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The document discusses reducing the risk of ventilator-associated pneumonia (VAP) through oral care of intubated patients. It reviews several studies that found providing oral care like tooth brushing twice daily and use of antimicrobial mouthwash can reduce the risk of VAP by over 50%. Specifically, tooth brushing with purified water alone reduced VAP rates by 54% in one study. Another study found chlorhexidine mouthwash reduced the relative risk of VAP by 67%. The author concludes that oral care interventions are important for preventing VAP based on the evidence from these studies.
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Objectives: The purpose of this study is aimed at assessing the prevalence of dental myth and utilizes socio-dental impact
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with myth scores.
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practices; we the health professionals have to provide intensive health education and promote the adoption of healthy practices.
It would be prudent to familiarize professionals to understand these myths and beliefs as they act as barriers toward seeking
treatment.
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January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
2003
This document discusses evidence for preventing ventilator-associated pneumonia (VAP) through appropriate oral care for mechanically ventilated patients in intensive care units. It reviews literature showing that VAP increases mortality and hospital stay. Chlorhexidine oral care is shown to be more effective at preventing VAP than tooth brushing alone, as it has bactericidal properties, while brushing only reduces bacteria. Studies also find developing VAP is associated with changes in oral health for intubated neuroscience ICU patients. The best practice for VAP prevention is a combined approach including chlorhexidine oral care along with other measures like head elevation and limiting hospital stay.
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PATIENT EDUCATION, MOTIVATION & ORAL HYGIENE INSTRUCTIONS
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.
Dental Myth, Fallacies and Misconceptions and its Association with Socio-Dent...
Introduction: It is important to know about the myths and misconceptions, especially in India, where general and oral health is
embroiled in various myths and ritualistic practices.
Objectives: The purpose of this study is aimed at assessing the prevalence of dental myth and utilizes socio-dental impact
locus of control scale (SILOC) health model, as the theoretical framework to understand the dental myth and belief and possible
reasons for noncompliance with recommended health action.
Materials and Methods: A cross-sectional study was conducted by the out-patients attending dental institute, in Bengaluru
city. A total of 150 individuals were included, data were collected using a pretested and validated three-part questionnaire
including demographic data, questions regarding dental myth, and seven items SILOC. Data obtained were statistically analyzed
using descriptive statistics, t-test, and spearman’s rank correlation.
Results: Almost all the participant believed in one or more dental myth. About 71.3% of the participant had high (≥11) SILOC
scores. Statistically significant difference (P < 0.001) was found between mean SILOC scores and gender with males having
a lower mean score (14.94) as compared to females (18.62). When SILOC scores and myth scores were compared against
socioeconomic status, it showed statistically significant difference (P < 0.001), between them. The SILOC scores highly correlated
with myth scores.
Conclusion: Various dental myth and false perception still lurk in the minds of the population, to discourage the unhealthy
practices; we the health professionals have to provide intensive health education and promote the adoption of healthy practices.
It would be prudent to familiarize professionals to understand these myths and beliefs as they act as barriers toward seeking
treatment.
Key words: Culture, Gender, Internal-external control, Oral health, Social class
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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.
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This article discusses caries risk assessment and management for prosthodontic patients. It outlines factors that increase or decrease caries risk and recommends a preventive treatment plan involving patient education, fluoride therapy, chlorhexidine, xylitol, and amorphous calcium phosphate to reduce caries risk. The goal is to involve patients in disease control and favor remineralization over demineralization for more successful long-term prosthodontic outcomes.
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Importance of caries risk assessment, factors influencing dental caries: as well as risk indicators and predictors have been included in this power point.
Diagnostic aids with description both traditional and recent methods have been covered with required evidence.
Cariology and caries risk assessment. by Dr.Kazhan O. abdulrahman.
(1) Dental caries is a multifactorial disease caused by an imbalance between cariogenic and protective factors in the oral environment over time.
(2) Cariogenic bacteria in dental plaque metabolize sugars to produce acid, lowering plaque pH and demineralizing tooth enamel.
(3) A caries risk assessment evaluates both risk indicators and protective factors to determine a patient's caries risk level and develop an individualized prevention plan.
