Download or read book An Intervention to Improve Oral Health of Residents of Long term Care Facilities written by Carol Amerine and published by . This book was released on 2011 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study examined the impact of onsite weekly support by a dental hygiene champion on oral health status and quality of life of Long-term Care (LTC)INursing Home (NH) residents. The study was a quasi-experimental, pre-interventionlpost-intervention, nonequivalent group, controlled pilot designed to measure changes in oral health status and quality of life in residents following oral health interventions with Certified Nursing Assistants (CNAs) providing residents with Activities of Daily Living (ADL). A licensed dental hygienist delivered educational and onsite support to caregivers in Facility A for 2 months. Facility B received education alone, and Facility C served as the control. The Oral Health Assessment Tool (OHAT) and the Geriatric Oral Health Assessment Index (GOHAT) were utilized as measurement tools. Although limited by a small sample, findings suggest dental hygiene champions working onsite in LTC/NH facilities have potential to improve oral health status and self-perceived quality of life in LTCINH residents.

Download or read book Root Caries From Prevalence to Therapy written by M. Rocha de Olivera Carrilho and published by Karger Medical and Scientific Publishers. This book was released on 2017-10-19 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: Case reports and clinical trials conducted in various countries show, more and more frequently, a positive correlation between the presence of original teeth and prevalence of root caries in older age. Because this is a global trend, it is likely that the predicted increase in the worldwide elderly population may soon cause a significant increase in the number of people requiring effective means of preventing and treating root surface caries. In response to this development, a team of outstanding contributors has reviewed the most important aspects of root caries. This new volume presents their findings along with discussions of how to deal with this health issue that progressively affects the oral health balance. The chapters in this book are divided in four core parts: Epidemiology, Biological Determinants, Lesion Assessment and Features and Preventive and Operative Therapies. The collection of state-of-the-art articles provides a broad overview and will serve as a reference for clinicians as well as scientists and, hopefully, will encourage new research.

Download or read book Advancing Oral Health in America written by Institute of Medicine and published by National Academies Press. This book was released on 2012-01-05 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: Though it is highly preventable, tooth decay is a common chronic disease both in the United States and worldwide. Evidence shows that decay and other oral diseases may be associated with adverse pregnancy outcomes, respiratory disease, cardiovascular disease, and diabetes. However, individuals and many health care professionals remain unaware of the risk factors and preventive approaches for many oral diseases. They do not fully appreciate how oral health affects overall health and well-being. In Advancing Oral Health in America, the Institute of Medicine (IOM) highlights the vital role that the Department of Health and Human Services (HHS) can play in improving oral health and oral health care in the United States. The IOM recommends that HHS design an oral health initiative which has clearly articulated goals, is coordinated effectively, adequately funded and has high-level accountability. In addition, the IOM stresses three key areas needed for successfully maintaining oral health as a priority issue: strong leadership, sustained interest, and the involvement of multiple stakeholders from both the public and private sectors. Advancing Oral Health in America provides practical recommendations that the Department of Health and Human Services can use to improve oral health care in America. The report will serve as a vital resource for federal health agencies, health care professionals, policy makers, researchers, and public and private health organizations.

Download or read book Oral Health Promotion written by Lone Schou and published by Oxford University Press, USA. This book was released on 1993-06-24 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the common dental diseases are behavioral in origin, and are affected by individual lifestyles. Health promotion is therefore at the heart of preventing and controlling dental ill health. Helping people to understand that they can influence whether they have good or bad teeth is of prime importance. This book presents theoretical and practical advice on a broad range of topics encompassed by the term "health promotion". It includes models and theories of health behavior, influence of social factors on oral health promotion, government health policies, health education in specific settings, national campaigns, and evaluation of interventions. The historical background to health education and promotion is also discussed. The international roster of contributors provides a diverse set of topics. The book covers the complete range of health promotion activity. The comprehensive contents list will help readers and dental health professionals to target the sections of particular interest. Other health professionals will find the oral health promotion model useful when considering strategies for public health policy in other disciplines.

