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Oral Care for Long Term Care Residents ,[object Object]
Approximately 95% of LTC residents need assistance with daily oral care
Approximately 35% have dysphagia (problems swallowing)
Approximately 80% have some form of dementia,[object Object]
Client free from pain and infection with no additional behaviour issues due to oral problems
Dignity
Quality of Life,[object Object]
 Soreness
 Thrush (yeast infection)
 Swallowing Problems
 Lip Soreness
 Tastes/ Odours
 Denture Fit/ Swallowing Risk,[object Object]
 Two toothbrushes with wide handles
 Washcloth (disposable cloths)
 Hand towel,[object Object]
Moisturize mouth prior to brushing
Mop up saliva as you brush
Massage gums, polish teeth after brushingReminder: Oral care can be performed anywhere using this method (TV, radio is a good distraction for patients)
Why You Should NOT Use Toothpaste ,[object Object]
Foaming action of toothpaste decreases visibility for the caregiver
Swallowing defects – a person can choke on the paste
Majority of toothpastes have a strong taste that does not appeal to older adults eg. Alzheimer’s patients
NOTE: Toothpaste should only be used when a patient can spit and swallow properly,[object Object]
Reducing Aerosol Splatter When Brushing Teeth 6. Brush inside lower front teeth back and forth or circles 7. Lower back teeth inside last brushing area  Reminders: ,[object Object]
 Mop saliva and debris frequently throughout brushing time to eliminate need to spit
Do not flick toothbrush out while brushing,[object Object],[object Object]
 Use on washcloth, polish teeth
 High dementia, biting patients – do not do this,[object Object]
 Can use one as a prop to hold the mouth open and the other as the toothbrush,[object Object],[object Object]

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Tips for ps ws oral care slides o2

  • 1.
  • 2. Approximately 95% of LTC residents need assistance with daily oral care
  • 3. Approximately 35% have dysphagia (problems swallowing)
  • 4.
  • 5. Client free from pain and infection with no additional behaviour issues due to oral problems
  • 7.
  • 9. Thrush (yeast infection)
  • 13.
  • 14. Two toothbrushes with wide handles
  • 16.
  • 18. Mop up saliva as you brush
  • 19. Massage gums, polish teeth after brushingReminder: Oral care can be performed anywhere using this method (TV, radio is a good distraction for patients)
  • 20.
  • 21. Foaming action of toothpaste decreases visibility for the caregiver
  • 22. Swallowing defects – a person can choke on the paste
  • 23. Majority of toothpastes have a strong taste that does not appeal to older adults eg. Alzheimer’s patients
  • 24.
  • 25.
  • 26. Mop saliva and debris frequently throughout brushing time to eliminate need to spit
  • 27.
  • 28. Use on washcloth, polish teeth
  • 29.
  • 30.
  • 31. Using the Second Toothbrush Slide second toothbrush handle along teeth to hold back cheek for rear teeth brushing Have the patient bite the handle of the second toothbrush between front teeth to get at the inside upper and lower sections
  • 32.
  • 33. the length of the handle (longer is better)
  • 34.
  • 35.
  • 36. Sing a song
  • 37.
  • 38. Reassures the resident that you are friendly
  • 39.
  • 40. Take a slow approach, take your time to make the resident more comfortable and cooperative
  • 41.
  • 42. Use the two-person approach
  • 43. Have one person stand behind the patient and place their arms across the patient’s chest, supporting the head
  • 44. The patient’s arms can cross in front of their chest while the person behind holds them steady, keeping their own head high to avoid chin-bucking
  • 45.
  • 46.
  • 47.
  • 48.
  • 49. Contact family, some will assist with care
  • 50. Contact Physician and Charge Nurse to review medications for sedative use if the family agrees
  • 51.
  • 52.
  • 53. in geri-chair/ wheelchair
  • 54.
  • 55.
  • 56. cavities at the gum line
  • 57. gum disease, infection of gum tissue
  • 58. the formation of hard deposits that worsen gum issues
  • 59. mouth odoursRemember: Tell the Charge Nurse if you are unable to clean a client’s mouth!
  • 60.
  • 61. formation of hard deposits on dentures that can make dentures not fit properlyRemember: Tell the Charge Nurse if you are unable to clean your client’s mouth
  • 62. Framework for Positive Attitudes The caregiver has formed a strong positive intention to complete the task There are no environmental constraints that make it impossible for the task to be completed successfully The caregiver has the skills necessary to perform the task The caregiver believes that the advantages of performing the task outweigh the disadvantages
  • 63. Framework for Positive Attitudes 5. The caregiver perceives the task as consistent with their self image and does not violate their personal standards 6. The caregiver perceives social pressure to successfully complete the task 7. The caregiver’s emotional reaction to completing the task is more positive than negative 8. The caregiver has confidence that they can complete the task under a variety of circumstances