Pneumonia in dependent adults is pervasive. Many are suffering needlessly because their oral health is contributing to all respiratory diseases.
Dental hygienists in most states are unable to care for these people without a prescription from a dentist. It's an unnecessary hurdle.
1) Pediatric and neonatal patients are at risk of developing respiratory infections from exposure to thirdhand smoke on staff, parents, and items in the hospital.
2) A study found high levels of nicotine on incubators, cribs, and furniture in the NICU, showing thirdhand smoke exposure is a problem.
3) This study aims to decrease thirdhand smoke exposure and respiratory diagnoses in pediatric and neonatal units by educating nurses and parents, providing protective gowns and wipes, and displaying informational posters.
The impact from social media on public healthJosh Trecartin
This document discusses the use of social media in healthcare. It notes that word of mouth spreads faster through social media, with 906 million hours spent on social networks in 2010. Electronic word of mouth reaches more people and is 20 times more influential than marketing events. While social media use by health professionals has increased, it was still underutilized in 2012. Most Americans now turn to the internet for health information, and over half of respondents to a 2013 clinical trial came through Facebook ads.
A One Health Approach to Global PandemicsFAZDCenter
A document discusses the need for a One Health approach to address global pandemics caused by diseases transmissible between humans and animals. It summarizes a task force report calling for improved vaccines, better disease surveillance, earlier detection of outbreaks, new tools to interrupt disease transmission, applying new molecular techniques, and cultivating cross-agency collaborations to integrate human and veterinary medicine approaches. The task force studied the 2009 H1N1 flu pandemic from a One Health perspective.
This document discusses considerations for urgent dental care during the COVID-19 pandemic. It notes that routine dental procedures have been suspended in many countries to reduce virus transmission from dental aerosols. There is a need for organized emergency dental care with appropriate protective equipment to treat acute dental issues and prevent emergency room visits or hospital admissions. It also stresses the importance of timely management of acute dental emergencies while routine care is suspended to avoid overburdening other parts of the healthcare system.
10 latest healthcare hand hygiene findings.By.Dr.Mahboob ali khan Phd Healthcare consultant
Hand hygiene is a key aspect of improving healthcare quality and reducing infection rates. Here are 10 most recent findings on hand hygiene.Peer pressure may be more effective than the promise of a cash bonus in improving hand hygiene compliance rates, according to a study detailed in a Harvard Business Review article.
The Global Leptospirosis Environmental Action Network: Strengthening the publ...Global Risk Forum GRFDavos
This document discusses leptospirosis, a bacterial disease impacting public health. It provides statistics on estimated global cases and deaths per year. It describes leptospirosis as having a complex natural history and clinical presentation. Climate change may increase its impact. Two typhoons in the Philippines in 2009 resulted in hundreds of leptospirosis cases. It introduces the Global Leptospirosis Environmental Action Network (GLEAN), a multi-disciplinary international group taking a One Health approach to strengthen leptospirosis prevention and control strategies through increased knowledge sharing and improved early warning systems. GLEAN's goals are reducing disease incidence, determining main drivers, developing predictive tools, and improving confirmation testing, outbreak detection, prepared
1) Pediatric and neonatal patients are at risk of developing respiratory infections from exposure to thirdhand smoke on staff, parents, and items in the hospital.
2) A study found high levels of nicotine on incubators, cribs, and furniture in the NICU, showing thirdhand smoke exposure is a problem.
3) This study aims to decrease thirdhand smoke exposure and respiratory diagnoses in pediatric and neonatal units by educating nurses and parents, providing protective gowns and wipes, and displaying informational posters.
The impact from social media on public healthJosh Trecartin
This document discusses the use of social media in healthcare. It notes that word of mouth spreads faster through social media, with 906 million hours spent on social networks in 2010. Electronic word of mouth reaches more people and is 20 times more influential than marketing events. While social media use by health professionals has increased, it was still underutilized in 2012. Most Americans now turn to the internet for health information, and over half of respondents to a 2013 clinical trial came through Facebook ads.
A One Health Approach to Global PandemicsFAZDCenter
A document discusses the need for a One Health approach to address global pandemics caused by diseases transmissible between humans and animals. It summarizes a task force report calling for improved vaccines, better disease surveillance, earlier detection of outbreaks, new tools to interrupt disease transmission, applying new molecular techniques, and cultivating cross-agency collaborations to integrate human and veterinary medicine approaches. The task force studied the 2009 H1N1 flu pandemic from a One Health perspective.
This document discusses considerations for urgent dental care during the COVID-19 pandemic. It notes that routine dental procedures have been suspended in many countries to reduce virus transmission from dental aerosols. There is a need for organized emergency dental care with appropriate protective equipment to treat acute dental issues and prevent emergency room visits or hospital admissions. It also stresses the importance of timely management of acute dental emergencies while routine care is suspended to avoid overburdening other parts of the healthcare system.
10 latest healthcare hand hygiene findings.By.Dr.Mahboob ali khan Phd Healthcare consultant
Hand hygiene is a key aspect of improving healthcare quality and reducing infection rates. Here are 10 most recent findings on hand hygiene.Peer pressure may be more effective than the promise of a cash bonus in improving hand hygiene compliance rates, according to a study detailed in a Harvard Business Review article.
The Global Leptospirosis Environmental Action Network: Strengthening the publ...Global Risk Forum GRFDavos
This document discusses leptospirosis, a bacterial disease impacting public health. It provides statistics on estimated global cases and deaths per year. It describes leptospirosis as having a complex natural history and clinical presentation. Climate change may increase its impact. Two typhoons in the Philippines in 2009 resulted in hundreds of leptospirosis cases. It introduces the Global Leptospirosis Environmental Action Network (GLEAN), a multi-disciplinary international group taking a One Health approach to strengthen leptospirosis prevention and control strategies through increased knowledge sharing and improved early warning systems. GLEAN's goals are reducing disease incidence, determining main drivers, developing predictive tools, and improving confirmation testing, outbreak detection, prepared
Pneumonia is an inflammatory lung condition caused by infection, usually bacterial or viral. It is characterized by consolidation of the lungs due to inflammatory exudate, bacteria, and white blood cells filling the alveoli. Pneumonia can be classified as lobar or bronchopneumonia based on location in the lungs and as community-acquired or hospital-acquired based on where infection was contracted. Treatment involves use of antibiotics to eradicate the infecting organism as well as supportive care like oxygen supplementation. Antibiotic selection is based on suspected pathogen, patient age and health status, and severity of illness.
