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Summer is perfect for many things, including staying current on the latest trends in dental hygiene. Dimensions of Dental Hygiene is committed to the highest standards of professionalism, accuracy and integrity in our mission of education supporting oral health care professionals and those allied with the dental industry. For those living in nursing homes or LTCFs, performing the typical activities of daily living—such as bathing, dressing, toileting, transferring, continence, and eating—requires the assistance of caregivers.5 This aging population is also more likely to retain their natural teeth,6 increasing the need for oral hygiene care to prevent dental diseases and related systemic diseases7 that may impact oral function and quality of life. The responsibility of oral hygiene care, such as daily brushing of natural teeth and cleaning and proper storage of dental prostheses, often falls to nursing staff with varying degrees of training.13,14 Oral health education for LTCF nursing staff, frequently called dental in-service, is not required by the federal government—though some states have laws that mandate nursing homes to provide an annual dental in-service for their nursing staff (Table 1).
Nurses employed in LTCFs are required to examine the oral cavity during resident admission assessment. This article will prepare clinicians for delivering meaningful oral health education in LTCFs—with a focus on providing oral health professionals with guidelines regarding appropriate curriculum, as well as a list of resources. Appropriate oral health education for nursing staff delivered by dental professionals has been shown to improve the plaque scores of LTCF residents.15 Providing information on the importance of daily oral hygiene is a key component of successful oral health educational programs in LTCFs,19 and may increase the likelihood that nursing staff will provide residents with the help they need to perform daily oral hygiene. Associations between oral and systemic health, such as the increased risk of aspiration pneumonia in those with poor oral hygiene, should be incorporated into oral health education programs for nursing staff. Safety precautions for the provision of daily oral hygiene are important to discuss during oral health education.
Minimizing potential risks is further complicated because conditions experienced by residents change quickly, and they often directly impact dietary restrictions.
LTCF residents with cognitive impairments often need help with oral hygiene care but may resist it.
Rita Jablonski, PhD, RN, ANP, of the University of Alabama at Birmingham School of Nursing, created an excellent educational video on reducing care-resistant behaviors among institutionalized patients (Table 1). The nursing staff attending the oral health education course are probably not the purchasing decision makers in the facility. There are many educational resources to help dental professionals train nursing staff to provide daily oral care in LTCFs (Table 1). The materials for dental professionals include a narrated wound care animation showing a mouth with generalized periodontal disease and plaque around the teeth. The American Dental Hygienists' Association offers a kit to aid dental hygienists in developing a relationship with nursing homes and working with nursing home staff to improve the oral hygiene of residents. Another continuing education opportunity, "Mini-Residency in Nursing Home and Long-Term Care for the Dental Team," offers a course for dental professionals who wish to partner with local LTCFs to improve the oral health of frail institutionalized older adults in their communities (tuition fee required). The Minnesota Department of Health and the University of Minnesota School of Dentistry's Oral Health Services for Older Adults Program developed a DVD and workbook "Growing Old with a Smile: Oral Care for Older Adults in Long-Term Care" to help train nursing staff to provide appropriate daily oral care for LTCF residents.
The American Dental Association (ADA) has created "Overcoming Obstacles to Oral Health" for dental professionals who want to implement an oral health program to train and educate direct caregivers in providing oral health services to people in LTCFs. The educational resource, "Brushing Up On Mouth Care: Facilitating Uptake of a Daily Oral Care Program in Continuing Care," assists dental professionals in training nursing staff about oral care and implementing a daily oral care program in LTCFs.
