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Improving the oral health of older people in long-term residential care: a review of the literature.
MedLine Citation:
PMID:  20925809     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background.  Unrefutable evidence now links poor oral health with the development of preventable systemic illnesses and debilitating conditions that threaten quality of life and life itself. This is especially significant for an increasing older population who are dependent on others for care. Aims and objectives.  The majority of studies analysing the oral health of older dependent people in long-term residential care have been undertaken by dental professionals. This critical literature review examines the issue from a nursing perspective because nursing care providers have a fundamental role in daily oral health provision for dependent residents. Conclusions.  Multiple barriers were found to negatively impact on daily oral healthcare provision, including lack of care provider education, oral health values, availability of resources, implementation of supportive policies, documentation and oral health assessment tools. Relevance to clinical practice.  The nursing profession, at all levels, must become pro-active in removing financial, political and workforce barriers that impact negatively on oral health outcomes. A multi-faceted approach is required to address these barriers, including development and implementation of oral health education programmes, assessment screening tools, care plans, documentation, supply of oral hygiene aids and the appointment of oral care 'champions'.
Authors:
Karen Miegel; Tracey Wachtel
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Publication Detail:
Type:  Journal Article     Date:  2009-02-05
Journal Detail:
Title:  International journal of older people nursing     Volume:  4     ISSN:  1748-3743     ISO Abbreviation:  Int J Older People Nurs     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2010-10-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101267281     Medline TA:  Int J Older People Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-113     Citation Subset:  -    
Copyright Information:
© 2009 Blackwell Publishing Ltd.
Affiliation:
Graduate Registered Nurse, Riverland Regional Health Services, Berri, SA, AustraliaLecturer in Nursing, School of Nursing and Midwifery, Flinders University Renmark Campus, Renmark, SA, Australia.
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