Reducing the Risk of Aspiration Pneumonia among Elderly Patients in Long-Term Care Facilities through Oral Health Interventions

2008 ◽  
Vol 9 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Jaya Sarin ◽  
Ramesh Balasubramaniam ◽  
Amy M. Corcoran ◽  
Joel M. Laudenbach ◽  
Eric T. Stoopler
Keyword(s):  
Oral Health ◽  
Elderly Patients ◽  
Aspiration Pneumonia ◽  
Long Term Care ◽  
Health Interventions ◽  
Term Care ◽  
Care Facilities ◽  
Risk Of Aspiration

Opinions of Dentists on the Treatment of Elderly Patients in Long-term Care Facilities

1992 ◽  
Vol 52 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Michael I. MacEntee ◽  
Rachel T. Weiss ◽  
Nancy E. Waxier-Morrison ◽  
Brenda J. Morrison
Keyword(s):  
Elderly Patients ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Vitamin D Supplementation for the Prevention of Falls and Fractures in Residents of Long-Term Care Facilities: A 2021 Update

2021 ◽  
Vol 1 (7) ◽  
Author(s):  
Srabani Banerjee ◽  
Holly Gunn ◽  
Carolyn Spry
Keyword(s):  
Vitamin D ◽  
Elderly Patients ◽  
Systematic Reviews ◽  
Long Term Care ◽  
Vitamin D Supplementation ◽  
Term Care ◽  
Care Facilities ◽  
Overview Of Systematic Reviews ◽  
Evidence Based Guidelines

The relevant publications identified comprised 1 overview of systematic reviews and 2 systematic reviews. There is a suggestion that for seniors living in long-term care facilities, compared to control, vitamin D supplementation, with or without calcium, may reduce the rate of falls and fractures; however, the reductions were not always statistically significant. There were no statistically significant differences in the number of seniors who fell with vitamin D supplementation, with or without calcium, compared with control groups. Findings need to be interpreted with caution, considering the limitations such as primary studies of variable quality (critically low to moderate) and lack of clarity with respect to the type of long-term care setting. No cost-effectiveness studies regarding vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities were identified. No evidence-based guidelines regarding vitamin D supplementation for the prevention of falls and fractures in elderly patients residing in long-term care facilities were identified.

Management of COVID-19 very elderly patients in Nursing Homes and Long-Term Care Facilities: Description of a new model and experience in a medicalized Nursing Home

Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Ignacio Novo-Veleiro ◽  
Martín Vidal-Vazquez ◽  
Néstor Vázquez-Agra ◽  
Eduardo-David Otero Rodríguez ◽  
Paula Andújar-Plata ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Elderly Patients ◽  
Long Term Care ◽  
Descriptive Analysis ◽  
Very Elderly ◽  
Term Care ◽  
Duration Of Symptoms ◽  
Care Facilities ◽  
Pcr Test

Introduction: COVID-19 have been a challenge for healthcare, mainly in elderly patients in Nursing Homes (NHs) and Long-Term Care Facilities (LTCFs). We present a pioneering novel experience in addressing healthcare of very elderly patients with COVID-19 in these facilities by a reconversion of a NH in a medicalized NH. Methods: All patients admitted to the center were included, recording clinical and epidemiological variables. We conducted a descriptive analysis and a multivariate analysis to identify variables linked to mortality and persistence of positive PCR test. Results: we included 84 patients (40% men), women presented more symptomatology. We found a positive correlation between the duration of symptoms and the days required to obtain a negative PCR test (r=0.512, P<0.001). We also found an independent and significative association between asthenia (OR=2.58; IC95% 1.22–5.46) and mutism (OR=5.21; IC95% 1.58–17.15) and a longer time to achieve a negative PCR test. All patients, except contraindication, were treated with hydroxychloroquine and azithromycin, which was the recommended treatment during the period of the study. The early start of corticoid treatment (within the first 72 hours since the start of symptoms) was linked to a lower mortality in patients with moderate-severe symptoms. Mortality was lower than expected (which was higher than 20% in that period and group of age), reaching 14%, the main factors linked to mortality were the presence of mutism (OR=19; IC95% 3.4–108; P=0.001) and dyspnea (OR=12; IC95% 1.3–111; P=0.029). Conclusions: We present an alternative system for the care of these patients through the reconversion of a basic NH in a medicalized one, which showed a significant reduction in the expected mortality.