Oral health professionals are the most likely resource to offer oral health education to improve the provision of dental care in LTCFs. The nature in which oral hygiene should be delivered to LTCF residents is subjective, but laws have been enacted to protect their health and well-being. Kayser-Jones J, Bird WF, Redford M, Schell ES, Einhorn SH Strategies for conducting dental examinations among cognitively impaired nursing home residents. Elderly institutionalised patients often have a higher prevalence of oral diseases than those living at home. Seventyfive year-olds and over are the fastest growing section of the British population, resulting in a change in the population structure, where the elderly outnumber the children. Thus, nurses and other health care workers play a significant role in the provision of oral care for the dependent elderly. Residents from 5 long-stay institutions (3 nursing homes, 2 long stay hospitals), with a total of 78 patients, were enrolled for the programme and underwent a baseline oral health assessment, which included denture status, oral hygiene frequency and xerostomia. The intensive training programme of mouth care of the elderly comprised of a lecture, video and clinical demonstrations. This training and education programme appears effective in improving oral health care procedures among the institutionalised elderly, with measurable improvements in oral health of the residents. A new 10-week immersive simulation-based course that gives BS RNs, who are not currently employed in RN positions, the opportunity to refresh their clinical nursing skills. The baccalaureate degree in nursing, master’s degree in nursing, and Doctor of Nursing Practice program at the University of Hawai'i at Manoa are accredited by the Commission on Collegiate Nursing Education, One Dupont Circle, NW, Suite 530, Washington, DC 20036, 202-887-6791. Because the Internet is such a public medium, and concerns abound regarding security of personal information, my address and phone number are available only by request. Expertise in maximizing organizational ROI from performance analytics software applications, utilizing advanced software functionality in development of system scorecards and dashboards. Named by Modern Healthcare magazine as one of the Top 25 Clinical Informaticists in Healthcare for 2011. Executes CHP's strategy for analytics systems, with emphasis on those focusing on performance in ambulatory practice settings and population health metrics. Cultivates and champions a business intelligence framework that provides CHP with the appropriate tools, evidence, and knowledge to optimize effective evidence-based decision-making.
Functions as an expert in other business applications including Microsoft Office, Lotus Notes, Monarch, and SQL queries, as well as encounter reporting from McKesson's Horizon Performance Manager, a decision support application. Served as implementation lead for, and continues to administer, CHP's deployment of McKesson Business Insight, a Web-based business intelligence application. Supplies insight and direction to the CHP resources currently developing an enterprise data warehouse and business intelligence using IBM technology in partnership with the Premier healthcare alliance. Previously, in this position, administered Clarity extract and load processes for CHP's instance of Epic software, managing a multi-terabyte SQL Server reporting database; also directed a team of six Clarity report writers. Adjunct faculty for NSG 243 (Medical Surgical Nursing III), capstone clinical course for the associate degree R.N. Responsible for coordinating, maintaining, reporting from, and training for the regional Decision Support System a€” Sunrisea„? Decision Support Manager (SDSM, from Eclipsys Corp., formerly TSI). Created innovative DSS-based solutions to provide direction for cost reduction and clinical performance improvement initiatives. Communicated findings to a wide variety of audiences using advanced presentation techniques.
Served as internal consultant to other regions of Catholic Health Partners, the 24-hospital system to which St. Experienced in Model 204 user language, all Microsoft Office Professional applications, Lotus Notes, and Monarch. Created innovative DSS-based solutions to provide direction for cost reduction and performance improvement initiatives.
Provided information from regional headquarters for three hospitals on SDSM and Perspective, and for five hospitals on MIDAS+. Organized and led internal and corporate training programs to promote widespread use of DSS.
Coordinated and maintained content on the Clinical Decision Support section of the regional intranet, including meeting minutes, user manuals, presentations, educational matter, and scheduled reports. Instructor of clinical laboratory for NRS 123 (Adult Health Issues I) on a medical unit at St. Previously taught a reflection group for NRS 123, clinicals and reflection group for NRS 224 (Adult Health Issues II), and clinicals for NRS 204, at various clinical agencies.
