https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=34037316&retmode=xml&tool=Litmetric&email=readroberts32@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09 340373162022072620220726
1601-50372032022AugInternational journal of dental hygieneInt J Dent HygImpact of care level, setting and accommodation costs on a newly developed oral care nursing plan format for elderly patients with care needs - Results from a cross-sectional study.543552543-55210.1111/idh.12525A new oral care nursing plan format for improved communication among dentists, nursing staff and caregivers has been developed in Germany. We aimed to (1) describe this plan, (2) investigate the prevalence of oral health problems among elderly patients with care needs documented by the plan, outline the recommendations in the plans and (3) investigate whether the accommodation costs or care needs of patients influenced oral care quality or the need for oral hygiene support documented within the plan.In this cross-sectional trial, oral care nursing plans were collected from outpatient and inpatient care clinics. Items on the oral care nursing plan were divided into three areas (oral health, oral hygiene needs, and coordination needs and dental therapy) and were correlated with the care level and accommodation costs.Oral care nursing plans were collected from seven dentists (N = 747; 94.5% from inpatient and 5.5% from outpatient care). The plans enabled documentation of well-known oral health and hygiene problems among elderly patients. In their current form, the plans provided recommendations for obvious oral hygiene tasks such as toothbrushing or fluoridating, rather than specialized tasks such as nutritional advice or dry mouth asymptomatic therapeutic approaches. Although accommodation costs were associated with the need for oral hygiene support (not with oral care condition), the care level influenced both measures.The oral care nursing plan can facilitate documentation of oral health and hygiene among elderly individuals with care needs. Further clarification of the plan would help promote careful documentation by dentists.© 2021 The Authors. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.BleielDirkDDepartment of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany.NitschkeInaIClinic of General, Special Care and Geriatric Dentistry, Center of Dental Medicine, University of Zurich, Zürich, Switzerland.Department for Prosthodontics and Materials Science, University of Leipzig, Leipzig, Germany.NoackMichael JMJDepartment of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany.BarbeAnna GretaAG0000-0003-0169-2582Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Köln, Germany.engJournal Article20210607
EnglandInt J Dent Hyg1011680701601-5029IMAgedCross-Sectional StudiesHumansMouth Diseasesprevention & controlNursing HomesOral HealthOral Hygieneageinghome care serviceshousing for the elderlyoral diagnosisoral hygiene
202142520206122021520202152760202272760202152698ppublish3403731610.1111/idh.12525ReferencesNitschke I. Geriatric oral health issues in Germany. Int Dent J. 2001;51:235-246.Nitschke I, Muller F. The impact of oral health on the quality of life in the elderly. Oral Health Prev Dent. 2004;2:271-275.Hoad-Reddick G, Grant AA, Griffiths CS. Investigation into the cleanliness of dentures in an elderly population. J Prosthet Dent. 1990;64:48-52.Hassel AJ, Koke U, Schmitter M, Rammelsberg P. Factors associated with oral health-related quality of life in institutionalized elderly. Acta Odontol Scand. 2006;64:9-15.Montal S, Tramini P, Triay JA, Valcarcel J. Oral hygiene and the need for treatment of the dependent institutionalised elderly. Gerodontology. 2006;23:67-72.Karki AJ, Monaghan N, Morgan M. Oral health status of older people living in care homes in Wales. Br Dent J. 2015;219:331-334.Vigild M. Benefit related assessment of treatment need among institutionalised elderly people. Gerodontology. 1993;10:10-15.Isaksson R, Soderfeldt B, Nederfors T. Oral treatment need and oral treatment intention in a population enrolled in long-term care in nursing homes and home care. Acta Odontol Scand. 