This document discusses pneumonia, including its pathogenesis, stages, classification, causative agents, and pre-disposing factors. Pneumonia is an inflammatory process of the lung parenchyma that is usually caused by bacteria, viruses, or other microorganisms entering the lungs. It affects the small air sacs (alveoli) of the lungs and can cause symptoms like cough, fever, and difficulty breathing. The document outlines the four stages of pneumonia and provides details on the various types based on location, duration, etiology, immunity, and source of infection. Common causative organisms are also identified based on patient age and immune status. Pre-disposing factors that increase risk include young age, preexisting lung conditions,
Impact of Oral care in reducing copd and pneumoniaShekhar Gupta
Impact of oral care in dealing with health care issues such as COPD and Pneumonia, reduce hospital readmission due to these medical issues and help the patients and hospitals, nursing homes, rehab centers etc.
The document discusses several concepts related to nursing ethics including:
1) Ethics is concerned with determining norms and standards to establish good conduct beyond personal preferences. Within nursing, specific ethical values and requirements are necessary to maintain integrity.
2) Nurses must continue developing their moral identity and knowledge of ethics to participate effectively in the ethical dimensions of their practice. They are responsible and accountable for the nursing care provided.
3) Orem's theory of nursing focuses on helping clients meet self-care requisites and regain independence when unable to due to illness or injury. The goal is to increase client's ability to independently meet biological, psychological and social needs.
Emphysema is damage and abnormal distention of airspaces beyond the terminal bronchioles caused by cigarette smoking or air pollution. There are four main types: centrilobular affects central acini, panlobular affects all acini uniformly, distal acinar involves distal parts of acini, and irregular is mixed. Symptoms include shortness of breath, cough, difficulty breathing with exertion, and barrel chest. Complications can include respiratory failure, pneumonia, pulmonary hypertension, and right heart failure. Treatment involves smoking cessation, bronchodilators, oxygen therapy, and possibly surgery. Nursing care focuses on monitoring vital signs, administering medications and oxygen, and maintaining proper positioning.
This document discusses emphysema and chronic bronchitis. Emphysema is defined as the irreversible enlargement of airspaces distal to terminal bronchioles. It can be classified as centriacinar, panacinar, or paraseptal. Chronic bronchitis is defined as cough with sputum production for at least three months in two consecutive years. Both conditions are obstructive lung diseases that are often caused by smoking and air pollution. Emphysema damages lung tissue through an imbalance between proteases and anti-proteases like alpha-1 antitrypsin. Chronic bronchitis involves chronic inflammation of the bronchi.
Aldactone (Spironolactone Tablets) is used to treat fluid retention (edema) caused by various conditions, including heart disease, cirrhosis of the liver and nephrotic syndrome; High blood pressure; Hyperaldosteronism ( a condition in which the body produces too much aldoterone, a naturally occurring hormone) and low potassium levels in the blood (hypokalemia).
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.
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.
Pneumonia is an inflammatory lung condition caused by infection, usually bacterial or viral. It is characterized by consolidation of the lungs due to inflammatory exudate, bacteria, and white blood cells filling the alveoli. Pneumonia can be classified as lobar or bronchopneumonia based on location in the lungs and as community-acquired or hospital-acquired based on where infection was contracted. Treatment involves use of antibiotics to eradicate the infecting organism as well as supportive care like oxygen supplementation. Antibiotic selection is based on suspected pathogen, patient age and health status, and severity of illness.
This document discusses pneumonia, including its pathogenesis, stages, classification, causative agents, and pre-disposing factors. Pneumonia is an inflammatory process of the lung parenchyma that is usually caused by bacteria, viruses, or other microorganisms entering the lungs. It affects the small air sacs (alveoli) of the lungs and can cause symptoms like cough, fever, and difficulty breathing. The document outlines the four stages of pneumonia and provides details on the various types based on location, duration, etiology, immunity, and source of infection. Common causative organisms are also identified based on patient age and immune status. Pre-disposing factors that increase risk include young age, preexisting lung conditions,
Impact of Oral care in reducing copd and pneumoniaShekhar Gupta
Impact of oral care in dealing with health care issues such as COPD and Pneumonia, reduce hospital readmission due to these medical issues and help the patients and hospitals, nursing homes, rehab centers etc.
The document discusses several concepts related to nursing ethics including:
1) Ethics is concerned with determining norms and standards to establish good conduct beyond personal preferences. Within nursing, specific ethical values and requirements are necessary to maintain integrity.
2) Nurses must continue developing their moral identity and knowledge of ethics to participate effectively in the ethical dimensions of their practice. They are responsible and accountable for the nursing care provided.
3) Orem's theory of nursing focuses on helping clients meet self-care requisites and regain independence when unable to due to illness or injury. The goal is to increase client's ability to independently meet biological, psychological and social needs.
Emphysema is damage and abnormal distention of airspaces beyond the terminal bronchioles caused by cigarette smoking or air pollution. There are four main types: centrilobular affects central acini, panlobular affects all acini uniformly, distal acinar involves distal parts of acini, and irregular is mixed. Symptoms include shortness of breath, cough, difficulty breathing with exertion, and barrel chest. Complications can include respiratory failure, pneumonia, pulmonary hypertension, and right heart failure. Treatment involves smoking cessation, bronchodilators, oxygen therapy, and possibly surgery. Nursing care focuses on monitoring vital signs, administering medications and oxygen, and maintaining proper positioning.
