The complexity of tooth brushing among older adults with intellectual disabilities: Findings from a nationally representative survey

Phadraig, Caoimhin Mac Giolla; Farag, Maria; McCallion, Philip; Waldron, Catherine; McCarron, Mary

doi:10.1016/j.dhjo.2020.100935

Cited by 10 publications

(12 citation statements)

References 25 publications

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“…23 Caregiver supervision and support during oral hygiene are factors responsible for increasing the probability of the individual with SHCN having good oral hygiene, reducing tooth loss, and the occurrence of dental caries. 20,24 We found that many caregivers are motivated and committed to teach and help their dependent to take care of their oral hygiene. One factor that can contribute to this is the fact that they are enrolled in institutions who cares, encourage and support them for general and oral health care for the people they care for.…”

Section: Discussionmentioning

confidence: 97%

“…Thus, to obtain good results in oral hygiene and health, individuals with special needs must receive daily supervision in oral hygiene by well‐motivated caregivers 23 . Caregiver supervision and support during oral hygiene are factors responsible for increasing the probability of the individual with SHCN having good oral hygiene, reducing tooth loss, and the occurrence of dental caries 20,24 …”

Section: Discussionmentioning

confidence: 99%

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Coping strategies of caregivers in performing oral hygiene care in adults with special needs: A qualitative study

Leme

Nishiyama

Santos

et al. 2022

Special Care in Dentistry

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Introduction: Basic and daily oral hygiene care is essential for maintaining oral health in adults with special needs. The caregivers act in this process and need to be understood about the difficulties and the resources they use to deal with this demand. The aim of this qualitative study was to understand the difficulties and strategies of caregivers regarding oral hygiene for adults with special health care needs (SHCN)Methods: Twenty-one caregivers of adults with SHCN participated in an interview in which the following questions were asked: What are the greatest difficulties in performing oral hygiene for the adult with SHCN you take care? and "How do you overcome these difficulties?" The interviews were recorded and the qualitative data were analyzed using the Discourse of the Collective Subject technique Results: All respondents were female with a mean age of 58.5 years (± 10.8) and the adults with SHCN presented mean age of 30 years (± 18). The greatest difficulty pointed out by caregivers regarding oral hygiene for adults with SHCN was their non-cooperation to do such activity. Regarding coping strategies, caregivers pointed out several strategies to perform oral hygiene in adults with SHCN, such as supervising their brushing, seek for a qualified dentist to assist with this task, performing oral hygiene during the bath, performing physical restraint, among others Conclusion:The caregivers' perspectives indicate feelings of failure, discomfort, but also the use of creative resources to deal with the task. The results bring up themes that refer to anxieties and are related to technical and dental issues, that could be explored and need to be recognized by the reference oral healthcare team, whose responsibility it is also to work for the empowerment of caregivers. K E Y W O R D Scaregiver, dental care for disabled, disabled persons, family caregiver, oral health

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Coping strategies of caregivers in performing oral hygiene care in adults with special needs: A qualitative study

Leme

Nishiyama

Santos

et al. 2022

Special Care in Dentistry

View full text Add to dashboard Cite

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“…An occupational therapist would be well placed to advise an individual with a learning disability and their carer about the correct choice of toothbrush, any sensory considerations, and the appropriateness for the individual to carry out their own oral care. 17,32 Recommendations Many of the research papers called for further investigation into why oral care is either overlooked, or why individuals are resistant to the process of daily oral care within community learning disabilities settings. 9 This author found a paucity of existing research which considered the cross-sectional impact of a learning disability alongside an autistic spectrum condition, 24,33 sensory processing disorder, 30,18 behaviour that challenges care services 29,18 or a mental health condition 7,14 which may necessitate being in inpatient or offending behaviour settings, 8,34 and the possibility of resulting homelessness.…”

Section: Methodsmentioning

confidence: 99%

“…Clough and Handley 16 identified evidence of diagnostic overshadowing in dental settings. Mac Giolla Phadraig et al, 17 Chadwick, Chapman and Davies 9 and Rada et al 18 described the importance of individualised clinical evaluation and resulting guidance, with consideration for the abilities of the patient and their carer, rather than pursuing epidemiological approaches.…”

Section: Theme 1b: Information Sharing (Training)mentioning

confidence: 99%

“…through familiarity with common health conditions associated with this population group, consideration as to making sensory adjustments to the dental setting, and making modifications to how treatments are carried out. 17 A need for education and training for both healthcare professionals and family carers was highlighted across several research papers, 9 and the voice of service users must be represented more prominently than they have been to date. 16,36 Service improvement proposal The format of the project required that one of the derived themes be selected for a service improvement initiative; the Docherty and Smith 3 framework was used to accomplish this.…”

Section: Toothbrushes Can Provide Better 'Multi-sided or Curved-brist...mentioning

confidence: 99%

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Does oral care knowledge amongst UK nurses effectively support people with intellectual disabilities across their lifespan?

Thurston

2021

BDJ Team

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Purpose Poor oral health can negatively impact on the overall health of an individual. Evidence highlights nurses' misgivings about providing oral care. Method Several articles were sourced across three clinical databases and four 'core' papers were critiqued using CASP. Findings A literature review identified two areas which require service improvement: 1) Co-presented oral care training should be delivered to staff teams, incorporating material which is developed in collaboration with allied health and social care professionals; 2) Dental teams should be included in the production of care plans for people with a learning disability. Conclusions Indications of ritualistic practice remain in UK nurses' approach to oral care. Daily issues faced by staff teams and the voices of people with a learning disability are underrepresented. Training and integrated care planning could significantly improve oral health outcomes for people with a learning disability.Editor's note: 'Nurse' and 'nurses' refers to general (medical) nurses in this article rather than dental nurses. AimA learning disability is a reduced ability to learn and understand new concepts or Mark Thurston, a former dental care professional who is currently a third year learning disabilities nursing student, summarises the findings of his dissertation -a literature review and proposed service improvement -undertaken as part of his degree in Nursing (Learning Disabilities) at the University of the West of England, Bristol.

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Special Population: Adults with Intellectual and Developmental Disabilities

Boggiano

Daaleman

2023

Chronic Illness Care

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The complexity of tooth brushing among older adults with intellectual disabilities: Findings from a nationally representative survey

Cited by 10 publications

References 25 publications

Coping strategies of caregivers in performing oral hygiene care in adults with special needs: A qualitative study

Coping strategies of caregivers in performing oral hygiene care in adults with special needs: A qualitative study

Does oral care knowledge amongst UK nurses effectively support people with intellectual disabilities across their lifespan?

Special Population: Adults with Intellectual and Developmental Disabilities

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