improving oral health for underserved populations in developing countries. It finds that huge differences exist in oral health between urban and rural populations, as well as between rich and poor urban residents, in developing nations. The poor and marginalized who form a majority have poor oral health and limited access to dental care due to high costs. Existing dental safety nets have very limited capacity compared to private dentistry. Safety nets aim to serve diverse underserved groups but are fragmented and face coordination challenges. Options to strengthen safety nets include increasing community clinics and training programs.
This document outlines a project to provide complete dentures to uninsured patients in Washtenaw County, Michigan. University of Michigan dental students and faculty volunteers will screen and treat eligible edentulous patients at the Community Dental Center. The goals are to improve patients' quality of life through improved oral health and function, provide educational experiences for students and faculty, and strengthen partnerships between the dental school and local laboratories. Funding is provided by grants from the Michigan Dental Association Foundation and Delta Dental Foundation. Evaluation will assess improvements in patients' oral health and satisfaction.
Seniors Oral Health Report_proof_2015(march2)Eliot Coles
The document discusses oral health issues facing seniors in Nova Scotia. It summarizes statistics showing that most Nova Scotians are not concerned about oral health of family over 65 and do not know their oral health status. However, seniors have more teeth than previous generations and require regular care. The document expresses concerns that seniors in long-term care often do not receive adequate daily oral care. It calls for more training of caregivers, screening of residents' oral health upon admission, and developing daily oral care plans for dependent seniors.
The document discusses three main areas of focus for the future of dental hygiene: education, legislation/self-regulation, and access to care. For education, it describes innovations in dental hygiene education including distance learning, virtual simulations, and a push for bachelor's and PhD programs. Regarding legislation, it outlines efforts to expand the scope of dental hygienists through various state bills. On access to care, it discusses the need for mid-level dental practitioners to increase access and proposed solutions from the ADHA.
Lack of dental volunteers in the seventh districtplaqueless
This document discusses the lack of volunteerism among dentists and dental hygienists from the Seventh District Dental Society and Dental Hygienists Society at the St. Joseph's Neighborhood Center clinic in Rochester, NY. The clinic provides services to underserved individuals without insurance but turns patients away due to a shortage of dental volunteers. The author proposes appealing to the dentists and hygienists to see one pro-bono patient per year to increase access to care. Incentives suggested include continuing education credits, publicity in the local newspaper, and recognition on the Seventh District website. Funding for incentives would come from donations or the author personally.
This document discusses isolated head injuries in pediatric trauma patients and the association with shock and hypotension. The key points are:
1) A study found that among pediatric patients with isolated head injuries, rates of hypotension were highest in those aged 0-4 years, with 1/3 of hypotension cases associated with isolated head injuries in that age group.
2) Several potential causes for this association between isolated head injuries and hypotension in young pediatric patients were hypothesized, including neurogenic or autonomic responses.
3) Due to the risks of cerebral edema from large fluid volumes, providers may need to adjust treatment to include early vasopressors or anticholinergic drugs to support blood pressure in these
Vanderbilt is implementing a new CME attendance recording system that allows participants to text their attendance to update their transcript in real time and manage external credits online. To use the new system, users must log into the CME website with their VUnetID and ePassword, enter their cell phone number, and save the toll-free number 855-776-6263 in their phone so they can text their attendance at future sessions instead of using sign-in sheets.
The internal educational program (IEP) of Vanderbilt University's Division of Trauma, Emergency Surgery and Surgical Critical Care aims to provide educational opportunities on topics related to trauma care from pre-hospital care to post-discharge requirements. The IEP will explore various areas of interest throughout the year and outline the full continuum of care provided to trauma patients. The IEP involves the trauma team, which consists of physicians, nurses, and other specialists from various departments. The overall goal is to continuously improve trauma patient care and reduce injuries in the local region.
The internal educational program (IEP) of Vanderbilt University's Division of Trauma, Emergency Surgery and Surgical Critical Care aims to provide educational opportunities on topics related to trauma care from pre-hospital care to post-discharge requirements. The IEP will outline the care provided to trauma patients from point of injury through completion of care. The trauma team includes surgeons, nurses, and liaisons from emergency medicine, orthopedics, neurosurgery, anesthesia, and radiology, with the shared goal of improving trauma patient care in a consistent and caring manner and preventing injuries in the local region. Participants are asked to review provided materials and complete an evaluation.