This document discusses emphysema and chronic bronchitis. Emphysema is defined as the irreversible enlargement of airspaces distal to terminal bronchioles. It can be classified as centriacinar, panacinar, or paraseptal. Chronic bronchitis is defined as cough with sputum production for at least three months in two consecutive years. Both conditions are obstructive lung diseases that are often caused by smoking and air pollution. Emphysema damages lung tissue through an imbalance between proteases and anti-proteases like alpha-1 antitrypsin. Chronic bronchitis involves chronic inflammation of the bronchi.
Aldactone (Spironolactone Tablets) is used to treat fluid retention (edema) caused by various conditions, including heart disease, cirrhosis of the liver and nephrotic syndrome; High blood pressure; Hyperaldosteronism ( a condition in which the body produces too much aldoterone, a naturally occurring hormone) and low potassium levels in the blood (hypokalemia).
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.
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.
Review on Denture Stomatitis : Classification, clinical features and treatment.iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Infection Control of COVID-19 - WHO Guideline.pdfmilahelan999
This review article discusses changes to infection control procedures in dentistry during the COVID-19 pandemic. It notes that SARS-CoV-2 can be transmitted through saliva and aerosols generated during dental procedures, putting dental staff and patients at high risk. Key changes include taking patient medical histories remotely before appointments to screen for COVID-19 symptoms or exposure, minimizing non-emergency visits during peak pandemic periods, and modifying standard infection control protocols like increased use of PPE and ventilation to reduce virus transmission. Strict adherence to modified infection control measures is necessary to protect dental practitioners, staff, patients and the community from COVID-19 exposure during treatment.
Periodontitis has been recognized as a contributing factor to many systemic diseases. It can cause cardiovascular diseases through mechanisms like increased blood viscosity and platelet aggregation. It worsens diabetes by increasing insulin resistance and impairing glycemic control. Periodontitis is also associated with adverse pregnancy outcomes like preterm birth and low birth weight babies. It may increase the risk of pneumonia by allowing colonization of respiratory pathogens. Maintaining good oral health through treating periodontal disease may help reduce the risk of these systemic diseases. However, more research is still needed to fully understand the oral-systemic disease link.
periomedicine-210520134541.Systemic health.pptPriyanka Pai
Periodontitis has been recognized as a contributing factor to many systemic diseases. It can cause cardiovascular diseases through mechanisms like increased blood viscosity and platelet aggregation. It worsens diabetes by increasing insulin resistance and impairing glycemic control. Periodontitis is also associated with adverse pregnancy outcomes like preterm birth and low birth weight babies. It may increase the risk of pneumonia by allowing colonization of respiratory pathogens. Maintaining good oral health through periodontal treatment can help reduce the inflammatory burden and potentially help manage these systemic conditions. However, more research is still needed to fully understand the oral-systemic disease linkages.
Read the articles and come up with a response to.docxwrite4
This document proposes a specific hygiene hypothesis (SHH) to explain the rising rates of hay fever (allergic rhinitis) in Western populations. The SHH posits that continuous improvements in modern oral hygiene practices have reduced oral infections, thereby reducing competition for the immune system from bacterial antigens. This leaves more capacity for the immune system to respond to allergens, increasing the risk of developing hay fever. The hypothesis is supported by data showing a close correlation between increasing numbers of dental hygienists in the US and rising asthma prevalence over time. Future studies are needed to test the SHH and determine if verifying this hypothesis could lead to effective prevention strategies for allergic diseases.
Ventilator-associated pneumonia (VAP) is a significant problem, especially in intensive care units. The document discusses several strategies to prevent VAP, including oral care with chlorhexidine, keeping patients' heads elevated between 30-45 degrees, and performing manual hyperinflation and suctioning for mechanically ventilated patients. A study assessed these prevention methods and found that patients who received oral care with chlorhexidine had significantly lower rates of developing VAP compared to the control group. Consistent use of evidence-based VAP prevention strategies can help reduce the incidence of this infection.
- Influenza vaccination rates among healthcare workers and high-risk groups in London are well below national targets and averages, putting patients and others at risk. Vaccination rates for nurses in London were only 32.3% in the 2012-2013 season.
- Low vaccination rates undermine "herd immunity" efforts to protect vulnerable groups who cannot be vaccinated. Healthcare workers are an important vector for transmitting flu since they can be infected but asymptomatic.
- The document calls on respiratory clinicians to lead by getting vaccinated themselves, encouraging vaccination among colleagues and patients, and collecting data to share on vaccination efforts. Various resources are provided to support increasing uptake.
The oral cavity is an important source of bacteraemia for patients with malignancies. Many studies have shown oral infections can lead to life-threatening sepsis in immunosuppressed patients undergoing cancer therapy. However, knowledge in this area is limited as it is based mostly on small patient studies with no large multicenter trials. Clinical practice guidelines are needed to establish evidence-based treatment protocols for oral infections to prevent sepsis of oral origin. Close cooperation between oncology and oral health units is important to maintain oral health and treat potential infection foci before immunosuppressive therapy.
1. Maxillofacial surgery deals with a wide range of procedures in the head and neck region including dental surgery, diagnosis and treatment of benign and malignant tumors, trauma surgery, and cosmetic surgery.
2. Oral infections are common in immunocompromised patients due to immunosuppression and can sometimes lead to systemic complications through mechanisms such as bacteremia and circulating toxins.
3. Chronic dry mouth is a frequent oral manifestation of immunosuppression and can result from conditions like Sjögren's syndrome or be caused by immunosuppressive drugs used for organ transplantation.
This document discusses the impact of the COVID-19 pandemic on dentistry. It notes that dentists and dental staff are at high risk of airborne infection due to procedures that produce droplets and aerosols. New safety guidelines have been implemented, including screening, PPE, distancing and disinfection. Teledentistry has also expanded to address dental issues remotely. The pandemic negatively impacted dental education quality due to limitations on clinical experience, and increased stress, anxiety and depression among dental students and staff. Teledentistry shows promise but also faces challenges regarding standardization, privacy and inability to do physical exams.
