May 1st 2013

1. Better Oral Health in Residential Care

2. NEW TITLE????
You Choose

3. Better Oral Health Care requires a TEAM
APPROACH
Oral Health Care Team (OHCT)
•Oral Health Professional (dentists, dental
therapists, dental hygienists, dental assistants
and denturists)
•Oral Health Coordinator (OHC)
•Nurses
•Care aides
•Physicians

4. Oral Health Care Team will be responsible for 4 key processes
• Oral Health Assessment
Performed by licensed oral health professional on
admission. On a regular basis and as the need arises
by oral health professional or trained nurses.
• Oral Health Care plan
Oral Health Care Team and residents develop an oral
care plan

5. Oral Health Assessment
Education and Training Program

6. Oral Health Care Team will be responsible for 4 key processes
• Daily Oral Hygiene
Care aides maintain daily oral hygiene according to
the health care plan.
• Dental Treatment
Referrals for a comprehensive dental examination
and treatment are made on the basis of an oral
health assessment. It is recognized that many
residents may be best treated at the Long Term Care
(LTC) home.

7. Portfolios
• Educators’ portfolio
• Professional Portfolio
• Staff portfolio

8. Educators’ Portfolio
•
Module 1 Good oral health is essential for overall health
•
Module 2 Protect your resident’s oral health - daily oral hygiene
•
Module 3 It takes a team approach to maintain a healthy mouth

9. Educators’ Portfolio
Target population
•Nurses
•Care aides
•Other LTC staff
•Residents
•Residents’ family

10. Good Oral Health is Essential for Overall Health
Education and Training Program
Quality of Life
Bad breath
Bleeding gums
Tooth decay
Self esteem
Speech
Ability to eat
Dental pain
Responsive Behaviour
Impact on General
Health
Aspiration pneumonia
Heart attack
Stroke
Lowered immunity
Poor diabetic control

11. Common oral health conditions experienced by residents

12. Lips
Education and Training Program
Sore corners of the mouth
Angular Cheilitis

13. Tongue
Education and Training Program
Sore Tongue
Thrush
Glossitis
Candidiasis

14. Oral Health Care and Responsive Behavior
Responsive Behavior
Effective Communication
Talk clearly
Caring attitude
Right environment
Body language

15. Oral Health Care and Responsive Behavior
Improving access
Overcoming fear of
being touched
Bridging
Modelling

16. Oral Health Care and Responsive Behavior
Improving access to the mouth
Hand over hand
Modified oral care techniques
• Mouth props
• Modified soft toothbrush
• Use of spray bottle
Distraction
Alternative provider

17. Protect your Residents’ Oral Health

18. Protect your Residents’ Oral Health

19. Protect your Residents’ Oral Health

20. Oral Care Products/Resources
• Demonstrated utilizing various oral care
products.
• Example:
• Gloves
• Fluoride toothpaste (presence of Canadian Dental
Association symbol denotes fluoride in toothpaste)
• Visual education through videos
How should these oral care products be made
available at the LTC homes?

21. It Takes a Team Approach to Maintain a Healthy Mouth
‐ Reflective practice

22. Oral Health Scenario – Part 1
Education and Training Program

23. Oral Health Scenario – 1

25. Pre/Post Quiz

26. Posters

29. Thank You