2016
DOI: 10.1111/idh.12228
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Does enhancing personal care assistants’ own oral health influence their attitudes and practices towards oral care for residents – a pilot study

Abstract: The results of this pilot study show that the educational intervention to increase the personal care assistants' (PCAs) awareness of their own oral health status and self-care skills increased the confidence of the carers to identify oral health risks in the residents, as well as increasing their self-reported confidence in providing oral care to residents.

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Cited by 9 publications
(8 citation statements)
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“…Despite overwhelming evidence that good oral health is essential for healthy ageing, it has been described as one of the most neglected aspects of care experienced by older people (Coker et al, 2016;Sloane et al, 2013;World Health Organisation, 2015). The aged care sector's lack of insight into the high-risk consequences of poor oral health (such as; malnutrition, poor diabetic control, stroke and cardiovascular problems, aspiration pneumonia and bacteraemia) perpetuates this neglect (De Lugt-Lustig et al, 2013;De Visschere et al, 2015;Knevel et al, 2016). This includes aged care staff underestimating the significance of oral healthcare as an effective, low cost infection control intervention (Thorne et al, 2001).…”
Section: Introductionmentioning
confidence: 99%
“…Despite overwhelming evidence that good oral health is essential for healthy ageing, it has been described as one of the most neglected aspects of care experienced by older people (Coker et al, 2016;Sloane et al, 2013;World Health Organisation, 2015). The aged care sector's lack of insight into the high-risk consequences of poor oral health (such as; malnutrition, poor diabetic control, stroke and cardiovascular problems, aspiration pneumonia and bacteraemia) perpetuates this neglect (De Lugt-Lustig et al, 2013;De Visschere et al, 2015;Knevel et al, 2016). This includes aged care staff underestimating the significance of oral healthcare as an effective, low cost infection control intervention (Thorne et al, 2001).…”
Section: Introductionmentioning
confidence: 99%
“…Contrary to their valuing oral health as one of the fundamentals of care (Coker et al., ; Kitson, Muntlin Athlin, & Conroy, ), it is widely recognised that nurses and care workers dismiss it as a low priority (Knevel, Foley, Gussy, & Karimi, ; McNally et al., ; Sloane et al., ; Wårdh, Berggren, Anderson, & Sörensen, ). The main assumptions justifying oral health neglect of older people include rationalising it as the dental profession's responsibility, assuming poor oral health is a normal part of ageing, and likening it to an optional grooming task (de Lugt‐Lustig et al., ; Wårdh, Jonsson, & Wikstrom, ).…”
Section: Introductionmentioning
confidence: 99%
“…Other reasons for nurse and care worker noncompliance include a lack of confidence or unreliable assumptions about the efficacy of their own oral health standards (which are unlikely to be evidence‐based practice for older people); reluctance due to their own dental anxieties; fear of being bitten or hurting older people who exhibit care‐resistant behaviours; and the perception that intraoral care is an invasion of privacy (Chalmers & Pearson, ; Hoben et al., ; Jablonski, Theerrien, & Kolanowski, ; McNally et al., ; Miegel & Wachtel, ). Most disturbing is the ubiquitous negativity attributed to oral health care (Hopcraft, Morgan, Satur, Wright, & Darby, ; Janssens et al., ; Knevel et al., ; Sloane et al., ), with some nurses and care workers openly admitting they would rather clean up an incident of incontinence than brush older people's teeth (Dharamsi et al., ; Unfer, Braun, de Oliveira Ferreira, Raut, & Batista, ).…”
Section: Introductionmentioning
confidence: 99%
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“…Nesta fase, para o correto posicionamento durante os cuidados com o paciente, é importante que uma cama hospitalar ou ao menos sem cabeceira seja utilizada. De grande importância, contudo, é a conscientização dos cuidadores a respeito de sua própria saúde bucal e desenvolvimento de habilidades de auto-cuidado, alterando as atitudes existentes e as intenções comportamentais relacionadas aos cuidados de saúde bucal dos idosos (Hoben et al, 2016;Knevel et al, 2016).…”
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