1) Epidemiology is the study of health and disease in populations and how these states are influenced by various factors such as biology, heredity, environment, and behavior. 2) Advances in research have changed our understanding of periodontal diseases - they are now known to not present as a linear progression and are influenced by host susceptibility and risk factors rather than just being age dependent. 3) Epidemiological studies seek to identify risk factors for periodontal diseases, quantify their strength, and determine if associations are causal to help guide treatment protocols.
- Gloves for all procedures
- Mask if splash/spatter anticipated
- Goggles if splash/spatter anticipated
- Gloves changed between patients
Dentist:
- Gloves for all procedures
- Mask if splash/spatter anticipated
- Goggles if splash/spatter anticipated
- Gloves changed between patients
- Protective clothing if splash/spatter anticipated
Patient:
- Protective eyewear during procedures generating splash/spatter
- Protective clothing if external clothing likely to get contaminated
Equipment:
- Surface barriers on equipment
- Sterilization/disinfection of instruments and devices
- Instrument processing between patients
- Environmental surfaces dis
This document summarizes the effects of the COVID-19 pandemic on dentistry practices and procedures. It discusses how dental professionals face an increased risk of exposure due to the generation of aerosols and droplets during common dental procedures. It recommends preventive measures for dental offices such as minimizing non-emergency procedures, pre-screening patients, using personal protective equipment, disinfecting surfaces, and employing techniques to reduce aerosols like rubber dams and high-volume suction. The pandemic has led to changes in dental practices aimed at limiting transmission while still providing necessary care.
This presentation focusses on definition, history, goals and objectives of SPT, patient compliance, ways to improve patient's compliance, parts of SPT, SPT in daily practice, classification of post treatment patients, AAP Guidelines for periodontist and dentist and studies related to SPT.
Conventional Medicine Suggests that Physicians Watch and Wait rather than use antibiotics for mild ear infections. Rather than do that, it makes more sense to use natural therapies WHILE you are waiting. They often help resolve the issue so more aggressive pharmaceutical agents and ear tubes can be avoided.
The document outlines the Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD). It discusses pneumonia and diarrhoea as the two leading infectious causes of death in children under five. The GAPPD aims to reduce deaths from these diseases by coordinating prevention and treatment efforts. It builds on previous global health strategies and recognizes that pneumonia and diarrhoea often require an integrated response due to shared causes, risk factors, and interventions. The ultimate goal of the GAPPD is ending preventable child deaths from pneumonia and diarrhoea.
This document discusses tuberculosis (TB), its transmission, diagnosis, and relationship to dentistry. It notes that TB is caused by Mycobacterium tuberculosis, which can infect the lungs and other parts of the body. Pakistan has a high burden of TB cases globally. For dental treatment of TB patients, dentists should educate patients, use personal protective barriers like masks and gloves, and properly sterilize all instruments before and after patient care.
Practice focusing on orofacial myofunctional therapy and Buteyko breathing retraining.
Orofacial Myofunctional Therapy is the practice of teaching clients neuromuscular techniques to alleviate orofacial disorders.
These disorders include things like:
Tongue thrusts
Lip and tongue sucking
Snoring
Pacifier, thumb uses or nail biting
Orofacial disorders can show up as crazy things like
Restless legs
Silent acid reflux
Sinus infections
Temporomandibular pain
Neck and shoulder pain
Fibromyalgia
Orthodontic relapse
This document discusses forming a guided mastermind group for dental hygienists. It would involve weekly online meetings over one month to share best practices, learn from each other, and focus on topics like periodontics, caries management, and airway health. The goal is for hygienists to improve patient care, advance their skills, and find a better work-life balance. The financial commitment would be $720 per group, which includes access to patient charts and career guidance materials.
Airway issues may be one of the last frontiers in health. As an afterthought airway issues are found to nearly always contribute to effective case management. Join us at this meeting March 2015.
Airway issues may be one of the last frontiers in health. As an afterthought airway issues are found to nearly always contribute to effective case management. Join us at this meeting March 2015.
The Belize mission trip was organized for November 2013 by Shirley Gutkowski. The trip involved traveling to Belize to provide aid through construction projects and community outreach. The goal was to help those in need while also experiencing the culture of Belize firsthand.
I'm joining a team of dentists and dental hygienists on a mission to SAVE teeth in Belize. Using minimally invasive techniques, we'll be saving lives by keeping people in teeth. Can you please contribute to the mission?
The Rock County LaLache League is hosting a meeting in Janesville on October 5, 2013. I'll be there educating moms on living cavity free using tried and true methods of reducing decay using xylitol. www.xylitol.org
Xlear, Inc. will offer a guided tour of their new 90,000 square foot manufacturing facility in American Fork, Utah to members of the Utah Dental Hygienists' Association as part of their annual session on September 28, 2013. The tour will be led by dental hygienist Shirley Gutkowski and will include a taste test of Xlear's new Rain Gel product and food prepared using Xlear's sugar substitute. Xlear's CEO and President as well as Shirley Gutkowski will be available for media interviews following the tour.
CareerFusion and the American Orthodontic Society (AOS) have joined forces to provide online education for dentists, dental hygienists, and dental assistants. Using webinars and online courses, CareerFusion will help bring AOS journal articles and hands-on classes to life. The first webinar will feature Dr. David Jackson discussing reasons for general dentists to include orthodontics. Future webinars will cover topics like the benefits of breastfeeding and how orthodontics can financially impact a practice. This partnership will provide added benefits to AOS members and increase membership by making education more accessible online.
We use this PP scroll at the beginning of our live programs across the country.
It gives our CareerFusion partners some exposure and also helps to entice the audience to ask questions.
Here is the course description and outline for the online course by Shirley Gutkowski and Patti DiGangi. The course is offered at WizIQ where you can enroll and pay. Join us won't you? Ensure your position and increase your productivity as well as your job satisfaction.