This document outlines a planning worksheet to link learning objectives with educational activities and assessment plans. The worksheet lists learning objectives in the first column and pairs them with corresponding educational activities in the second column and assessment strategies in the third column to evaluate student learning and achievement of objectives.
This document provides guidance for course directors on assessment strategies for Advanced Clinical Electives (ACE) and Acting Internships (AI) at Vanderbilt School of Medicine. It emphasizes that assessment drives learning and should serve both summative and formative functions. The document outlines best practices for assessment including linking learning objectives to instructional activities and assessments, using multiple assessment methods, providing timely feedback, and ensuring fairness and consistency across courses. Examples are provided to illustrate how learning objectives can be aligned with educational activities and assessments. The overall message is that assessment is important for evaluating student progress and should be designed to both evaluate learning and guide future improvement.
This document provides guidance for writing learning objectives for Advanced Clinical Electives (ACEs) or Acting Internships (AIs) at Vanderbilt University School of Medicine. It aims to equip course directors with tools to write objectives using a standardized format. The document defines a learning objective as a clear target for learners to acquire new knowledge, skills, or attitudes. It also assumes course directors will want to increase their knowledge about constructing learning objectives and understand why they are essential elements of a course curriculum.
The document provides guidance on writing learning objectives for an educator development program at Vanderbilt School of Medicine. It discusses considering the categories/domains of objectives, components that comprise objectives, and verbs commonly used. Examples of objectives for an Immersion Course are provided. The document stresses writing objectives that are specific, measurable, attainable, relevant and time-sensitive. It indicates standardized objectives will be provided for different course types and instructors should create 2-4 additional course-specific objectives.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
1. A Publication of the HCH Clinicians’ NetworkVol. 19, No. 2 | Fall 2015
Dental andVision Care for Homeless Patients
Though insurance plans and government-run health care plans
often treat dental and vision care as supplementary,1
health
care providers and patients know that proper oral and eye care
are essential to good health. As a 2000 Surgeon General report
notes, “The terms oral health and general health should not be
interpreted as separate entities. Oral health is integral to general
health… [O]ral health means more than healthy teeth and…
you cannot be healthy without oral health.”2
Untreated dental
problems can lead to life-threatening infections, and even simple
dental caries can cause considerable pain and discomfort.3
Likewise, vision problems negatively impact quality of life, but can
also contribute to serious long-term health problems, particularly
in patients with diabetes.4
Despite the importance of dental and vision care, many people
in low-income communities do not have access, due to inability
to afford treatment or difficulties in accessing a provider, since
in many states only a small proportion of service providers will
see uninsured or publicly insured patients. Dr. Clement Yeh,
the Medical Director for San Francisco’s 911 Center and the
San Francisco Department of Emergency Management, and an
emergency room physician at San Francisco General Hospital,
explains that “access to dental care for homeless individuals is
really lacking. Some states (including California) include dental
care in Medicaid coverage – here it’s called Denti-Cal. The
problem is that very few dentists will actually agree to see people
who only have Medicaid coverage. One of my colleagues, Dr.
Maria Raven, has done some public policy work in this area and
found that in some parts of the country only 11% of the dentists
would provide services with only Medicaid coverage. Homeless
PhotosandDentistrybyJudithL.Allen,DMD
Quality
of Life
PHYSICAL
Oral/ocular pain,
bleeding gums
FUNCTIONAL
Chewing, talking,
reading, driving
SOCIAL /
EMOTIONAL
Anxiety, happiness,
depression
SOCIAL
School, job,
friends / family
2. 2
A Publication of the HCH Clinicians’ Network
people definitely need to be aware of dental coverage if they
qualify, but it is of little use if no one can find a dentist who is
willing to see them for a lot less reimbursement than other private
insurance plans.” Vision care can be similarly difficult to access—
even people with insurance plans that cover vision often find that
specific services are not covered—and high up-front costs are often
associated with seeking eye care.
Individuals experiencing homelessness are faced with adverse
health outcomes in the areas of vision and oral health,
exacerbated by this lack of access to health care.5
These outcomes
cause impacts on physical health, as well as social and emotional
effects, functional restrictions, and social discomfort. In
addition, poor eye and oral health can be significant barriers to
employment and therefore impede pathways out of homelessness.
But people who do not have insurance, cannot afford services out
of pocket, and have limited access to networks of providers have
few conventional options for accessing care.6
Because of these
difficulties in access, Health Care for the Homeless programs
around the country have developed innovative approaches and
models for providing dental and vision care for their patients.
