Barriers and facilitators for provision of oral health care in dependent older people: a systematic review

Göstemeyer, Gerd; Baker, Sarah R.; Schwendicke, Falk

doi:10.1007/s00784-019-02812-4

Cited by 86 publications

(124 citation statements)

References 81 publications

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“…Literature shows that daily oral care is often neglected or only provided superficially in professional care settings (De Visschere et al, 2016; Delwel et al, 2018). Care‐resistant behaviour of clients was identified as one of the main barriers (Göstemeyer et al, 2019; Hoben et al, 2017). Hence, a substantial part of the developed guidelines cover approaches for care‐resistant client behaviour.…”

Section: Discussionmentioning

confidence: 99%

“…Studies consistently show that oral hygiene in care‐dependent older adults is deficient (De Visschere et al, 2016; Delwel et al, 2018; Yoon et al, 2018). This indicates the existence of barriers that prevent nursing assistants from providing proper daily oral care (Göstemeyer et al, 2019; Hoben et al, 2017). Adequate daily oral care requires skills to assess individual needs and to select and apply devices correctly.…”

Section: Introductionmentioning

confidence: 99%

“…However, oral health‐related knowledge and training are often insufficient in nursing assistants (Catteau et al, 2016; Mehl et al, 2016; Wårdh et al, 2012). This constitutes one of the main barriers to provide daily oral care (Göstemeyer et al, 2019; Hoben et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Krausch‐Hofmann

Palmers

Declerck

et al. 2020

Int J Older People Nursing

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AimTo develop practice guidelines for nursing assistants who provide daily oral care to older adults.BackgroundThe interRAI suite of instruments is internationally used in professional health care to assess the needs of care‐dependent older persons. An optimised oral health section was developed recently to identify care clients with poor oral health and hygiene. Internationally shared guidelines for daily oral care are needed to complement the optimised oral health section of the interRAI suite of instruments.Material and methodsThe modified Delphi approach started with the preparation of an initial draft. Subsequently, an online survey and a face‐to‐face discussion were conducted with international experts. Their feedback was used to revise the draft. Two additional online surveys were conducted with the experts to reach consensus agreement for each item of the revised version. The same group of experts was invited to the different study phases.ResultsThe three surveys were completed by 26, 27 and 23 international experts, respectively. A group of 18 experts completed each survey, whereof a subgroup of 11 experts also took part in the face‐to‐face discussion. Experts were dental hygienists, dentists, nursing scientists, physicians and psychologists from 14 different countries. After the final survey, consensus agreement was reached for 54 of the 57 (94.7%) items, representing the final version of the guidelines.ConclusionAvailable evidence was combined with practical feedback from international experts to develop clear and concise practice guidelines for daily oral care in older adults.Implications for practiceThe guidelines will help to improve knowledge and reduce barriers of nursing assistants to provide daily oral care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Krausch‐Hofmann

Palmers

Declerck

et al. 2020

Int J Older People Nursing

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“…This does not alter our adherence to PLOS ONE policies on sharing data and materials. suitable facilities [19]. There are unique care considerations and costs associated with delivering dental care in LTC settings that have not been fully explored.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal analysis of cost and dental utilization patterns for older adults in outpatient and long-term care settings in Minnesota

et al. 2020

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Background Dental utilization patterns and costs of providing comprehensive oral healthcare for older adults in different settings have not been examined. Methods Retrospective longitudinal cohort data from Apple Tree Dental (ATD) were analyzed (N = 1,159 total; 503 outpatients, 656 long-term care residents) to describe oral health status at presentation, service utilization patterns, and care costs. Generalized estimating equation (GEE) repeated measures analysis identified significant contributors to service cost over the three-year study period. Results Cohort mean age was 74 years (range = 55-104); the outpatient (OP) group was younger compared to the long-term care (LTC) group. Half (56%) had Medicaid, 22% had other insurance, and 22% self-paid. Most (72%) had functional dentitions (20+ teeth), 15% had impaired dentitions (9-19 teeth), 6% had severe tooth loss (1-8 teeth), and 7% were edentulous (OP = 2%, LTC = 11%). More in the OP group had functional dentition (83% vs. 63% LTC). The number of appointments declined from 5.

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“…Doğru tedavi yöntemleri; ağız hijyeninin sağlanmasına ve erken sonuç alınmasına olanak sağlar. Ayrıca tüm tedavi yöntemleri hem hastanın hem de hekimin tedaviye aktif olarak katılımını gerektirmektedir [2]. İşlevini yitirmiş ya da kaybetmeye başlamış doku ve organlar için tasarlanmış, biyouyumlu, vücuda zarar vermeyen sentetik malzemelere veya işlenmiş doğal malzemelerle tasarlanmış biyolojik maddelere biyomalzemeler denir.…”

Section: Introductionunclassified

Biomaterials in Used Dental Application

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et al. 2019

Nevşehir Bilim Ve Teknoloji Dergisi

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Genel sağlık için ağız ve diş sağlığı oldukça önemlidir. Ağız ve diş hastalıkları dünyada en yaygın görülen sağlık problemlerinin başında gelmektedir. Diş eti hastalıkları; dişi çevreleyen ve dişi destekleyen kemiğe kadar ilerleyen, dişeti iltihabı ve diş problemlerini kapsamaktadır. Tedavi süresince dental birçok işlemde biyomalzeme kullanılmaktadır. Tedavinin etkinliğini değiştiren unsurlar arasında kullanılan malzemeler, malzemelerin kalitesi ve biyouyumu önem arz etmektedir. Vucüt dışarıdan yapısına katılan, yabancı maddelere karşı tepki göstermesine rağmen; dokulara göre geliştirilmiş biyouyumluluk gösteren biyomalzemeleri kabul etmektedir. Doku ortamı içerisinde herhangi bir hasara karşı; yüzey konfigürasyonu geliştirme, dokuyu indükleme ve inflamasyona karşı red cevabı oluşturma, biyomalzemelerin en önemli fiziksel özellikleri arasındadır. Bu makale de amaç, dental uygulamalarda kullanılan biyomalzemeleri tanımlamak, sınıflandırmak ve görevlerini araştırmaktır.

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Barriers and facilitators for provision of oral health care in dependent older people: a systematic review

Cited by 86 publications

References 81 publications

Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Development of practice guidelines for daily oral care in care‐dependent older adults to complement the InterRAI suite of instruments using a modified Delphi approach

Longitudinal analysis of cost and dental utilization patterns for older adults in outpatient and long-term care settings in Minnesota

Biomaterials in Used Dental Application

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