Clinical Aspects of Oral Health Care for PLWHA
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 third 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 explores the clinical aspects of oral health care for people living with HIV/AIDS (PLWHA). The presenters include Dr. David Reznik of Grady Health System in Atlanta, GA and HIVdent and Ms. Helene Bednarsh, MPH of Boston Public Health Commission in Boston, MA and HIVdent. Dr. Reznik and Ms. Bednarsh detail common oral health diseases among HIV-infected people, as well as the prevention, detection, and treatment of these diseases.
12 Section Seven
This document discusses various treatment modalities in dentistry including fluoride utilization. It emphasizes that dental caries is an infectious disease that is reversible if treated early, often with fluoride. Fluoride is presented as both a preventative treatment and necessary treatment for dental caries. The document recommends professionally-applied fluoride varnish every 3-6 months according to ADA guidelines and notes the importance of patient education regarding their individual risk factors and benefits of fluoride therapy.
Lecture 1 introduction to preventive dental health
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.
Cambra - A Clinical Review
This document discusses CAMBRA (Caries Management By Risk Assessment), a clinical review for managing dental caries risk in children. CAMBRA integrates caries risk assessment into comprehensive oral health visits for children from birth to age 5. It involves assessing risk factors, customizing preventive care plans, and determining recall schedules based on risk. The review describes the CAMBRA process, which includes examining protective and risk factors, clinical exams, fluoride varnish application, setting self-management goals, and developing individualized care paths. Barriers to caries risk assessment and recommendations to address them are also discussed.
NURS 411_rachel_bowe Assignment 6
This document summarizes a critique of a pneumonia prevention policy at The University of Texas Medical Branch. The policy aims to prevent nosocomial pneumonia through measures such as preventing person-to-person transmission, aspiration prevention, postoperative pneumonia prevention, and equipment sterilization. However, the evidence review found that the policy was missing key elements like a comprehensive oral care plan, requirements for continuous endotracheal cuff pressure maintenance, and fully implementing ventilator bundle practices. The critique makes recommendations to update the policy based on current evidence, such as including an in-depth oral care regimen, specifying ventilator bundle elements, and providing more education resources to reduce non-compliance.
importance of history and examination in periodontics
This document discusses the importance of history taking and examination in periodontics. It states that history taking and examination are the first and foremost steps in successful diagnosis and treatment planning. A thorough history establishes rapport with the patient and allows them to communicate their symptoms. The history should include details about the patient's chief complaint, medical history, medications, dental history, and oral hygiene habits. A comprehensive clinical examination involves extraoral and intraoral inspection including assessment of oral hygiene, hard and soft tissues, periodontal health, and radiographs. Together, a well-documented patient history and clinical examination allow for an accurate diagnosis, appropriate treatment planning, and proper case management.
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PATIENT EDUCATION, MOTIVATION & ORAL HYGIENE INSTRUCTIONS
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Improved oral health of older individuals in saskatchewan
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Cariology and caries risk assessment. by Dr.Kazhan O. abdulrahman.
Cariology and caries risk assessment. by Dr.Kazhan O. abdulrahman.
Lecture 1 introduction to preventive dental health
Lecture 1 introduction to preventive dental health
importance of history and examination in periodontics
importance of history and examination in periodontics
Similar to Formal writing assignment
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27/No. 138
Hillary Jenson, BSN, RN, PCCN, is Registered Nurse, Providence Portland Medical Center,
Portland, OR; and DNP-FNP student, University of Portland, Portland, OR.
Sandra Maddux, DNP, APRN, CNS-BC, is Senior Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Mary Waldo, PhD, RN, GCNS-BC, CPHQ, is Regional Director, Providence Health and
Services, Oregon Region, Portland, OR.
Improving Oral Care in Hospitalized
Non-Ventilated Patients:
Standardizing Products and Protocol
P
atients who develop ventila-
tor-acquired pneumonia have
estimated attributable mor-
tality rates of approximately 10%
(Klompas et al., 2014). To reduce
these rates, healthcare advocacy
groups have endorsed a prevention
bundle that includes routine oral
care (Centers for Medicare &
Medicaid Services, 2017). In a hall-
mark study, DeRiso, Ladowski,
Dillon, Justice, and Peterson (1996)
demonstrated use of the oral anti-
septic chlorhexidine reduced rates
of hospital-acquired pneumonia in
ventilated patients undergoing
coronary artery bypass surgery.
Although routine oral care histori-
cally has been a part of daily patient
care, its significance in preventing
non-ventilator hospital-acquired
pneumonia (NV-HAP) has emerged
as an important preventive meas-
ure. Maeda and Akagi (2014) linked
poor oral health with an increased
risk for infection and thus NV-HAP.