Dental Care for People
Experiencing Homelessness
A year after she began working at the Family Health Center in
Worcester, Massachusetts, Amy Grassette sought help with her
teeth. During the time she’d lived in a shelter with her family,
she’d experienced ongoing dental problems, including the loss
of some of her teeth. Family Health Center was able to remove
the rest of the
teeth, but her
dental insurance
plan didn’t cover
dentures. As
a result, Ms.
Grassette went
a year with no
teeth. During
this time she
volunteered for
the National
Health Care for
the Homeless
Council and
spoke about
homelessness
at a Joint
Congressional
Briefing. “I tried
very hard not to
smile,” Ms. Grassette recalls of her appearance before Congress,
“and since I was very conscious of the fact that I didn’t have teeth,
you didn’t see me smile often.”
Through HCH connections, Ms. Grassette met Dr. Judith Allen
at the Elm Street Dental Clinic in Cincinnati, Ohio. With the
support of numerous people, Ms. Grassette was able to travel
to Cincinnati, and Dr. Allen drove her to a lab in Kentucky
where a set of dentures was fabricated for her. A week later, Ms.
Grassette flew back to Massachusetts with a full set of dentures,
feeling “very grateful and fortunate to know really good people
in this work that were able to help me. I had a huge turnaround
in feeling confident and being able to smile again,” she recalls.
Dr. Allen, who was dubbed “The Tooth Fairy” by local press,
says of her work, “Every day I come to work I grant wishes: I
wish I could sleep tonight without pain; I wish I could smile; or
if I could smile and get a job I could go home again and see my
family again.”
Intense physical pain can accompany untreated dental problems,
and Ms. Grassette’s story highlights the social and emotional
impacts that also occur. Dr. Allen notes that people with visible
dental issues may experience difficulty finding employment or
accessing certain services, and that often people’s sense of “self-
worth is turned around dramatically when their oral health is
taken care of.” Quality of life is affected in multiple ways by the
existence of dental problems and access to care.7
Despite the critical importance of timely and preventive dental
care, difficulties in access often lead homeless patients to seek
oral care in emergency rooms. Dr. Yeh notes that in the San
Francisco emergency room where he works, patients most often
come in “for simple dental pain due to dental caries [cavities],
but infections sometimes progress to dental abscesses, infections
around the tooth itself, or even severe facial soft tissue infections.
Additionally, I frequently care for people who have dental trauma
from falling or being assaulted and have chipped or dislodged
teeth.” He adds that he sees children in the
emergency room for injury and mouth trauma.
However, unless there is a life-threatening
infection, emergency departments are limited
in their ability to provide dental care; most
often, says Dr. Yeh, emergency care providers
“control pain and refer patients to a dentist for
definitive dental care,” though the care will be
difficult for low-income and homeless clients
to access—including for children, since “safely
caring for kids with dental problems is a special
skill among dentists, which can make finding
a dentist who will provide services for kids
without private insurance even harder.”
Some HCH projects have found innovative
ways to provide dental care to their clients.
In New York City, the NYU Lutheran
Department of Community Medicine operates
13 HCH clinics, serving more than 7,000
homeless clients a year. All clients, regardless
of insurance status, are offered free dental care with no copays,
including clients who need dentures. NYU Lutheran has five
dental clinics and one of the largest dental residency training
FULL UPPER AND LOWER PARTIAL DENTURE
Photos and Dentistry by Judith L. Allen, DMD
3. A Publication of the HCH Clinicians’ Network
3
A Publication of the HCH Clinicians’ Network
programs in the country. All HCH clients are referred to one
site, where designated contact staff members are familiar with
Community Medicine and the needs of homeless clients. In the
HCH medical clinics all clients are asked, as a routine part of their
physical examinations, when they last saw a dentist. “A majority
of our clients have not received dental care for years,” says Ansell
Horn, RN, NP, PhD. “And many foreign-born clients have never
had any dental care.” Most homeless patients, Dr. Horn says,
have acute and chronic dental problems; many need extractions,
followed by partial or complete dentures. Unfortunately, he
adds, in New York it is “difficult to get Medicaid approval to
do root canals and crowns, so we are expected to pull teeth
instead of saving them, unless the client is able to pay.” At NYU
Lutheran, clients with acute needs are seen the same day and
routine preventive care appointments are usually made within a
week. Access is facilitated by providing transportation (usually
New York City transit cards) and patient navigators escort clients
when necessary. The NYU Lutheran dental clinic staff provides
patients with a prescription for medications, rather than telling
patients to purchase over-the-counter medications (e.g. Tylenol or
Motrin). The referring medical clinics keep medications on-site
for uninsured clients. “Dental care is a huge gap in medical care
for homeless clients and we find that most clients jump at the
opportunity to access care,” says Dr. Horn. “Early intervention
and referral to a clinic that knows the needs of our clients is key to
the program’s success. In 2014, more than 2,400 NYU Lutheran
Community Medicine clients were referred to our dental clinic.”