2003;61:11-18.Nitschke I. Krankheits- und Versorgungsprävalenzen bei älteren senioren (75- bis 100-Jährige): Zahnmedizinische funktionelle kapazität. In: Jordan R, Micheelis W, eds. Fünfte Deutsche mundgesundheitsstudie (DMS V). Deutscher Zahnärzte Verlag DÄV; 2016;549-555.Jordan RA, Bodechtel C, Hertrampf K, et al. The fifth German oral health study (Funfte Deutsche mundgesundheitsstudie, DMS V) - rationale, design, and methods. BMC Oral Health. 2014;14:161.Gemeinsamer Bundessschuss. Maßnahmen zur Verhütung von Zahnerkrankungen bei Pflegebedürftigen und Menschen mit Behinderungen. https://www.g-ba.de/richtlinien/96/. Accessed 03-13-2021.KZBV. Versorgung von Pflegebedürftigen und Menschen mit Behinderungen. https://kzbv.de/versorgung-von-pflegebeduerftigen-und-menschen.21.de.html. Accessed 03-13-2021.KZBV. §8 - 22a.pdf (kzvbw.de). https://www.kzvbw.de/site/binaries/content/assets/offener-bereich/praxis/rundschreiben/vertrag_recht/anlage-2-formblatt.pdf. Accessed 04-25-2021.Schwendicke F, Nitschke I, Stark H, Micheelis W, Jordan RA. Epidemiological trends, predictive factors, and projection of tooth loss in Germany 1997-2030: part II. Edentulism in seniors. Clin Oral Investig. 2020;24:3997-4003.Destasis (Federal Statistical Office). Need of care according to type of care, gender and degree of care. 2019. https://www.destatis.de/DE/Themen/Gesellschaft-Umwelt/Gesundheit/Pflege/Tabellen/pflegebeduerftige-pflegestufe.html. Accessed June 8, 2020.Ebel S, Blattermann H, Weik U, Margraf-Stiksrud J, Deinzer R. High plaque levels after thorough toothbrushing: what impedes efficacy? JDR Clin Trans Res. 2019;4:135-142.Hawkins RJ, Main PA, Locker D. Oral health status and treatment needs of Canadian adults aged 85 years and over. Spec Care Dentist. 1998;18:164-169.Thomson WM, Brown RH, Williams SM. Dental status and treatment needs of a New Zealand institutionalised elderly population. N Z Dent J. 1991;87:119-123.Barbe AG. Medication-induced xerostomia and hyposalivation in the elderly: culprits, complications, and management. Drugs Aging. 2018;35:877-885.Barbe AG, Bock N, Derman SH, Felsch M, Timmermann L, Noack MJ. Self-assessment of oral health, dental health care and oral health-related quality of life among Parkinson's disease patients. Gerodontology. 2017;34:135-143.Kiyak HA, Reichmuth M. Barriers to and enablers of older adults’ use of dental services. J Dent Educ. 2005;69:975-986.Brothwell DJ, Jay M, Schonwetter DJ. Dental service utilization by independently dwelling older adults in Manitoba, Canada. J Can Dent Assoc. 2008;74:161-161f.da Costa EH, Saintrain MV, Vieira AP. [Self-perception of oral health condition of the institutionalized and non institutionalized elders]. Cien Saude Colet. 2010;15:2925-2930.Marino R, Giacaman RA. Patterns of use of oral health care services and barriers to dental care among ambulatory older Chilean. BMC Oral Health. 2017;17:38.de Souza EH, Barbosa MB, de Oliveira PA, Espindola J, Goncalves KJ. [Impact of oral health in the daily life of institutionalized and non institutionalized elder in the city of Recife (PE, Brazil)]. Cien Saude Colet. 2010;15:2955-2964.Dolan TA, Atchison KA. Implications of access, utilization and need for oral health care by the non-institutionalized and institutionalized elderly on the dental delivery system. J Dent Educ. 1993;57:876-887.Kusama T, Aida J, Yamamoto T, Kondo K, Osaka K. Infrequent denture cleaning increased the risk of pneumonia among community-dwelling older adults: a population-based cross-sectional study. Sci Rep. 2019;9:13734.Liu C, Cao Y, Lin J, et al. Oral care measures for preventing nursing home-acquired pneumonia. Cochrane Database Syst Rev. 2018;9:CD012416.Cornelius V, Cro S, Phillips R. Advantages of visualisations to evaluate and communicate adverse event information in randomised controlled trials. Trials. 2020;21:1028.WHO. mHealth: new horizons for health through mobile technologies. https://www.who.int/goe/publications/goe_mhealth_web.pdf. Accessed 03-13-2021