March 2007

Volume 24, Issue 1

Oral health care and status of elderly care home residents in Glasgow.

Authors: J. Bagg S. Turner L.M.D. Macpherson C. Kennedy C. Williams M.P. Sweeney
doi:

Abstract

Objectives: To investigate variations in reported oral health care provision and unmet dental need within a sample of care homes for the elderly in Glasgow. Basic research design: Two-phase study of a 50% random sample of 120 care homes (n=60). Phase 1: telephone interviews with care home managers. Phase 2: oral examinations of residents and face-to-face interviews with care staff, in a sub-sample of 10 homes. Clinical setting: Care homes in Greater Glasgow. Participants: Residents and staff. Results: Phase 1: data were collected from 58 of 60 care home managers approached (response rate: 97%). Oral assessment of residents on admission was reported for 78% of nursing homes and 24% of residential homes, and annual screening by a dentist for 85% and 76% respectively. Only 58% of nursing homes and 8% of residential homes had a formal mouth care policy. Staff training in mouth care was not universal and often carried out “in-house”. All managers believed dental support was available when required. Phase 2: 288 oral examinations and 22 staff interviews took place within 10 homes selected. Examinations revealed high levels of oral disease. When interviewed, staff accepted that mouth care was within their remit but failed to document it within patient care plans. Further training on oral health and disease was requested from all levels of staff. Conclusions: Oral disease is common among elderly care home residents in Glasgow. Increased emphasis on implementation of standard oral care protocols and improved education of staff is essential if the oral health of elderly institutionalised residents is to improve. Key words: care home, elderly, nursing staff, oral care

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Other articles in this issue

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Editorial - Expanding dental undergraduate clinical outreach programmes into general dental practice. 2-3 £10 single article
Community effectiveness of fissure sealants and the effect of fluoridated water consumption 4-11 £10 single article
Financial systems’ impact on dental care; a review of fee-forservice and capitation systems 12-20 £10 single article
Agreement amongst examiners assessing dental fluorosis from digital photographs using the TF index. 21-25 £10 single article
Frequency and distribution patterns of sealants among 15-year-olds in Denmark in 2003 26-30 £10 single article
Enamel defects and its relation to life course events in primary dentition of Brazilian children: A longitudinal study 31-36 £10 single article
Oral health care and status of elderly care home residents in Glasgow. 37-42 £10 single article
Knowledge of and attitudes toward severe acute respiratory syndrome among a cohort of dental patients in Hong Kong following a major local outbreak 43-48 £10 single article
Conversion tables for the Corah and Modified Dental Anxiety Scales 49-54 £10 single article
An audit of paediatric dental treatments carried out under general anaesthesia in a sample of Spanish patients 55-58 £10 single article
BASCD Survey - The dental caries experience of 5-year-old children in Great Britain (2005/6). Surveys co-ordinated by the British Association for the Study of Community Dentistry. 59-63 £10 single article

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