At the Elm Street Clinic in Cincinnati, the city government
provides health care on a sliding fee scale; for HCH clients the
sliding scale goes down to zero. In recent years the Clinic has
expanded the reach of its dental programs since, as Dr. Allen
explains, “Oral health is particularly important for people who
are underserved and can’t get themselves to dentists and dental-
care facilities. It literally is life-threatening in some cases.” The
first hours of the day in the dental clinic are dedicated to walk-in
emergency treatment, and an average day sees between 10 and
25 people with dental emergencies such as large oral abscesses
and infections. In the summertime there tends to be a higher
proportion of injuries.
Community collaborations are useful tools in arranging dental
care for people experiencing homelessness. In Provo, Utah,
the Food & Care Coalition is a homeless services agency that
provides a variety of services including meals and transitional
housing. In collaboration with the Share A Smile Foundation,
the Coalition has been operating a dental clinic for years. What
started as a collaboration with a single dentist and his office
has grown into a network of over 50 dentists that contribute
volunteer services, supplies, and equipment, providing services
two days a week to Food & Care Coalition clients. The network
also includes a partnership with pre-dental students at two local
universities. Brent Crane, Executive Director of the Food &
Care Coalition, says, “We also just entered into a partnership
with Mountainlands Community Health Center in creating a
full-service medical clinic with three [examination rooms] and
expanded dental facilities. They will actually be leasing our
existing dental clinic and remodeled classroom…and doing
dental on the days that Share A Smile doesn’t.” Providing these
services on-site where clients access meals and other services is
a practical solution for clients for whom it is difficult to travel.
Crane explains, “Our facility operates on a unique premise:
clients are required to perform community service rather than
offer monetary co-pay for services that are provided. This system
gives clients an opportunity to express their gratitude by ‘paying
it forward’ into the community.” Other emerging practices being
utilized by care providers across the country include mobile
screening units, shelter-based dental services, and tele-dentistry.
Practices such as these enable care providers to reach patients
who do not have reliable transportation or assistance navigating
complex health systems.8
Dr. Horn names two crucial lessons for service providers of
dental care for homeless patients. First, expanded access to
FULL UPPER DENTURE AND LOWER PARTIAL DENTURE
Photos and Dentistry by Judith L. Allen, DMD
CHILD WITH RAMPANT CARIES
Photo by Judith L. Allen, DMD
4. 4
A Publication of the HCH Clinicians’ Network
preventive dental care—regular dental care, not only in response
to acute conditions—is critical for avoiding deterioration, which
results in expensive restorative work. Second, dedicated dental
clinics “can ensure sensitivity to clients who are homeless and
their special needs,” such as access to medication, transportation
assistance, and patient navigation.
Vision Care for People
Experiencing Homelessness
As with dental care, lack of access to vision care presents a host of
problems. Amy Grassette says that “for all different ages and all
different reasons, vision care is critically important—to be able to
work, to be able to do schoolwork, to be able to see clearly to drive
safely.” Children without access to vision care, for example, may
fall behind in school as a result of untreated vision problems, and
adults may not be able to function effectively in the work force,
increasing their vulnerability for homelessness.
According to Alan Bradford, Vice President of Operations and
COO at Mercy Care in Atlanta, Georgia, vision care is “a critical
component for people who are trying to get out of homelessness”—
imagine going to a job interview with a vision challenge, for
example, or trying to fill out applications for employment
and housing— and “it can be a big deterrent to getting out of
homelessness. It’s a critical need.” Moreover, without routine eye
care, chronic diseases may be overlooked or neglected, resulting
in further deterioration. Especially for patients with diabetes,
a disease that is already challenging to treat in the homeless
population, regular eye exams are critical to long-term health
because of the increased risk of glaucoma and other vision-
threatening diseases.