Research also has demonstrated
that without regular oral hygiene,
bacteria remain in the oral cavity
and become more pathogenic over
time (Ikeda et al., 2014). Despite
these risks, research suggests imple-
mentation of regular, high-quality
oral care by nursing staff often is
neglected due to barriers in practice
(Letsos, Ryall-Henke, Beal, &
Tomaszewski, 2013). These barriers
include limited time, resource con-
straints, challenging patient behav-
iors, and staff knowledge gaps
regarding appropriate frequency in
oral care.
Although every patient benefits
from routine oral care, some groups
are at higher risk of developing NV-
HAP. These include recently extu-
bated persons, postoperative pa -
tients, and patients managed on
progressive care units (Scheel,
Pisegna, McNally, Noordzij, &
Langmore, 2016); and patients
strictly receiving nothing by mouth
or with dysphagia (Maeda & Akagi,
2014). These patients, who are seen
commonly in the medical-surgical
setting, require heightened aware-
ness and sensitivity to their oral
care needs.
NV-HAP develops when patients
micro-aspirate oropharyngeal path -
ogens into the lungs (Di Pasquale,
Aliberti, Mantero, Bainchini, &
Blasi, 2016). Organ isms responsible
for the development of NV-HAP
include Staphy lococcus aureus and
gram-negative bacteria, which are
increasingly antibiotic resistant
(Weiner et al., 2016). This knowl-
edge of escalating antibiotic resist-
ance in conjunction with previous-
ly discussed studies demonstrating
the relationship between oral care
and reduction of NV-HAP high-
lights the ur.
2003
This document discusses evidence for preventing ventilator-associated pneumonia (VAP) through appropriate oral care for mechanically ventilated patients in intensive care units. It reviews literature showing that VAP increases mortality and hospital stay. Chlorhexidine oral care is shown to be more effective at preventing VAP than tooth brushing alone, as it has bactericidal properties, while brushing only reduces bacteria. Studies also find developing VAP is associated with changes in oral health for intubated neuroscience ICU patients. The best practice for VAP prevention is a combined approach including chlorhexidine oral care along with other measures like head elevation and limiting hospital stay.
PICOT VAP in ICU.docx
This document outlines the requirements for a PICOT paper on preventing ventilator-associated pneumonia (VAP) in intensive care unit settings. It discusses using oral chlorhexidine to reduce the risk of VAP by maintaining oral hygiene for intubated patients. The literature review found that using 2% oral chlorhexidine or administering it four times daily significantly reduced the incidence of VAP and improved patient outcomes by decreasing the length of ICU stays and VAP-associated mortality and morbidity rates. The implications for nursing practice are that nurses should routinely disinfect patients' oral cavities with chlorhexidine to prevent VAP and educate other ICU staff on its use.
Evidence Based Practice
Evidence-based practice is important for nurses to utilize when making decisions about client care. Using the most up-to-date evidence alongside a client's values and preferences can help guide the healthcare process. When evidence-based guidelines are included in a client's plan of care, the clinician has substantial data to make sound decisions and develop the best strategy for delivering care. One study found that pain from venous ulcers was not always properly addressed, negatively impacting healing. This highlighted the need for evidence-based wound care practices that adequately treat pain.
Whole 9 Yards
You've wanted to understand how good oral health contributes to good health. This presentation is filled with scientific proofs and ways to use the science.
Talk to your dental hygienist or contact the author of this presentation for more information on how to make your health better by improving oral health.
EBP ppt
This document discusses several studies on the effects of oral care and dysphagia screenings for patients post-stroke. It finds that early identification of dysphagia through screenings can greatly reduce the risk of aspiration pneumonia. Nurse-led dysphagia screenings using a standardized tool were found to correctly identify swallowing difficulties. However, more research is needed on the effects of screenings on length of hospital stay and time to speech therapy assessment. The document also discusses the need for staff training and protocols for proper oral care post-stroke to maintain oral health and reduce pneumonia risk. A study in Japan found that while most hospitals implement oral care, only 30% of nurses receive training, indicating a need
Finished order 897226_1
This document discusses healthcare associated infections (HAIs) in the United States, specifically ventilator-associated pneumonia (VAP). It notes that over 157,000 people contract VAP yearly, and over 4,000 die from it. VAP often occurs in intensive care unit patients using ventilators. The document then explores preventive measures that can be taken to address high rates of VAP, such as keeping patients' heads adjusted to facilitate breathing, regularly sanitizing surroundings, and using a ventilation bundle approach developed at the Mayo Clinic. It stresses the importance of prevention efforts, accurate diagnosis, and treatment adherence in addressing VAP.