Continued to develop regional Decision Support Systems, building on accomplishments listed below under Nurse Analyst. Established and refined standardized regional reporting tools to assess and monitor key process and outcome measures. Contributed key impetus for region's selection and implementation of comparative databases for clinical benchmarking and performance improvement. Built clinical day class structure, product line rollup structure, and other key elements of a functional decision support system.



Provided expertise necessary to proactively review information within Decision Support System for accuracy in portrayal of region's clinical processes. Presenter of educational events for nurses related to company's cardiovascular franchise (intravenous thrombolytic agents). Featured presenter at Genentech annual full-day educational offerings 1996, 1997, and 1999.
Specialty areas: electrocardiography, electrophysiology, and other aspects of cardiac nursing.
Overhauled the Basic Dysrhythmia program to update content, reflect adult learning principles, and improve test scores and knowledge retention. Participated in various other nursing education and staff development activities as part of departmental duties.
Proficient in care of patients undergoing invasive monitoring, intra-aortic balloon pumping, thrombolytic therapy, continuous veno-venous hemofiltration, temporary cardiac pacing, and other advanced treatment modalities.
Developed unit protocols and educational resources for nurses caring for patients post-coronary stenting; provided post-procedure care for the first patient in the Toledo area to receive a coronary stent. Developed standards of care for patients receiving intravenous thrombolytic therapy; created QI audit tool and participated in chart audits. Course content included medical ethics, legal concepts in healthcare, governmental and reimbursement issues in healthcare, and medical terminology.
Planned, organized, delivered, and evaluated the care of patients on a medical-surgical stepdown unit.
Gained extensive experience with ventilators, tracheostomies, arterial lines, pulmonary artery catheters, and peritoneal dialysis.
Presented at nursing staff development conferences in Scottsdale, Arizona (Allegheny University of the Health Sciences), Warren, Michigan (William Beaumont Hospital), and Toledo, Ohio (Mercy St. Various performance improvement teams -- CABG, CHF, clinical pathways, medication error reduction, Clinical Effectiveness Council, etc. Answer the questions correctly and you will be placed in a drawing to WIN the ultimate Dimensions of Dental Hygiene gift basket.
Our cover story, Preparing for the Zika Virus, offers two continuing education (CE) units and provides information on protection from this viral pandemic. Through our print and digital media platforms, continuing education activities, and events, we strive to deliver relevant, cutting-edge information designed to support the highest level of oral health care. For instance, LTCF residents—who are often evaluated for swallowing problems by speech-language pathologists—may be placed on a restricted diet to lessen the risk of choking or aspiration. For example, a resident who is approved to consume thin liquids on Monday may be reevaluated mid-week, at which time his or her status could change to no thin liquids. Coleman and Watson10 conducted a study in New York nursing homes in which nursing assistants were observed during their work but were unaware of what was being evaluated.
The age of toothbrushes, recent patient illnesses, and toothbrush storage should be also addressed to prevent bacterial and mold growth, which compromise the health of older adults who are at increased risk of illness due to weakened immune systems. Personal care supplies, including toothbrushes, are typically ordered by a central supply director. The Dental Trade Alliance Foundation has funded the resource "Nursing Home Oral Health: A Blueprint for Success," which includes interactive 30-minute to 90-minute PowerPoint presentations and an 11-minute video to help dental professionals provide training to LTCF nursing staff. The surface area of the intraoral "wound" created by periodontal disease is compared to a wound that covers the palm of the hand. The free kit includes an "invitation for nursing homes" and "introductory letter to trainer" templates.
In addition to providing information on how to provide high-quality, comprehensive dental services for nursing home residents, the course provides information helpful when planning a dental in-service—such as who to contact at the nursing home to set up the educational session and when to schedule the in-service. The program's topics include brushing and flossing techniques, hygiene care of dental prostheses, checking the resident's mouth for problems, managing difficult situations, and providing oral care for unconscious patients.
The program includes CDs with printable forms, tests, manuals, and workbooks, as well as videos for both the trainer and trainee.
