Opinions of dentists on the barriers in providing oral health care to community-dwelling frail older people: a questionnaire survey

Gerodontology ◽  
2014 ◽  
Vol 33 (2) ◽  
pp. 268-274 ◽  
Author(s):  
Pieternella C. Bots-VantSpijker ◽  
Josef J.M. Bruers ◽  
Casper P. Bots ◽  
Jacques N.O. Vanobbergen ◽  
Luc M.J. De Visschere ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Questionnaire Survey ◽  
Oral Health Care ◽  
Community Dwelling ◽  
Frail Older People

Determinants for preventive oral health care need among community-dwelling older people: a population-based study

2013 ◽  
Vol 34 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Kaija Komulainen ◽  
Pekka Ylöstalo ◽  
Anna-Maija Syrjälä ◽  
Piia Ruoppi ◽  
Matti Knuuttila ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Oral Health Care ◽  
Population Based ◽  
Community Dwelling ◽  
Population Based Study ◽  
Health Care Need ◽  
Community Dwelling Older People

Oral health care and aspiration pneumonia in frail older people: a systematic literature review

Gerodontology ◽  
2012 ◽  
Vol 30 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Claar D. van der Maarel-Wierink ◽  
Jackie N.O. Vanobbergen ◽  
Ewald M. Bronkhorst ◽  
Jos M. G. A. Schols ◽  
Cees de Baat
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Literature Review ◽  
Older People ◽  
Aspiration Pneumonia ◽  
Systematic Literature Review ◽  
Oral Health Care ◽  
Frail Older People

scholarly journals ‘Don’t forget the mouth!’: a process evaluation of a public oral health project in community-dwelling frail older people

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bach Van Ho ◽  
Claar Debora van der Maarel-Wierink ◽  
Annemiek Rollman ◽  
Roxane Anthea Francesca Weijenberg ◽  
Frank Lobbezoo
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Process Evaluation ◽  
Health Care Professionals ◽  
Community Dwelling ◽  
Dental Practice ◽  
Frail Older People ◽  
Structured Interviews ◽  
Health Project

Abstract Background Older people are encouraged to remain community dwelling, even when they become care-dependent. Not every dental practice is prepared or able to provide care to community-dwelling frail older people, while their ability to maintain oral health and to visit a dentist is decreasing, amongst others due to multiple chronic diseases and/or mobility problems. The public oral health project ‘Don’t forget the mouth! (DFTM!) aimed to improve the oral health of this population, by means of early recognition of decreased oral health as well as by establishing interprofessional care. A process evaluation was designed to scientifically evaluate the implementation of this project. Methods The project was implemented in 14 towns in The Netherlands. In each town, health care professionals from a general practice, a dental practice, and a homecare organization participated. The process evaluation framework focused on fidelity, dose, adaptation, and reach. Each of the items were examined on levels of implementation: macro-level, meso-level, and micro-level. Mixed methods (i.e., quantitative and qualitative methods) were used for data collection. Results The experiences of 50 health care professionals were evaluated with questionnaires, 22 semi-structured interviews were conducted, and the oral health of 407 community-dwelling frail older people was assessed. On each level of implementation, oral health care was integrated in the daily routine. On macro-level, education was planned (dose, adaption), and dental practices organized home visits (adaption). On meso-level, health care professionals attended meetings of the project (fidelity), worked interprofessionally, and used a screening-referral tool of the project DFTM! in daily practice (dose, adaption, reach). On micro-level, the frail older people participated in the screening of oral health (fidelity, dose), had their daily oral hygiene care observed (adaption) and supported if necessary, and some had themselves referred to a dental practice (reach). The semi-structured interviews also showed that the project increased the oral health awareness amongst health care professionals. Conclusions The project DFTM! was, in general, implemented and delivered as planned. Factors that contributed positively to the implementation were identified. With large-scale implementation, attention is needed regarding the poor accessibility of the oral health care professional, financial issues, and increased work pressure. Trial registration The Netherlands Trial Register NTR6159, registration done on December 13th 2016. URL: https://www.trialregister.nl/trial/6028

Oral health diseases among the older people: a general health perspective

2020 ◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Oral Health ◽  
Older People ◽  
Health Professionals ◽  
General Health ◽  
Oral Health Care ◽  
Oral Diseases ◽  
Public Health Professionals ◽  
The Relationship