This document summarizes a course taught by Patti DiGangi and Shirley Gutkowski aimed at dental hygienists. The course helps revitalize clinicians' education by covering topics like caries management, periodontal disease, coding, diagnostics, and treatment options. After taking the course, participants will be able to identify health risks, explain infections, select new communication language, define approaches for oncology and dependent patients, and redefine appointment times. Patti and Shirley are experienced leaders in clinical dental hygiene known for "killing the parrots" by moving beyond basic recommendations of brushing and flossing.
Dry mouth is more than a little problem. Between bad breath, periodontal disease, and tooth breakdown, people suffering from dry mouth have a lot to worry about. Sjogren's to medication induced dry mouth your dental hygienist can be your best ally.
CareerFusion career continuum teaching clinicians how to transfer their skills into the big world. Whether or not they want to keep a hand in clinical. Our corporate partners get to interact with high end, highly motivated people who are excited by their products.
Whats teeth got to do with it fall2011 seminar brochureShirley Gutkowski
This document provides information about an upcoming seminar titled "What's Teeth Got To Do With it? Oral complications of medications and life-saving treatments". The seminar will be presented by Shirley Gutkowski, a dental hygiene expert, and will cover the latest advances in oral care for patients taking medications or receiving treatments that can impact oral health. Attendees will learn how to effectively teach clients oral hygiene techniques, evaluate referrals for oral care, and understand how good oral hygiene can reduce illness. The seminar is aimed at nurses, physician assistants, and other healthcare professionals and will provide 3 hours of continuing education credit.
CareerFusion career continuum teaching clinicians how to transfer their skills into the big world. Whether or not they want to keep a hand in clinical. Our corporate partners get to interact with high end, highly motivated people who are excited by their products.
IMPACT Silver is a pure silver zinc producer with over $260 million in revenue since 2008 and a large 100% owned 210km Mexico land package - 2024 catalysts includes new 14% grade zinc Plomosas mine and 20,000m of fully funded exploration drilling.
Industrial Tech SW: Category Renewal and CreationChristian Dahlen
Every industrial revolution has created a new set of categories and a new set of players.
Multiple new technologies have emerged, but Samsara and C3.ai are only two companies which have gone public so far.
Manufacturing startups constitute the largest pipeline share of unicorns and IPO candidates in the SF Bay Area, and software startups dominate in Germany.
Brian Fitzsimmons on the Business Strategy and Content Flywheel of Barstool S...Neil Horowitz
On episode 272 of the Digital and Social Media Sports Podcast, Neil chatted with Brian Fitzsimmons, Director of Licensing and Business Development for Barstool Sports.
What follows is a collection of snippets from the podcast. To hear the full interview and more, check out the podcast on all podcast platforms and at www.dsmsports.net
𝐔𝐧𝐯𝐞𝐢𝐥 𝐭𝐡𝐞 𝐅𝐮𝐭𝐮𝐫𝐞 𝐨𝐟 𝐄𝐧𝐞𝐫𝐠𝐲 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐰𝐢𝐭𝐡 𝐍𝐄𝐖𝐍𝐓𝐈𝐃𝐄’𝐬 𝐋𝐚𝐭𝐞𝐬𝐭 𝐎𝐟𝐟𝐞𝐫𝐢𝐧𝐠𝐬
Explore the details in our newly released product manual, which showcases NEWNTIDE's advanced heat pump technologies. Delve into our energy-efficient and eco-friendly solutions tailored for diverse global markets.
The Genesis of BriansClub.cm Famous Dark WEb PlatformSabaaSudozai
BriansClub.cm, a famous platform on the dark web, has become one of the most infamous carding marketplaces, specializing in the sale of stolen credit card data.
Best practices for project execution and deliveryCLIVE MINCHIN
A select set of project management best practices to keep your project on-track, on-cost and aligned to scope. Many firms have don't have the necessary skills, diligence, methods and oversight of their projects; this leads to slippage, higher costs and longer timeframes. Often firms have a history of projects that simply failed to move the needle. These best practices will help your firm avoid these pitfalls but they require fortitude to apply.
The APCO Geopolitical Radar - Q3 2024 The Global Operating Environment for Bu...APCO
The Radar reflects input from APCO’s teams located around the world. It distils a host of interconnected events and trends into insights to inform operational and strategic decisions. Issues covered in this edition include:
Digital Marketing with a Focus on Sustainabilitysssourabhsharma
Digital Marketing best practices including influencer marketing, content creators, and omnichannel marketing for Sustainable Brands at the Sustainable Cosmetics Summit 2024 in New York
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.
Best Competitive Marble Pricing in Dubai - ☎ 9928909666Stone Art Hub
Stone Art Hub offers the best competitive Marble Pricing in Dubai, ensuring affordability without compromising quality. With a wide range of exquisite marble options to choose from, you can enhance your spaces with elegance and sophistication. For inquiries or orders, contact us at ☎ 9928909666. Experience luxury at unbeatable prices.
Ellen Burstyn: From Detroit Dreamer to Hollywood Legend | CIO Women MagazineCIOWomenMagazine
In this article, we will dive into the extraordinary life of Ellen Burstyn, where the curtains rise on a story that's far more attractive than any script.
Cover Story - China's Investment Leader - Dr. Alyce SUmsthrill
In World Expo 2010 Shanghai – the most visited Expo in the World History
https://www.britannica.com/event/Expo-Shanghai-2010
China’s official organizer of the Expo, CCPIT (China Council for the Promotion of International Trade https://en.ccpit.org/) has chosen Dr. Alyce Su as the Cover Person with Cover Story, in the Expo’s official magazine distributed throughout the Expo, showcasing China’s New Generation of Leaders to the World.
How are Lilac French Bulldogs Beauty Charming the World and Capturing Hearts....Lacey Max
“After being the most listed dog breed in the United States for 31
years in a row, the Labrador Retriever has dropped to second place
in the American Kennel Club's annual survey of the country's most
popular canines. The French Bulldog is the new top dog in the
United States as of 2022. The stylish puppy has ascended the
rankings in rapid time despite having health concerns and limited
color choices.”