Download or read book Improving Access to Oral Health Care for Vulnerable and Underserved Populations written by National Research Council and published by National Academies Press. This book was released on 2012-01-22 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Access to oral health care is essential to promoting and maintaining overall health and well-being, yet only half of the population visits a dentist each year. Poor and minority children are less likely to have access to oral health care than are their nonpoor and nonminority peers. Older adults, people who live in rural areas, and disabled individuals, uniformly confront access barriers, regardless of their financial resources. The consequences of these disparities in access to oral health care can lead to a number of conditions including malnutrition, childhood speech problems, infections, diabetes, heart disease, and premature births. Improving Access to Oral Health Care for Vulnerable and Underserved Populations examines the scope and consequences of inadequate access to oral health services in the United States and recommends ways to combat the economic, structural, geographic, and cultural factors that prevent access to regular, quality care. The report suggests changing funding and reimbursement for dental care; expanding the oral health work force by training doctors, nurses, and other nondental professionals to recognize risk for oral diseases; and revamping regulatory, educational, and administrative practices. It also recommends changes to incorporate oral health care into overall health care. These recommendations support the creation of a diverse workforce that is competent, compensated, and authorized to serve vulnerable and underserved populations across the life cycle. The recommendations provided in Improving Access to Oral Health Care for Vulnerable and Underserved Populations will help direct the efforts of federal, state, and local government agencies; policy makers; health professionals in all fields; private and public health organizations; licensing and accreditation bodies; educational institutions; health care researchers; and philanthropic and advocacy organizations.

Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Download or read book OECD Health Policy Studies Who Cares Attracting and Retaining Care Workers for the Elderly written by OECD and published by OECD Publishing. This book was released on 2020-06-22 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report presents the most up-to-date and comprehensive cross-country assessment of long-term care (LTC) workers, the tasks they perform and the policies to address shortages in OECD countries. It highlights the importance of improving working conditions in the sector and making care work more attractive and shows that there is space to increase productivity by enhancing the use of technology, providing a better use of skills and investing in prevention.

Download or read book Long Term Care Services in the United States 2013 Overview written by National Center for Health Statistics and published by Government Printing Office. This book was released on 2014-03 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Long-term care services include a broad range of services that meet the needs of frail older people and other adults with functional limitations. Long-Term care services provided by paid, regulated providers are a significant component of personal health care spending in the United States. This report presents descriptive results from the first wave of the National Study of Long-Term Care Providers (NSLTCP), which was conducted by the Centers for Disease Control and Preventions National Center for Health Statistics (NCHS). This report provides information on the supply, organizational characteristics, staffing, and services offered by providers of long-term care services; and the demographic, health, and functional composition of users of these services. Service users include residents of nursing homes and residential care communities, patients of home health agencies and hospices, and participants of adult day services centers.

Download or read book Improving Oral Health for the Elderly written by Ira B. Lamster and published by Springer Science & Business Media. This book was released on 2008-01-11 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt: This excellent new work confronts two important oral health policy concerns in the United States: the disparities in the oral disease burden and the inability of certain segments of the population to access oral health care. The book examines in depth this crucial yet frequently overlooked indicator of seniors’ quality of life. It provides an invaluable set of recommendations to the clinical, research, and administrative communities that will serve the elderly population.