Funded by the Nova Scotia Health Research Foundation and created by Mary McNally, MSc, DDS, MA, of Dalhousie University in Halifax, Nova Scotia, the resource package includes a detailed instruction manual, five education videos, oral care tool-kits, assessment and care planning tools, and guidelines for organizationally mapping oral care. By preserving the oral health of patients who reside in such facilities, clinicians and nursing home staff are enhancing the quality of life for this patient population. Need of assistance with daily oral hygiene measures among nursing home resident elderly versus the actual assistance received from the staff.
Evidence-based practice guidelines: oral hygiene care for functionally dependent and cognitively impaired older adults.
Effectiveness of health care worker training on the oral health of elderly residents of nursing homes.
Effects of 11-month interventions on oral cleanliness among the long-term hospitalized elderly.
The Oral Care Link Nurse: a facilitator and educator for maintaining oral health for patients at the Royal Hospital for neuro-disability.
Ombudsmen on the front line: Improving quality of care and preventing abuse in nursing homes. A systematic review of preventive effect of oral hygiene on pneumonia and respiratory infections in elderly people in hospitals and nursing homes: effect estimates and methodological quality of randomized controlled trials.
Periodontal diseases and health: Consensus Report of the Sixth European workshop on Periodontology.
Examining oral health in nursing home residents and overcoming mouth care-resistive behaviors. Opportunities for nursing-dental collaboration: addressing oral health needs among the elderly. The role of biobehavioral, environmental, and social forces on oral health disparities in frail and functionally dependent nursing home elders. An evaluation of an oral health training programme for carers of the elderly in residential homes. There is, hence, a great need for nursing staff to be specially trained in caring for the mouth and improving oral hygiene of the elderly residents.
In addition, overall rates of disability among the elderly rise steeply in those over 70 years of age, with the most severely disabled living mainly in institutional care.
In the nursing curricula presently, however, there is a lack of training on the oral health and oral diseases of the elderly at both undergraduate and postgraduate levels. Then the nursing staff from 3 institutions were given intensive training in mouth care of the elderly. Training sessions were undertaken during working hours for groups of 6 participants, each session lasting 90 minutes. The proportion of nursing staff who carried out oral hygiene measures for the residents increased from 19% at baseline to 58% at the end of the study. In the other group, which received training after the 9 month assessment, 87% of patients had evidence of mucosal disease at baseline, 91% at 9 months, reducing to 74% at 18 months. Settings range from Webinars and computer lab sessions for line managers to 1:1 meetings with C-suite team members.
CHP was named a Top Ten Health System for clinical quality by Truven Health Analytics in 2009 and 2010, largely due to these results. For these reasons, it is likely that more dental hygienists will be needed to provide oral health education for nursing staff in LTCFs. In addition, some residents who have dementia may not understand that they need to expectorate mouthrinse and may swallow or hold the liquid in their mouths. Performing oral hygiene care while a resident lies supine in bed may lead to aspiration or choking.
The study found that not one nursing assistant provided oral hygiene care to LTCF residents while wearing clean examination gloves. This individual may not understand the importance of ordering quality toothbrushes with small heads and soft bristles.


The bacteria in the plaque is shown filtering into the blood vessels of the surrounding gingiva, while the narrator explains the potential harm to the systemic health of the patient when large amounts of periodontal bacteria enter the systemic bloodstream.
The resource also contains a flip chart, inventory list, audience handout, product guide, and oral health curriculum for LTCFs.
Nursing home staff who receive such education, through in-service training or the aforementioned resources, are better prepared to deliver optimal oral hygiene care. This presentation is on a health care worker training programme for the improvement of the oral health of elderly residents in nursing homes, conducted in Wick, Caithness, Scotland in 2002 and 2003.
Hence, a comprehensive oral health educational programme was provided for nurses and carers of institutionalised elderly residents in a small town in northern Scotland.