NIMA2024 | De toegevoegde waarde van DEI en ESG in campagnes | Nathalie Lam |...BBPMedia1
Nathalie zal delen hoe DEI en ESG een fundamentele rol kunnen spelen in je merkstrategie en je de juiste aansluiting kan creëren met je doelgroep. Door middel van voorbeelden en simpele handvatten toont ze hoe dit in jouw organisatie toegepast kan worden.
2. 1998 Average cost for people over age 65 with community acquired pneumonia is $7166. ClinTher. 1998 Jul-Aug;20(4):820-37. The cost of treating community-acquired pneumonia.
3. 2004 Roughly 915,900 cases of community-acquired pneumonia occur annually among seniors in the United States.
4. 2004 Approximately 1 of every 20 persons aged 85 years or over will have a new episode of community-acquired pneumonia each year
5. 2006 There is good evidence to show that improved oral hygiene and frequent professional oral health care reduces the progression or occurrence of respiratory diseases among high-risk elderly adults living in nursing homes… J Periodontol. 2006 Sep;77(9):1465-82. Systematic review of the association between respiratory diseases and oral health.
9. A study looking at the charts of 528 persons with NHAP transferred to acute hospitals for treatment found that advance directives were present only 6.4% of the time.
10. Given the high 1-year mortality rate for NHAP, clinicians caring for nursing home residents should make it a priority to ensure that advance directives are in place. These should be readily available to help with the decision on whether or not the resident should be transferred to a hospital, and must also accompany the patient to the acute care facility.
19. 2005 Calculation of population-based attributable fractions showed that 21% of all cases of pneumonia in our cohort could have been avoided if inadequate oral care and swallowing difficulty were not present.
25. Conclusion Pneumonia is expensive Oral care can decrease incidence by 20% Nursing home acquired pneumonia leads to death.
26. Conclusion Dental hygienists cannot work in Long Term Care facilities unless there is also a dentist there to “oversee” them. Dental hygienists risk their license if they brush someone’s teeth without a prescription by a dentist to do so.
27. Call to Action Find out the limitations of dental hygienists in your state. Strive for a mandate that all Long Term Care Facilities funded by Medicaid have an independent dental hygienist as the Director of Dental Hygiene, a DDH.
28. Credits PowerPoint designed by Cross Link Presentations, LLC Presentation design Shirley Gutkowski, RDH, BSDH, FACE ScriptShirley Gutkowski, RDH, BSDH, FACE Photos: Dreamstime, Gutkowski, Stone Images: Montana State University Center for Biofilm EngineeringCharacters: PresenterMedia Copyright 2011 Exploring Transitions, LLC
Editor's Notes
http://www.sciencedirect.com/science/article/pii/S0149291898801446This is a lot of money and can put a strain on the savings people may have or the government, or the facility. Simple efforts like vaccines can help save money, however vaccines aren’t perfect either.
Clin Infect Dis. 2004 Dec 1;39(11):1642-50. Epub 2004 Nov 8.The burden of community-acquired pneumonia in seniors: results of a population-based study.Jackson ML, Neuzil KM, Thompson WW, Shay DK, Yu O, Hanson CA, Jackson LA.SourceCenter for Health Studies, Group Health Cooperative, University of Washington, Seattle, USA. jackson.ml@ghc.org <jackson.ml@ghc.org>AbstractBACKGROUND:Pneumonia is recognized as a leading cause of morbidity in seniors. However, the overall burden of this disease--and, in particular, the contribution of ambulatory cases to that burden--is not well defined. To estimate rates of community-acquired pneumonia and to identify risk factors for this disease, we conducted a large, population-based cohort study of persons aged >or=65 years that included both hospitalizations and outpatient visits for pneumonia.METHODS:The study population consisted of 46,237 seniors enrolled at Group Health Cooperative who were observed over a 3-year period. Pneumonia episodes presumptively identified by International Classification of Diseases, Ninth Revision, Clinical Modification codes assigned to medical encounters were validated by medical record review. Characteristics of participants were defined by administrative data sources.RESULTS:The overall rate of community-acquired pneumonia ranged from 18.2 cases per 1000 person-years among persons aged 65-69 years to 52.3 cases per 1000 person-years among those aged >or=85 years. In this population, 59.3% of all pneumonia episodes were treated on an outpatient basis. In multivariate analysis, risk factors for community-acquired pneumonia included age, male sex, chronic obstructive pulmonary disease, asthma, diabetes mellitus, congestive heart failure, and smoking.CONCLUSIONS:On the basis of these data, we estimate that roughly 915,900 cases of community-acquired pneumonia occur annually among seniors in the United States and that approximately 1 of every 20 persons aged >or=85 years will have a new episode of community-acquired pneumonia each year.http://cid.oxfordjournals.org/content/39/11/1642.long
Clin Infect Dis. 2004 Dec 1;39(11):1642-50. Epub 2004 Nov 8.The burden of community-acquired pneumonia in seniors: results of a population-based study.Jackson ML, Neuzil KM, Thompson WW, Shay DK, Yu O, Hanson CA, Jackson LA.SourceCenter for Health Studies, Group Health Cooperative, University of Washington, Seattle, USA. jackson.ml@ghc.org <jackson.ml@ghc.org>AbstractBACKGROUND:Pneumonia is recognized as a leading cause of morbidity in seniors. However, the overall burden of this disease--and, in particular, the contribution of ambulatory cases to that burden--is not well defined. To estimate rates of community-acquired pneumonia and to identify risk factors for this disease, we conducted a large, population-based cohort study of persons aged >or=65 years that included both hospitalizations and outpatient visits for pneumonia.METHODS:The study population consisted of 46,237 seniors enrolled at Group Health Cooperative who were observed over a 3-year period. Pneumonia episodes presumptively identified by International Classification of Diseases, Ninth Revision, Clinical Modification codes assigned to medical encounters were validated by medical record review. Characteristics of participants were defined by administrative data sources.RESULTS:The overall rate of community-acquired pneumonia ranged from 18.2 cases per 1000 person-years among persons aged 65-69 years to 52.3 cases per 1000 person-years among those aged >or=85 years. In this population, 59.3% of all pneumonia episodes were treated on an outpatient basis. In multivariate analysis, risk factors for community-acquired pneumonia included age, male sex, chronic obstructive pulmonary disease, asthma, diabetes mellitus, congestive heart failure, and smoking.CONCLUSIONS:On the basis of these data, we estimate that roughly 915,900 cases of community-acquired pneumonia occur annually among seniors in the United States and that approximately 1 of every 20 persons aged >or=85 years will have a new episode of community-acquired pneumonia each year.http://cid.oxfordjournals.org/content/39/11/1642.long