oral presentation
This document discusses strategies for preventing periodontal disease as a public health problem in the UK. It argues that current approaches focus too much on downstream treatment rather than upstream prevention. It advocates for whole population prevention strategies like reducing risk factors through public health measures, health education and policy changes. These include integrating oral hygiene education into schools, using media campaigns, and making oral hygiene products more affordable. A combination of population-level interventions and some targeted high-risk approaches is recommended over just clinical treatment to more effectively address periodontal disease on a public health scale.
Caries risk assessment and management
Caries risk assessment and management in infant, children and adolescent
Introduction
Definition
Changing Paradigms for Dealing with Dental Caries
Advantages
Caries Balance/Imbalance
Risk Indicators
Caries Risk Assessment Methods
Caries Questionnaire in combination with Clinical Observations
AAPD's Caries-risk Assessment Form
The Cariogram Model
Caries Assessment and Risk Evaluation (CARE) test
Caries management by risk assessment (CAMBRA)
Traffic Light Matrix (TLM).
Caries management protocol for infants and children
Conclusion
References
FINAL V3 Action Research Project
Victoria Wilson conducted research to determine if dental hygienists would find a simplified communication toolkit helpful for aiding in oral health communications with patients. She developed a survey distributed to hygienists in multiple countries. The results showed that hygienists find communicating oral health challenging and become frustrated with patients who have persistently poor oral hygiene. They expressed that they would welcome a simplified communication toolkit to incorporate into practice. Wilson concluded further research is needed to develop a comprehensive toolkit that could be easily used in daily practice to improve patient oral health outcomes.
FINAL POSTER- Research
Daily bathing with chlorhexidine wipes may decrease hospital acquired infections. A literature review found that chlorhexidine bathing reduced acquisition of MRSA and C. difficile infections. Strict adherence to chlorhexidine bathing protocols can reduce infections. However, one study found that daily chlorhexidine bathing did not reduce healthcare-associated infections in critically ill patients. For chlorhexidine bathing to be effective in reducing infections, thorough nursing education is needed to ensure adherence to bathing protocols.
Evaluation of calendula officinalis as an anti plaque and anti-gingivitis agent
1) The study evaluated the efficacy of Calendula officinalis mouthwash in reducing dental plaque and gingivitis in 240 patients over 6 months.
2) Patients were randomly assigned to a test group that used a Calendula officinalis mouthwash or a control group that used a placebo mouthwash. Clinical parameters including plaque, gingivitis, bleeding, and oral hygiene were measured at baseline, 3 months, and 6 months.
3) In the absence of scaling, the test group showed a statistically significant reduction in plaque, gingivitis, and bleeding from baseline to 3 months, while the control group showed no reduction. Both groups showed reduction from 3 to 6 months after
Running head hand hygiene compliance1hand hygiene compliance8.docx
Running head: hand hygiene compliance1
hand hygiene compliance8Hand Hygiene Education Implementation and Nurses Compliance in Reducing Nosocomial Infections
Grand Canyon University NRS-490
March 31, 2019
Background
Hygiene is a very crucial factor in prevention of infection in any health care facility. Also, compliance of handwashing ensures patients safety, aids in the treatment and recovery of hospitalized patients. Hand hygiene is important action performed by healthcare works to prevent transmission of healthcare associated infection (Smiddy, O’Connell & Creedon, 2015). Health care professionals such as doctors, nurses, physical therapist and laboratory technicians, take the responsibility of providing efficient, effective and quality care that will improve the health of their patients.
The purpose of this paper is to discuss the change proposal project components the author has been working on throughout the course. The goal of health care works rendering a quality, effective and efficient care to their patient in the health care setting will be difficult to achieve if the rate handwashing adherence is below expectation. Unclean healthcare environments harbor germs that can cause disease, thereby placing the patient at risk of developing infection instead of recovering from their present health condition. Healthcare providers inability to comply with hand hygiene is one the main reason patient develop hospital acquired infections (HAIs). Healthcare employees have the lives of patient in their hands therefore, hand hygiene should not by any means be neglected or dominated out in any healthcare facility.
