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Continuing Care
Dental Pilot Update
Care Team Providers
• As of July 1st, there are three dental residents working
with the program
• Dental Coordinator/Assistant (.75 FTE)
• Dental Hygenist – trialed, may need additional dental
assistant to support or separate day
• Plan moving forward --- continue with current pilot and
expand services
• Continue with education of staff
Frequency of Visits
• The dental team visits twice a month for one full day at
Parkridge and Sherbrooke Community Centre.
• Assessments started in February
• Treatment started in April
Assessments
• Assessments have been done on over 260 residents.
– 40% of residents at Sherbrooke
– 76% of residents at Parkridge

• 30% of residents who were assessed have consented to
treatment
• Residents with emergent concerns as identified by the
nursing staff are prioritized
• Includes residents who have receiving care elsewhere
– Convenience of on site care
Treatment Provided
• 35 residents treated
– 18% only required 1 appointment
– 82% required 2 or 3 appointments to
complete the treatment

• Treatments delivered include:
– dental cleanings
– x-rays
– Fillings
– Only one extraction has been done on site.
Education Provided
• In-services provided to each home by Saskatoon Health
Region Dental Health Educators
• Typically nursing staff in attendance – open to other
care team members
• Target is care providers who typically support oral
hygiene
• Topics
• Parkridge 2, Sherbrooke 1
• Observation … appears to be new information to care
providers
Education Topics
•
•
•
•
•
•
•
•
•
•
•

Basic Oral Care
Dentures and Dementia
Healthy Mouth and Healthy Body
Dental Products
Dry Mouth
Toothbrush Adaptations
Flossing Aides
Healthy foods/liquid candy
Denture care
Tobacco
Accessing dental care (treatment)

Resident Testimonial
You Tube Video
•
•

May 16, 2012
10:18 on video
Survey – Resident & Family
• Survey to all resident neighbourhoods at Parkridge (237)
• Mailed to family members
• 33 surveys returned (29 by family, 4 by residents)
• 2 respondents indicated not enough oral care provided in
home
• 3 residents indicated the do their own mouth care
• 50 % of family indicated they would be willing to help out with
mouth care if shown how
• 33% family indicated they help out with oral care when visiting
Evaluation Care Providers
Sherbrooke Centre

Parkridge Centre

What is preventing you from – Not enough time to do
it 6 (26%)
providing mouth care for
– Residents are not coresidents?
operative 15 (65%)
Have provided
– Supplies not available 2
(9%)

– Not enough time to do
it 6 (39%)
– Residents are not cooperative 15 (83%)
– Supplies not available 2
(9%)

– Not enough time to do
it 8 (35%)
– Residents are not cooperative 23 (100%)
– Supplies not available 3
(13%)

– Not enough time to do
it 8 (17%)
– Residents are not cooperative 23 (57%)
– Supplies not available 3
(1%)

What challenges do you
face in providing mouth
care for residents?
Have not provided
Challenges and Opportunities
• Currently without a dental hygienist. In the process of working
out a schedule with a hygienist.
• Delay in treatments provided as the coordinator was away
for through the summer. Treatments resumed September
26th.
• Exploring modification of Australian Method to implement in
long term care (includes train the trainer program)
Questions/Comments

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Continuing care dental pilot update

  • 2. Care Team Providers • As of July 1st, there are three dental residents working with the program • Dental Coordinator/Assistant (.75 FTE) • Dental Hygenist – trialed, may need additional dental assistant to support or separate day • Plan moving forward --- continue with current pilot and expand services • Continue with education of staff
  • 3. Frequency of Visits • The dental team visits twice a month for one full day at Parkridge and Sherbrooke Community Centre. • Assessments started in February • Treatment started in April
  • 4. Assessments • Assessments have been done on over 260 residents. – 40% of residents at Sherbrooke – 76% of residents at Parkridge • 30% of residents who were assessed have consented to treatment • Residents with emergent concerns as identified by the nursing staff are prioritized • Includes residents who have receiving care elsewhere – Convenience of on site care
  • 5. Treatment Provided • 35 residents treated – 18% only required 1 appointment – 82% required 2 or 3 appointments to complete the treatment • Treatments delivered include: – dental cleanings – x-rays – Fillings – Only one extraction has been done on site.
  • 6. Education Provided • In-services provided to each home by Saskatoon Health Region Dental Health Educators • Typically nursing staff in attendance – open to other care team members • Target is care providers who typically support oral hygiene • Topics • Parkridge 2, Sherbrooke 1 • Observation … appears to be new information to care providers
  • 7. Education Topics • • • • • • • • • • • Basic Oral Care Dentures and Dementia Healthy Mouth and Healthy Body Dental Products Dry Mouth Toothbrush Adaptations Flossing Aides Healthy foods/liquid candy Denture care Tobacco Accessing dental care (treatment) Resident Testimonial You Tube Video • • May 16, 2012 10:18 on video
  • 8. Survey – Resident & Family • Survey to all resident neighbourhoods at Parkridge (237) • Mailed to family members • 33 surveys returned (29 by family, 4 by residents) • 2 respondents indicated not enough oral care provided in home • 3 residents indicated the do their own mouth care • 50 % of family indicated they would be willing to help out with mouth care if shown how • 33% family indicated they help out with oral care when visiting
  • 9. Evaluation Care Providers Sherbrooke Centre Parkridge Centre What is preventing you from – Not enough time to do it 6 (26%) providing mouth care for – Residents are not coresidents? operative 15 (65%) Have provided – Supplies not available 2 (9%) – Not enough time to do it 6 (39%) – Residents are not cooperative 15 (83%) – Supplies not available 2 (9%) – Not enough time to do it 8 (35%) – Residents are not cooperative 23 (100%) – Supplies not available 3 (13%) – Not enough time to do it 8 (17%) – Residents are not cooperative 23 (57%) – Supplies not available 3 (1%) What challenges do you face in providing mouth care for residents? Have not provided
  • 10. Challenges and Opportunities • Currently without a dental hygienist. In the process of working out a schedule with a hygienist. • Delay in treatments provided as the coordinator was away for through the summer. Treatments resumed September 26th. • Exploring modification of Australian Method to implement in long term care (includes train the trainer program)