Oral health champions in long-term care facilities-a pilot study

2013 ◽  
Vol 34 (4) ◽  
pp. 164-170 ◽  
Author(s):  
Carol Amerine ◽  
Linda Boyd ◽  
Denise M. Bowen ◽  
Karen Neill ◽  
Tara Johnson ◽  
...  
Keyword(s):  
Oral Health ◽  
Pilot Study ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Oral disease burden of dentate older adults living in long-term care facilities: FINORAL study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lina Julkunen ◽  
Kaija Hiltunen ◽  
Hannu Kautiainen ◽  
Riitta K. T. Saarela ◽  
Kaisu H. Pitkälä ◽  
...  
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Disease Burden ◽  
Long Term Care ◽  
Clinical Signs ◽  
Oral Disease ◽  
Soft Or ◽  
Term Care ◽  
Care Facilities

Abstract Background A growing number of older adults have natural teeth and are at high risk of oral diseases, which are induced by oral bacterial accumulation and proceed unnoticed and quietly. Our aim was (1) to examine the association of oral disease burden (ODB) with health and functioning among dentate long-term care residents, and (2) to find easily detectable signs for nurses to identify residents’ poor oral health. Methods In this cross-sectional observational study dentists examined 209 residents’ oral status, and nurses assessed residents for their functioning and nutrition in long-term care facilities in Helsinki, Finland. ODB was defined by asymptotic dental score (ADS). Six clinical signs of residents’ poor oral health were considered as potentially easy for nurses to detect: lesions on lips, teeth with increased mobility, lesions on oral mucosa, eating soft or pureed food, unclear speech, and needing assistance in eating. The association of these was tested with high ODB as outcome. Results Participants were grouped according to their ADS scores: low (n = 39), moderate (n = 96) and high ODB (n = 74). ODB was linearly associated with coronary artery disease and poor cognitive and physical functioning: needing assistance in eating, poor ability to make contact, and unclear speech but not with other diseases including dementia or demographic characteristics. Furthermore, ODB was linearly associated with eating soft or pureed food. Of the six selected, easily detectable signs, having at least two positive signs gave 89% sensitivity to detecting high ODB. Conclusion Poor oral health was common and ODB accumulated among residents with poor functioning. Nurses may use a few easily detectable signs to screen residents’ oral health when considering a resident’s need for consultation with an oral health professional.

scholarly journals Oral health assessment of older adults living in long-term care facilities by non-dental professionals: a systematic review protocol of instruments

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e050289
Author(s):  
Lorrany Gabriela Rodrigues ◽  
Mario Vianna Vettore ◽  
Isadora Lemos Figueiredo ◽  
Aline Araújo Sampaio ◽  
Raquel Conceição Ferreira
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Oral Health ◽  
Long Term Care ◽  
Health Assessment ◽  
Measurement Properties ◽  
Term Care ◽  
Care Facilities ◽  
Dental Professionals

IntroductionRegular oral health assessment among older adults living in long-term care facilities (LTCF) can improve their oral health. Different instruments have been developed and used to evaluate the oral health of institutionalised older people by non-dental professionals. These instruments must demonstrate adequate measurement properties. This systematic review aims to examine the studies describing the instruments employed to assess the oral health of older adults living in LTCF by non-dental professionals. The study will also evaluate the measurement properties of such instruments using the checklist proposed by the Consensus-based Standards to select health Measurement Instruments (COSMIN).Methods and analysisStudies describing the development of instruments for assessing oral health of institutionalised older adults by non-dental professionals will be included. Studies assessing at least one measurement property (validity, reliability or responsiveness) will be also considered. Electronic searches will be conducted on MEDLINE (PubMed, Ovid), Embase, Web of Science, Scopus and LILACS databases. Two independent reviewers will select the studies and will extract data concerning the characteristics of the research and the instrument. The measurement properties will be evaluated using the COSMIN checklist. The Grading of Recommendations, Assessment, Development and Evaluation approach will be used to grade the quality (or certainty) of evidence and strength of recommendations.Ethics and disseminationNo ethical approval is required. The results will be submitted for publication to a peer-review journal and presented at relevant conferences.PROSPERO registration numberCRD42020191479.

scholarly journals Oral Health Services in Long-term Care Facilities Between 1989 and 2003—Has Germany Seen any Progress?

2011 ◽  
Vol 5 (2) ◽  
pp. 98-102 ◽  
Author(s):  
Ina Schumann ◽  
Bernhard Albert Johannes Sobotta ◽  
Thomas Reiber ◽  
Ina Nitschke
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Oral Health Services
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