Approximately 250 health care specialists in a Metro Detroit facility happened to be watched and assessed directly; prior to the start of the exercise, participants were selected based on their hand washing comprehension and compliance. Partakers expresses that they observed improvement on handwashing practices and that most nurses complied to hand washing guidelines evidenced by some significant reductions in the rate of transmission of HAIs within the healthcare facility. HAIs are the infections a patient acquire during the period of hospitalization. The result of the research showed a huge decrease in the spread of nosocomial infections due to progress of hand hygiene training and nurses’ compliance to handwashing protocols. These infections mostly manifest during or after 48 hours of admission or thirty days after discharge from the hospital or health-care facility. The author of this research study sees HAIs as a dangerous disease with many complications. Because inadequate handwashing practices by healthcare workers are the main cause of spread of hospital acquire infections, it is important to educate staff members on proper hand hygiene, implement plan to encourage hand hygiene compliance in the healthcare settings. Blood-stream, ulcers / surgical wounds, CAUTI and respiratory infections are the most common types of HA.
CEBS August 2015 at June 17, 2015
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.
Bio for apic final
Terri Embry has worked as a nurse in oncology, critical care, home health, and long-term care infusion. She developed an interest in infection prevention after caring for vulnerable patients with multi-drug resistant infections. As the Director of Specialty Programs at Home Solutions Infusion Services, she created Infusion Care University to provide education to healthcare professionals on evidence-based infusion practices and infection prevention. She continues this work as a nurse investigator and consultant, advocating for safer and more effective solutions regarding infection prevention and sustainability in healthcare.
Systematic Review Poster.ppt
This document summarizes a systematic review of interventions to increase whooping cough (pertussis) vaccination rates. The review analyzed 25 studies and identified 5 that met the criteria of focusing on behavior-based interventions. Physician-led interventions showed the best results in increasing vaccinations. The review recommends allocating more funding to vaccination promotion campaigns and putting administrative pressure on physicians to advocate for vaccinations. Future interventions should utilize health behavior theories like the Health Belief Model to address barriers and increase perceived risk of the disease.
255th publication jpbs- 5th name
This study evaluated the knowledge and concerns of 124 dentists in southern India regarding COVID-19 through a questionnaire. The results showed good knowledge of COVID-19 itself and oral manifestations, but less awareness of appropriate testing and disinfection procedures. While most dentists understood risk levels and emergency procedures, some lacked knowledge of ideal mouthwashes or managing contaminated air. Overall, the study found that while knowledge of COVID-19 was fairly good, greater education was still needed on testing, prevention and infection control practices.
65th Publication- JPBS- 5th Name.pdf
This study aimed to evaluate the knowledge and concerns of 124 dental health professionals in southern India regarding COVID-19. A survey was administered to assess understanding of COVID-19 transmission, oral manifestations, appropriate testing and emergency procedures. The results found good knowledge of COVID-19 and precautions, but some lack of awareness regarding appropriate testing and managing contaminated air. While most respondents understood transmission risks and emergency protocols, there was uncertainty around testing patients and using mouthwashes as prevention. This highlights gaps in knowledge that could be addressed with further education for dental professionals on COVID-19 clinical guidelines.
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID in Southern India: A Questionnaire study
Similar to Formal writing assignment (20)
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
January-February 2018 • Vol. 27No. 138Hillary Jenson, BSN.docx
Evaluation of calendula officinalis as an anti plaque and anti-gingivitis agent
Evaluation of calendula officinalis as an anti plaque and anti-gingivitis agent
Running head hand hygiene compliance1hand hygiene compliance8.docx
Running head hand hygiene compliance1hand hygiene compliance8.docx
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID...
