Improving Oral Health in Older Persons Initiative Michael Wheeler MSc BEd (Hons) Cert Ed RDH

Transcription

1 Improving Oral Health in Older Persons Initiative Michael Wheeler MSc BEd (Hons) Cert Ed RDH Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 0

2 Learning Outcomes i. Describe the KSS Older Persons Oral Health Initiative ii. State the functions of teeth and the importance of oral care iii. iv. State why there is a greater need for enhanced oral care in the older person and how good oral health contributes to systemic health State the importance of the team approach to improving the oral health of residents in residential and nursing homes. 1

3 Older Persons Project University of Kent Compassion Workstream Initial pilot Trained over 100 staff - 20 care homes Centred on Guildford, Farnborough and Chatham Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 2

4 Main Project Outcomes Raise awareness of oral disease and its links with systemic disease Create a range of evidence based resources that care staff and pharmacists may access Create train the trainer programmes Promote the use of a standard oral care assessment sheet Promote evidence based oral care interventions designed for the older person and regular access to dental care Demonsatre the effectiveness of this initiative through robust evaluation and research Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 3

5 Facial Appearance Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 4

6 Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 5

7 Smile Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 6

8 Eat Social Interaction Speech Freedom from pain and discomfort Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all 7

9 Percentage of the Population with Complete Dentures Source: ADH Survey NHS IC % % % Source Adult Dental Health Survey

10 Plaque 9

11 Sugar 10

12 Dental Decay and Root Caries 11

13 Gingivitis 12

14 Progression to Periodontitis 13

15 The understanding of Periodontitis is now focused on the relationship of the disease as a risk for certain systemic diseases. Robust studies have demonstrated that in some systemic diseases the inflammatory process related to Periodontal infection especially in residents with a weakened immune system may act as an additional trigger to a disease. 14

16 Pneumonia Acquired Pneumonia 15

17 Current Research Link to Dementia 16

18 Current Research 17

19 Mouth Ulcers

20 Oral Health Needs Assessment If you have answered YES or DON T KNOW to Q2 or Q5, URGENT dental check-up required If answer to Q1(b) is more THAN 5 YEARS or DON T KNOW dental check-up required If answer to Q6 is MORE THAN 1 YEAR or DON T KNOW dental check up required Resident s name:...title: Dr/Mr/Mrs/Miss/ other...date of Birth: Does the client have dentures? Yes No If yes, please specify: Upper Full Partial Acrylic Chrome Lower Full Partial Acrylic Chrome (a) If yes, are the dentures labelled? Yes No Don t Know (b) If yes, how old are the dentures? Less than 5 years More than 5 years Don t know 2. Does the client have any problems? Yes No Don t Know e.g. Pain, difficulty eating, Teeth Gums Denture Other decayed teeth, denture problems, dry mouth, ulcers, halitosis (bad breath), other? If yes, describe the problem Has the client ever smoked? Yes No Current smoker Don t Know 4. Is the client on medication with oral side effects? Yes No Don t Know 5. Does the client need urgent dental treatment? Yes No Don t Know 6. When did the client last see a dentist? Less than 1 year More than 1 year Don t Know 7. Is the client registered with a dentist? Yes No Don t Know If yes, record dentist name and address: Dental Care for Older People Action:... Signed:...Job Title:...Date:...

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22 A person can t have good general health without good oral health US Surgeon General C. Everett Koop (1981) 21