Ann Periodontol. 1998 Jul;3(1):251-6.Associations between oral conditions and respiratory disease in a national sample survey population.Scannapieco FA, Papandonatos GD, Dunford RG.SourceDepartment of Oral Biology, School of Dental Medicine, State University of New York at Buffalo, USA. Frank_Scannapieco@sdm.buffalo.eduAbstractRespiratory infectious diseases such as bacterial pneumonia and bronchitis are common and costly, especially in institutionalized and elderly inpatients. Respiratory infection is thought to rely in part on the aspiration of oropharyngeal flora into the lower respiratory tract and failure of host defense mechanisms to eliminate the contaminating bacteria, which then multiply to cause infection. It has been suggested that dental plaque may act as a reservoir of respiratory pathogens, especially in patients with periodontal disease. However, the impact of poor oral health on oral respiratory pathogen colonization and lung infection is uncertain, especially in ambulatory, non-institutionalized populations. To begin to assess potential associations between respiratory diseases and oral health, data from the National Health and Nutrition Examination Survey I (NHANES I) were analyzed. This database contains information on the general health status of 23,808 individual Of these, 386 individuals reported a suspected respiratory condition that was further assessed by a physician. These subjects were categorized as having a confirmed chronic respiratory disease (chronic bronchitis or emphysema) or an acute respiratory disease (influenza, pneumonia, acute bronchitis). They were compared to those not having a respiratory disease. Initial non-parametric analysis noted that individuals with a confirmed chronic respiratory disease (n = 41) had significantly greater oral hygiene index scores than subjects without respiratory disease (n = 193; P = 0.0441). Logistic regression analysis of data from these subjects, which considered age, race, gender, smoking status, and simplified oral hygiene index (OHI), suggested that subjects having the median OHI value were 1.3 times more likely to have a chronic respiratory disease relative to those with and OHI of O. Similarly, subjects with the maximum OHI value were 4.5 times more likely to have a chronic respiratory disease than those with an OHI of O. No evidence was found to support an association between the periodontal index and any respiratory disease. These results suggest OHI to have a residual effect on chronic respiratory disease of both practical and statistical significance.
When looking who is at risk for pneumonia, even those who are not immunocompromised are at higher risk if they have any of the following conditions. Most residents have at least one or two, putting them in a higher risk category than others.J Am Geriatr Soc. 2009 May;57(5):882-8. Epub 2009 Apr 21.Risk factors for community-acquired pneumonia in immunocompetent seniors.Jackson ML, Nelson JC, Jackson LA.SourceGroup Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle,WA, USA. jackson.ml@ghc.orgAbstractOBJECTIVES:To identify risk factors for developing community-acquired pneumonia (CAP) in seniors.DESIGN:Nested case-control study.SETTING:Group Health, a health maintenance organization in Washington state.PARTICIPANTS:One thousand one hundred seventy-three immunocompetent seniors with CAP and 2,346 age- and sex-matched controls, sampled during influenza seasons and pre-influenza periods of 2000/01 and 2002/03. CAP cases were presumptively identified according to diagnosis codes assigned to outpatient and inpatient encounters and validated according to review of chest radiograph reports or medical records.MEASUREMENTS:Medical records were used to assess body mass, the presence and severity of cardiopulmonary and other chronic diseases, and the presence of functional or cognitive impairments. Use of prescription medications and inpatient, outpatient, and home medical services were identified from administrative databases.RESULTS:Independent predictors of CAP include the presence and severity of cardiopulmonary disease, low weight and recent weight loss, and poor functional status; 42.0% of pneumonia cases can be attributed to underlying cardiopulmonary disease.CONCLUSION:Seniors with cardiopulmonary disease, poor functional status, low weight, or recent weight loss have a greater risk of developing CAP. Preventative efforts should be targeted toward these individuals.
Pneumonia is scary visitor. Hiding behind the door of health. We’ll see that oral hygiene is a also a contributing factor to pneumonia. More studies are looking at how important dental biofilm disruption is to decreasing the risk for pneumonia. J Am Geriatr Soc. 2009 May;57(5):882-8. Epub 2009 Apr 21.Risk factors for community-acquired pneumonia in immunocompetent seniors.Jackson ML, Nelson JC, Jackson LA.SourceGroup Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle,WA, USA. jackson.ml@ghc.orgAbstractOBJECTIVES:To identify risk factors for developing community-acquired pneumonia (CAP) in seniors.DESIGN:Nested case-control study.SETTING:Group Health, a health maintenance organization in Washington state.PARTICIPANTS:One thousand one hundred seventy-three immunocompetent seniors with CAP and 2,346 age- and sex-matched controls, sampled during influenza seasons and pre-influenza periods of 2000/01 and 2002/03. CAP cases were presumptively identified according to diagnosis codes assigned to outpatient and inpatient encounters and validated according to review of chest radiograph reports or medical records.MEASUREMENTS:Medical records were used to assess body mass, the presence and severity of cardiopulmonary and other chronic diseases, and the presence of functional or cognitive impairments. Use of prescription medications and inpatient, outpatient, and home medical services were identified from administrative databases.RESULTS:Independent predictors of CAP include the presence and severity of cardiopulmonary disease, low weight and recent weight loss, and poor functional status; 42.0% of pneumonia cases can be attributed to underlying cardiopulmonary disease.CONCLUSION:Seniors with cardiopulmonary disease, poor functional status, low weight, or recent weight loss have a greater risk of developing CAP. Preventative efforts should be targeted toward these individuals.