Background: The relationship between oral health and general health is gaining interest in geriatric research; however, a lack of studies dealing with this issue from a general perspective makes it somewhat inaccessible to non-clinical public health professionals. Purpose: The purpose of this review is to describe the relationship between oral health and general health of the elderly on the basis of literature review, and to give non-clinical medical professionals and public health professionals an overview of this discipline. Methods: This study was based on an in-depth review of the literature pertaining to the relationship between oral health and general health among the older people. The tools commonly used to evaluate dental health and the academic researches of male elderly people were also reviewed. And future research directions were summarized. Results: Dental caries, periodontal disease, edentulism, and xerostomia are common oral diseases among the older people. Dental caries and periodontal diseases are the leading causes of missing teeth and edentulism. Xerostomia, similar to dry mouth, is another common oral health disease in the older people. No clear correlation exists between the subjective feeling of dryness and an objective decrease of saliva. Rather, both conditions can be explained by changes in saliva. The General Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile (OHIP) are the main assessment tools used to examine oral health and quality of life in the older people. The GOHAI tends to be more sensitive to objective values pertaining to oral function. In addition, oral health studies in male elderly people are population-based cohort or cross-sectional studies, involving masticatory function, oral prevention, frailty problems, cardiovascular disease risk, and cognitive status. Conclusion: It is possible to reduce the incidence of certain oral diseases, even among individuals who take oral health care seriously. Oral health care should be based on the viewpoint of comprehensive treatment, including adequate nutrition, good life and psychology, and correct oral health care methods. In the future, researchers could combine the results of meta-analysis with the clinical experience of doctors to provide a more in-depth and broader discussion on oral health research topics concerning the older people.

Barriers of delivering oral health care to older people experienced by dentists: a systematic literature review

2013 ◽  
Vol 42 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Pieternella C. Bots-VantSpijker ◽  
Jacques N.O. Vanobbergen ◽  
Jos M.G.A. Schols ◽  
Rob M.H. Schaub ◽  
Casper P. Bots ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Literature Review ◽  
Older People ◽  
Systematic Literature Review ◽  
Oral Health Care

scholarly journals Developing an Instrument to Measure Self-Efficacy, Challenges and Knowledge in Oral Care among Geriatric Home Care Nurses—A Pilot Study

2021 ◽  
Vol 18 (19) ◽  
pp. 10019
Author(s):  
Taru Aro ◽  
Marja-Liisa Laitala ◽  
Hannu Vähänikkilä ◽  
Helvi Kyngäs ◽  
Antti Tiisanoja ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pilot Study ◽  
Home Care ◽  
Older People ◽  
Self Efficacy ◽  
Oral Care ◽  
Oral Health Care ◽  
Efficacy Beliefs ◽  
Home Care Nurses

The role of geriatric nurses is essential in preventing oral health problems of older people with impaired daily functioning. Nurses have reported low self-efficacy with regard to oral health care practices and wish to receive more information on the topic. The main aim of this pilot study was to develop an instrument to measure the self-efficacy beliefs, challenges and knowledge of geriatric home care nurses with regard to the oral health care of older. A questionnaire was developed to evaluate geriatric home care nurses’ self-efficacy beliefs, challenges and knowledge regarding the oral health care of the older people. In this case, 18 nurses participated in a one-day intervention and filled in the questionnaire before and after the intervention. The comments and questions of the nurses were analysed utilising the principles of inductive content analysis. Cronbach’s alpha for the scales varied between 0.69–0.79. The interactive intervention improved both nurses’ self-efficacy beliefs and oral health-related knowledge, and most of the challenges faced by nurses in older people’s oral health care were diminished. Financial resources and older people’s self-determination were the most common limitations to oral care. In this pilot study, we developed an instrument to measure geriatric home care nurses’ self-efficacy beliefs, challenges and knowledge regarding older people’s oral health care. In the future, this instrument can be validated with a larger study population.

scholarly journals Provision of Oral Health Care by Dentists to Community-Dwelling Older Patients

2021 ◽  
Author(s):  
Pieternella C. Bots-VantSpijker ◽  
Claar D. van der Maarel-Wierink ◽  
Jos M.G.A. Schols ◽  
Josef J.M. Bruers
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Older Patients ◽  
Oral Health Care ◽  
Community Dwelling
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