Formal writing assignment
- 1. Running head: REDUCING VAP WITH ORAL CARE 1 Reducing Ventilator Associated Pneumonia Risk with Oral Care Jonathan Santos Trident Technical College
- 2. REDUCING VAP WITH ORAL CARE 2 Reducing Ventilator Associated Pneumonia Risk with Oral Care Ventilator-associated pneumonia (VAP) is a lung infection that can be prevented by the interventions that nurses implement. When caring for an intubated patient the nurse must elevate the head of bed, adhere to strict hand washing, provide frequent oral care, administer thromboembolism prophylaxis and assess patient for readiness to intubate. After analyzing these interventions I began to consider oral hygiene and its effectiveness in preventing VAP. Does providing oral care for ventilator dependent patients reduce the risk of ventilator-associated pneumonia? I researched several evidence-based databases for information regarding my question and the issue of preventing pneumonia in hospitalized patients. The article I found most pertinent to my clinical question was “The Importance of Oral Hygiene in Prevention of Ventilator-Associated Pneumonia (VAP): A Literature Review” written by A. Firouzian, A. Baradari, G. Mahmoodi, F. Kiabi and I. Moghaddasifar. Providing oral care for an intubated patient consists of using a toothbrush to brush the teeth with toothpaste followed by the use of an antimicrobial mouthwash such as Chlorhexidine. This prevents infection by removing bacteria that can enter the lungs and cause pneumonia. Due to patients having a decreased cough reflex to remove bacteria in secretions, infections can manifest quickly. While researching, I wanted to know if the risk of VAP was actually reduced by mouth care interventions. I found that providing oral care twice a day has been shown to prevent infection. According to the study done by Yao LY, Chang CK, Maa SH, Wang C, Chen CC (as cited in Khezri, Zeydi, Firouzan, Baradari, Mahmoodi, Kiabi and Moghaddasifar, 2014) brushing teeth twice daily with purified water for seven days reduced VAP rates by 54%. This intrigued me because the study only used purified water with no antimicrobial agent. I believe more studies need to be done on this method to validate the use of only purified water in
- 3. REDUCING VAP WITH ORAL CARE 3 reducing VAP in hospitalized patients. Although I would like to view more studies on this method, I do agree that mouth care should be done a minimum of twice daily in intubated patients. However, in my current nursing practice, I would provide oral care more frequently than twice a day. I don’t believe this will have a negative impact on the patient’s health. Using mouthwash is an equally important part of providing mouth care and needs to be evaluated for its role in preventing pneumonia. Further, in the study done by Yao LY, Chang CK, et al, research supports the effectiveness of antimicrobial mouthwash, specifically Chlorhexidine. Using mouthwash is an equally important part of providing mouth care and needs to be evaluated for its role in preventing pneumonia. As further evidenced in a study conducted by Pineda, Saliba, Sohl (as cited in Khezri, Zeydi, Firouzan, Baradari, Mahmoodi, Kiabi and Moghaddasifar, 2014) Chlorhexidine mouthwash reduced VAP relative risk by 67% with a 95% confidence interval. Based on my knowledge of Chlorhexidine being used as surgical skin prep, I strongly agree with the use of Chlorhexidine as a prophylactic agent in VAP prevention. I believe that Chlorhexidine is a much stronger factor in preventing VAP due to its antimicrobial agent in comparison to brushing with toothpaste alone. Moreover, this research has shown me the importance of oral hygiene in VAP prevention. It is also important to note that consistency, timing, and use of both tooth brushing and antimicrobial mouthwash must be used to effectively reduce the risk of VAP. In conclusion, my research has aided me in finding evidence-based information which relates to the issue of Ventilator-Associated Pneumonia in the hospitalized patient. Furthermore, based on the information presented, I will not change anything in my current nursing practice. The interventions already being implemented including tooth brushing with toothpaste and the use of antimicrobial mouthwash afterwards are proven to be important factors in preventing
- 4. REDUCING VAP WITH ORAL CARE 4 VAP. I do not agree with the overall conclusion of the article which states that there is not enough information to support use of mouth care in VAP prevention. I believe that if the studies show that oral hygiene has reduced VAP, and no studies have shown that oral care increases risk, this intervention should indeed be implemented. This literature review has provided me with enough information to conclude that oral care does reduce the risk of Ventilator-Associated Pneumonia in the hospitalized patient.
- 5. REDUCING VAP WITH ORAL CARE 5 References Khezri, H. D., M.Sc, Zeydi, A. E., M.Sc, Firouzian, A., M.D., Baradari, A. G., M.D., Mahmoodi,Ghahraman, M.Sc,PhD., Kiabi, F. H., M.D., & Moghaddasifar, I., B.Sc. (2014). The importance of oral hygiene in prevention of ventilator-associated pneumonia (VAP): A literature review. International Journal of Caring Sciences, 7(1), 12-23. Retrieved from http://search.proquest.com/docview/1501334254?accountid=14400