Download or read book Randomized Controlled Trials in Evidence Based Dentistry written by Richie Kohli and published by Springer Nature. This book was released on with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Oral Care in Long Term Care Homes written by Arlynn Brodie and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: The enigma of poor oral health of residents in long-term care (LTC) homes remains unsolved despite many years of research and intervention. The purpose of this study was to explore why resident oral health in LTC homes remains poor despite many years of research on causes of the problem and interventions to address it. Exploring how institutional processes and social relations influence care providers' experiences around providing oral care has the potential to inform strategies to address the longstanding issue of poor oral health of residents in LTC. Methods: I investigated how oral care happens and why it happens the way it does, using institutional ethnography from the standpoint of the healthcare aide (HCA). The social organization of oral care in the LTC homes was explored through the observation of the HCAs' day to day practices and their interaction with institutional texts. Data were collected at two LTC homes through 96 hours of naturalistic observation, 21 in-depth interviews, and document review. As part of the data analysis, and based on what I was observing, hearing in interviews, and reading in texts, I created text-work-text (TWT) mappings to illustrate how oral care was socially organized in LTC homes. In addition, I created an additional TWT map for bowel care, as a comparison to oral care. Findings: Health care aides were primarily responsible for providing oral care to residents in LTC homes, despite having very little textual guidance as to what, when or how care was to be provided. Texts that were available to inform them in providing oral care were underutilized because the HCAs did not consider the texts helpful. The HCAs used their own discretion, primarily relying on their personal experiences, to inform the oral care they provided for their residents. In contrast, bowel care was an effectively textually mediated process and HCAs relied on several texts to provide them with guidance. Implications: Exploring the social organization of work around oral care in LTC homes has illustrated institutional processes that may contribute to poor oral health for residents in LTC homes. Addressing these processes could help existing efforts of those seeking to improve the state of oral health of residents in LTC. Processes may be improved through a multifactorial approach including revision of texts that guide care, better oral health education for care providers, access to dental professionals in LTC settings, and policy changes at national and provincial levels around oral healthcare in LTC.

Download or read book Oral Health Literacy written by Institute of Medicine and published by National Academies Press. This book was released on 2013-02-19 with total page 143 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine (IOM) Roundtable on Health Literacy focuses on bringing together leaders from the federal government, foundations, health plans, associations, and private companies to address challenges facing health literacy practice and research and to identify approaches to promote health literacy in both the public and private sectors. The roundtable serves to educate the public, press, and policy makers regarding the issues of health literacy, sponsoring workshops to discuss approaches to resolve health literacy challenges. It also builds partnerships to move the field of health literacy forward by translating research findings into practical strategies for implementation. The Roundtable held a workshop March 29, 2012, to explore the field of oral health literacy. The workshop was organized by an independent planning committee in accordance with the procedures of the National Academy of Sciences. The planning group was composed of Sharon Barrett, Benard P. Dreyer, Alice M. Horowitz, Clarence Pearson, and Rima Rudd. The role of the workshop planning committee was limited to planning the workshop. Unlike a consensus committee report, a workshop summary may not contain conclusions and recommendations, except as expressed by and attributed to individual presenters and participants. Therefore, the summary has been prepared by the workshop rapporteur as a factual summary of what occurred at the workshop.

Download or read book Effectiveness of On site Professional Oral Health Care Programs and Service Delivery Within Nursing Homes written by Michelle Jacqueline Marusiak and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Seniors who are dependent on others to brush their teeth, communicate their dental needs, and provide them access to professional oral health care define dentally dependent nursing home residents in the context of this dissertation. Oral problems in Canadian nursing home (NH) residents demonstrate poor oral health states and inadequate oral health care programmes. A novel gold standard on-site professional oral health care (POHC) programme and its components showing clinical effectiveness and cost-effectiveness outcomes to reduce dental disease does not exist and is required to support policy recommendations. Purpose: This Systematic Review (SR) evaluates the existing evidence on the clinical effectiveness and cost-effectiveness - inclusive of gold standard on-site POHC programme components - for the safety, efficacy, and effectiveness of reducing dental disease when compared to usual care - no on-site POHC or intervention. Methods: The review is based on 13 clinical effectiveness studies. The clinical studies include nine randomized controlled trials (RCT) based out of a total of forty NHs (3 x one, two, three, four, eight, nine, and 11 NHs), two non-RCTs based out of three NHs (one and two), and cross-sectional studies based out of three NHs (one and two). The cost-effectiveness studies include two economic analysis studies based solely out of NHs with the comparator of usual care - no on-site POHC or intervention. Findings and conclusions: Oral health measures were improved showing better oral health outcomes in the experimental group who received the on-site POHC intervention. On-site POHC services once per week by Registered Dental Hygienists (RDH), twice daily oral hygiene care by nursing assistants (NA), and monthly education, improves NH resident safety by reducing preventable bacterial mouth infection, pneumonia, and fatal aspiration pneumonia (AP). In addition, on-site POHC appears to provide motivation, remotivation, staff support, and staff evaluation in NHs which improves guidelines and standards and implements new routines using a contact person for oral care. The policy makers need to consider policy change that provides funding according to the "level of need" to ensure all dependent NH residents receive access to essential oral health care. Successful implementation includes funding the frequency and duration of POHC, implementing and evaluating NH guidelines and standards for daily mouth care and professional oral health care (POHC), using an POHC program to measure nursing staff oral health work in relation to defined standards, and organizing long-term presence and guidance by dental hygienists. Some limitations across the included studies were small sample size, no control group, or not able to provide randomization. Economic analysis found the potential value of access to on-site POHC programme, compared to usual care, weighs heavily on reducing transportation and hospitalization costs and the price point set by the programme planner. On-site POHC is a novel oral health system delivery program that provides on-site access to clinically effective, and likely cost-effective, sustainable, and high-quality care to seniors who reside in Alberta NHs. Future studies are needed to determine the cost-effectiveness of full-time RDHs providing these essential POHC program components using a "level of need" approach for all dependent NH residents.