The Family Health Center in Worcester opened its Vision
Center in December 2014, which Ms. Grassette says “has been
a tremendous help to our patients, since we don’t have to refer
them elsewhere.” The vision clinic is staffed by overseeing
ophthalmologists and optometry residents from the Massachusetts
College of Pharmacy & Health Sciences. There is an eyeglass store
onsite so that clients do not have to travel to purchase eyewear.
The opening of the Vision Clinic has enabled the clinic to
provide routine vision care for patients with diabetes. Community
members can also access the vision center, even if they don’t have
primary care at the Family Health Center, and employees can also
use the vision center and get a discount on eyewear. Ms. Grassette
estimates that at least 300 people have received vision care at the
clinic in the short time since it opened.
According to Mr. Bradford, offering vision care can be a fiscal
challenge, particularly in non-Medicaid expansion states such
as Georgia; he estimates that 93 percent of their clients are
uninsured. Mercy Care in Atlanta has two vision clinics, the first
of which opened in 2009. Previously, Mercy Care conducted a
small vision care program with the aid of a volunteer optometrist,
but thanks to a private funder is now able to employ a full-time
optometrist and offer comprehensive vision screening services at
the two locations with the help of both employees and volunteers.
The clinics offer full vision screenings and examinations, as well
as treatment for glaucoma and other conditions. Patients with
identified vision problems are given access to onsite frames and
lenses, and those who cannot be served on-site are provided with
transportation to off-site hardware providers and given assistance
with selecting glasses that fit properly. He notes that an important
part of Mercy Care’s ability to offer both vision screenings and
exams is their partnership with local eyeglasses providers. His
advice to other care providers implementing vision care programs
is to draw upon community partnerships, utilize volunteers, and
find a good partner for providing subsidized access to hardware.
At clinics where free or affordable vision care is unavailable,
clinicians often refer homeless clients to other community
resources. Before opening the new vision clinic, for example,
Family Health Clinic referred clients to a church in Worcester
that provided Monday night eye exams and low-cost eyeglasses.
In Utah, says Mr. Crane, the Food & Care Coalition refers
clients to LensCrafters’ OneSight program. OneSight, which
has been operating for 25 years and has provided vision care to
over 8 million people in 41 countries, is a collaboration between
LensCrafters associates and independent doctors. Through the
use of school-based vision centers, charitable vision centers,
and community vision clinics, the OneSight program seeks to
provide free and affordable eye exams and eyewear in underserved
communities around the world.9
Mobile vision screening programs are on the rise around the
United States.10
These programs offer free or low-cost eye
examinations and access to eyewear. Some mobile vision screening
programs visit schools, community centers, health clinics, shelters,
or community events. For example, Mr. Bradford estimates that
Mercy Care conducts 25 off-site vision screening opportunities
per year at community events and outreach fairs; individuals
identified as requiring services are then referred to one of Mercy
Care’s two vision clinics. A growing field that may benefit low-
income and homeless clients, particularly those who require
frequent vision screenings due to diabetes, is tele-optometry,
where a clinic has a specialized camera that can photograph the
1. Educate your patients about programs that may
provide them dental coverage.
2. Develop local resources by identifying dentists who
will accept your patients.
3. Prevention! Don’t let your patients ignore their
dental problem until it becomes an emergency.
Emergency room doctor ClementYeh notes three
things that medical providers should focus on when
considering dental care for homeless individuals:
5. A Publication of the HCH Clinicians’ Network
5
A Publication of the HCH Clinicians’ Network
retina, and an ophthalmologist in another location can review the
images and make recommendations.11
Conclusion
Resolving barriers to access to dental and vision care should be
a key goal for health care providers. As Dr. Allen in Cincinnati
says, “Not every HCH program has an oral health component
to it, but every program needs an oral health care component
because it’s so vital to patients on so many levels.” Recognizing the
linkages between oral health, eye health, and long-term physical
and mental health outcomes may prompt providers to develop
programs that meet the multifaceted health care needs of people
experiencing homelessness.
References
1
See Henry J. Kaiser Family Foundation and National Association of Medicaid
Directors, Medicaid in an Era of Health Delivery System Reform: Results
from a 50-State Medicaid Budget Survey for State Fiscal Years 2014 and 2015,
October 2014. http://files.kff.org/attachment/medicaid-in-an-era-of-health-
delivery-system-reform-results-from-a-50-state-medicaid-budget-survey-for-state-
fiscal-years-2014-and-2015-report.