Treatment of Nursing Home–Acquired PneumoniaKYLE MILLS, PharmD, BCPS, and A. CHRISTIE NELSON, PharmD, University of Wyoming School of Pharmacy, Laramie, WyomingBRADFORD T. WINSLOW, MD, FAAFP, Swedish Family Medicine Residency Program, Littleton, ColoradoKATHRYN LEE SPRINGER, MD, Greater Denver Infectious Diseases, Denver, ColoradoAm Fam Physician. 2009 Jun 1;79(11):976-982. Related EditorialPneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home–acquired pneumonia, although Staphylococcus aureus and gram-negative organisms may be more common in severe cases. Antibiotic therapy for nursing home–acquired pneumonia should target a broad range of organisms, and drug-resistant microbes should be considered when making treatment decisions. In the nursing home setting, treatment should consist of an antipneumococcalfluoroquinolone alone or either a high-dose beta-lactam/beta-lactamase inhibitor or a second- or third-generation cephalosporin, in combination with azithromycin. Treatment of hospitalized patients with nursing home–acquired pneumonia requires broad-spectrum antibiotics with coverage of many gram-negative and gram-positive organisms, including methicillin-resistant S. aureus. Appropriate dosing of antibiotics for nursing home–acquired pneumonia is important to optimize effectiveness and avoid adverse effects. Because many nursing home residents take multiple medications, it is important to consider possible drug interactions.
All of this trouble, and drama comes from a complex organism called a biofilm. Treating just one organism in the biofilm won’t help. A biofilm protects its inhabitants that include bacteria, as well as virus and fungus. Dental scientists are looking at the amount of yeast in the oral biofilm and how that yeast contributes to the decay in teeth.
Although the three typical bacterial pathogens are listed, they don’t do this alone.Streptococcus cranks out the matrix that benefits all other pathogens by protecting them from antibiotics and antibodies, and the bacteria, yeast, and virus live together in harmony.They grow into a biofilm.
The pneumonia causing biofilm has many more than just any of these three components, or all three of these pathogensIf these three live in a dental biofilm, then they are easily inhaled, as either part of a biofilm that has broken free or as part of a planktonic shower. The planktonic shower occurs when a biofilm becomes filled with too many of a certain type of pathogen, and spews forth a shower of non-adherent pathogens. Planktonic means they are free floating. http://emedicine.medscape.com/article/234916-overview
This is a picture of a typical resident in a nursing home. The blue plaque is over 24 hours old. The light blue is plaque that is so massive that the stain didn’t penetrate. The sticky mass contains all the components of a pneumococcal infection of the lungs. The condition of the gingivae is a tell tale sign that this biomass has not been attended to in many days. The CNA at this facility love their residents, they are long term employees of this facility and care very deeply what happens to the residents.It’s hard to get in there to clean. This resident knew we were going to take a picture but still his lips had to be pried and he could not co operate fully with the attempts. This is not a reason to give up. It’s a reason to try another way to access the mouth.
Breathing or respiration bring the pathogens into the lungs.
Nearly 50% of Nursing Home Acquired Pneumonia contain Strep pneumonia in the system. Step pneumonia is a well known inhabitant of dental biofilm.Point out how easy it is to either inhale the planktonic bacteria or to inhale microscopic chunks of dental biofilm.This picture originally showed the symptoms of the lung infection; pneumonia. The mouth is indicated here because it is a graphic depiction of how little medicine values the health of the mouth and their focus on treating symptoms, not preventing disease. The mouth is the starting place for community acquired; hospital-aquired; nursing home-acquired and aspiration pneumonia.
In this graphic from Montana State University Bozeman, the biggest biofilm school in the USA, we see how biofilm grows in the alveoli and is protected by the slime. This slime protects against the antibodies like neutrophils (the ball in the center is depicting the neutrophil). And antibiotics that look like blue pills and other antibodies look like the little Y symbols.
http://cid.oxfordjournals.org/content/37/1/148.full.pdf+html?sid=855e5d02-79a6-4d00-8553-b8d61e054270This article reflects that treatment with pneumonia and flu vaccine increased risk substantially but it may raise too many questions, if you’re game, go for it.
http://cid.oxfordjournals.org/content/37/1/148.full.pdf+html?sid=855e5d02-79a6-4d00-8553-b8d61e054270Out of all of these contributing factors Oral Hygiene is the easiest to modify. Swallowing difficulty can be managed by an orofacial myologist, which is a specially trained dental hygienist. These people can help increase facial muscle tone, decrease snoring and other things as well.
Not only does oral care save lives, it can contribute to monetary savings. you can help by providing daily oral cares. Dietary adjustments can help, like using xylitol and fresh foods but teeth still need to be brushed as often as possible. Find a good time per resident. If they’re always crabby in the morning, do it in the afternoon. If it wasn’t done yesterday make sure it gets done today. Ask us we’re here to help you help the residents.
http://www.cdc.gov/nchs/fastats/pneumonia.htm10 – 30 percent of people in LTC get pneumoniaPopulation studies show that out of a population of 100000 elders, 17% will die from pneumoniaThe cost in today’s dollars is between $15 to 20,000 per case and about 7-9 days in the hospitalEstimates show that about 21% of NHAN can be avoided with better oral care.
This course is copyrighted by Exploring Transitions, LLC and is available for use by PrevMed. Only a small number of copies are allowed due to restrictions on the photographs. Contact Shirley Gutkowski if this is past year 2018. crosslinkpresent@aol.com.