Download or read book Oral Health and Aging written by Christie-Michele Hogue and published by Springer Nature. This book was released on 2022-02-01 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive review of the assessment and management of older people’s oral health care needs. Discussing recent initiatives to emphasize oral health promotion and prevention, the book describes improvements in pharmacological and non-pharmacological approaches for special populations in geriatrics and illuminates the role of barriers to oral health care for older people. Divided into three sections, the book first explores aging and oral health, including age-related changes, epidemiology, nutrition, dysphagia, aspiration pneumonia, xerostomia and hyposalivation, management of periodontal disease and caries, systemic diseases that influence oral health, and considerations for chronic orofacial pain. The second section illuminates the ways in which frailty and other geriatric syndromes influence oral health care in older adults with a special focus on frailty, dementia, delirium and depression, and the delivery of oral health care to vulnerable geriatric populations in long-term care, home care, palliative care, and hospice. Lastly, the book addresses inequalities in the oral health of older minority populations, the disproportionate burden of oral disease and tooth loss, the contribution of these issues to further complications in comorbidities, the association of extended health literacy and periodontal disease, and the social and cultural conditions that might be altered or improved by healthcare programs and health policies. Oral Health and Aging is a useful book written by an international group of experts and designed to educate geriatricians, primary care physicians, nurses, dentists, dental hygienists, speech and language pathologists, dietitians, and health policy advocates.

Download or read book Reichel s Care of the Elderly written by Jan Busby-Whitehead and published by Cambridge University Press. This book was released on 2022-07-21 with total page 821 pages. Available in PDF, EPUB and Kindle. Book excerpt: This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format.

Download or read book Disease Control Priorities Third Edition Volume 8 written by Donald A. P. Bundy and published by World Bank Publications. This book was released on 2017-11-20 with total page 977 pages. Available in PDF, EPUB and Kindle. Book excerpt: More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.

Download or read book Taylor s Clinical Nursing Skills written by Pamela Lynn and published by Lippincott Williams & Wilkins. This book was released on 2022-08-03 with total page 2613 pages. Available in PDF, EPUB and Kindle. Book excerpt: Extensively updated with the latest evidence-based approaches, engaging learning features, and detailed, high-quality photographs, Taylor’s Clinical Nursing Skills, 6th Edition, gives students the confidence and clinical judgment to effectively incorporate cognitive, technical, interpersonal, and ethical/legal skills for exceptional patient care. This robust text guides students step-by-step through the full continuum of clinical nursing skills and complements Fundamentals of Nursing: The Art and Science of Person-Centered Care, 10th Edition to create a seamless, superior learning experience throughout the nursing curriculum and equip students for successful nursing practice.