2
U.S. Department of Health and Human Services. Oral Health in America: A
Report of the Surgeon General. Rockville, MD: U.S. Department of Health and
Human Services, National Institute of Dental and Craniofacial Research,
National Institutes of Health, 2000.
3
Factors affecting oral health over the life span. National Institute of Dental
and Craniofacial Research. http://www.nidcr.nih.gov/DataStatistics/
SurgeonGeneral/sgr/chap10.htm. Updated March 24, 2015. Accessed April 30,
2015.
4
Information for healthy vision: Age-related eye diseases. National Eye Institute.
https://www.nei.nih.gov/healthyeyes/aging_eye. Accessed April 30, 2015.
5
Seirawan H, Elizondo LK, Nathason N, Mulligan R. The oral health conditions
of the homeless in downtown Los Angeles. CDA Journal. 2010; 38(9):681-688.
6
DiMarco MA, Luington SM, Menke EM. Access to and utilization of oral
health care by homeless children/families. JHCPU. 2010; 21(2):67-81.
7
Sischo L, Broder HL. Oral health related quality of life: What, why, how, and
future implications. J Dent Res. 2011; 90(11):1264-1270.
8
DiMarco MA, Luington SM, Menke EM. Access to and utilization of oral
health care by homeless children/families. JHCPU. 2010; 21(2):67-81.
9
Lens Crafters. One Sight: Everyone deserves to see a brighter future. http://
www.lenscrafters.com/onesight#sd.
10
Barnes JB, Barnes SS, Small CR, Otto CS, Bennett MD. Mobile eye screenings
for Hawaii’s homeless: results and applications. Clinical Optom. 2010; 2:73-77.
11
Shahid K, Kolomeyer AM, Nayak NV, et al. Ocular telehealth screenings in an
urban community. Telemed J E Health. 2012; 18(2):95-100.
DISCLAIMER
This project was supported by the Health Resources and Services Administration
(HRSA) of the U.S. Department of Health and Human Services (HHS) under
grant number U30CS09746, a National Training and Technical Assistance
Cooperative Agreement for $1,625,74, which covered 100% of the costs. This
information or content and conclusions are those of the author and should not
be construed as the official position or policy of, nor should any endorsements be
inferred by HRSA, HHS or the U.S. Government.
All material in this document is in the public domain and may be used and
reprinted without special permission. Citation as to source, however, is
appreciated.
Suggested citation: National Health Care for the Homeless Council. (June
2015). Vision and Oral Health among Individuals Experiencing Homelessness:
A Quarterly Research Review of the National HCH Council, 3:3. [Author:
Claudia Davidson, Research Associate] Nashville, TN: Available at: www.nhchc.
org.
Acknowledgements: Contributing edits made by Molly Meinbresse, Director of
Research at the National HCH Council.
For more research on vision and oral health and its role in the lives of individuals
experiencing homelessness, contact Claudia Davidson, Research Associate, at
cdavidson@nhchc.org. For more information about our Research team and
other projects at the National HCH Council, contact Molly Meinbresse at
MMeinbresse@nhchc.org.
»» Age-related macular degeneration: “AMD is a disease
associated with aging that gradually destroys sharp, central
vision. Central vision is needed for seeing objects clearly and
for common daily tasks such as reading and driving.”
»» Cataract: “A cataract is a clouding of the lens in the eye.
Vision with cataract can appear cloudy or blurry, colors may
seem faded and you may notice a lot of glare.”
»» Diabetic eye disease: “Diabetic eye disease is a complication
of diabetes and a leading cause of blindness. The most
common form is diabetic retinopathy which occurs when
diabetes damages the tiny blood vessels inside the retina.”
»» Glaucoma: “Glaucoma is a group of diseases that can
damage the eye’s optic nerve and result in vision loss and
blindness. It is usually associated with high pressure in the
eye and affects side or peripheral vision.”
»» Dry eye: “Dry eye occurs when the eye does not produce
tears properly, or when the tears are not of the correct
consistency and evaporate too quickly.”
»» Low vision: “Low vision means that even with regular glasses,
contact lenses, medicine, or surgery, people find everyday
tasks difficult to do.”
Common Eye Conditions
The National Eye Institute notes that the following
conditions are more common in people over the age of 40:*
* Information retrieved from https://nei.nih.gov/healthyeyes/aging_eye