Participants were encouraged to discuss the problems they themselves faced in providing oral care for residents. At baseline, nearly 80% of the residents were performing their own oral hygiene measures, which dropped to 42% at the end of the 18 month period.
When the data were pooled, 83% of patients had evidence of oral mucosal disease at baseline versus 65% at the end of the study. Charles Hospital, Mercy Memorial Hospital (Monroe, MI), The Bellevue Hospital, Firelands Community Hospital, Blanchard Valley Regional Health Center, St.
Maecenas ac tempor odio.Click here to view all articles in other categories not listed above. Thus, a daily oral hygiene regimen that includes water, mouthrinse, and toothpaste could pose a choking hazard. Regardless of dietary restrictions and existing conditions, daily oral hygiene care may be provided by moistening a toothbrush with a small amount of water or mouthrinse and brushing the teeth. In fact, nursing assistants sometimes brushed residents' teeth after cleaning the perineal region without changing gloves.
Often, budgetary limitations yield inexpensive toothbrushes with large heads and hard bristles.
This animation may be particularly relevant because wound care is an important part of nursing services in LTCFs. Upon completion of the presentation, the clinical trainer receives three continuing education units.
The DVD and workbook are available for the cost of shipping and handling through the support of the Minnesota Dental Association. This knowledge prepares them for many situations, including residents who are care resistant, confined to bed, or at risk of infection due to compromised immune systems.
After all the patients had been assessed at 9 months, training was provided for the nursing staff in the other 2 institutions and a final oral health assessment of all patients was performed 18 months after the initial baseline examination.
Nursing staff are to be reminded that clean gloves should be donned before any form of oral care is delivered. Oral health professionals need to advocate for appropriate oral hygiene supplies with the LTCF leadership (eg, administrator, director of nursing, social worker).
Depicting the mouth as an overlooked bacteria-infected wound—and discussing the importance of cleaning and debriding this wound—may resonate with nursing staff. In addition, once gloves are donned, the caregiver should not touch anything except the patient's oral hygiene supplies, as bacteria from inanimate objects (eg, light switch, bed controls, door knobs) will contaminate the resident's mouth, increasing the risk for infections and illnesses. Some residents may receive monthly stipends for the purchase of personal care items that can be used to buy suitable oral hygiene supplies.
Dental Hygiene Education Education by Demand Media by Flora Richards-Gustafson Nures and dental hygienists spend between two and seven years in school, depending on their specialization.
If residents are unable to go shopping, a family member or the facility activity director may assist in such purchases. For this reason, oral health education should also be provided for families and residents through a team approach. Oral health can affect the overall health of the already at risk population and there is little dental care in place in many of the country’s nursing homes.A resident of a Kentucky nursing home contracted a potentially life threatening gum infection because the staff failed to remove her dentures for six months. Education Classes You Have to Take to Study Nursing Undergraduate Nursing General Education Requirements Education Requirements for Gerontologists Registered nurses and dental hygienists have equally important yet different roles in the health care industry. A staff member was told of the woman’s dentures when she was admitted, but it was never noted in the chart. Dental hygienists work with dentists and dental assistants as they clean and examine patients’ teeth and mouth. The dentures were never removed or properly cleaned in the six months she had been under the nursing home’s care. It wasn’t until the resident’s face started to swell that she was examined by a dentist, who discovered that the dentures were corroded and had not been cleaned in quite some time.
The degree an individual earns in one of these fields helps dictate the level of professional advancement she may achieve.
The nursing home was issued a Type A citation, which qualifies an event as an immediate threat of death or injury to a nursing home resident. The residents have been transferred to other facilities.Oral Health Affects Overall HealthMany nursing home residents have physical and psychological disabilities that make caring for themselves difficult or impossible. These residents need the staff to be attentive to thinks like oral care in order to prevent the physical complications that can result.
Eating less and losing weight is one problem associated with poor dental care, something that can cause severe problems in the elderly.Better oral care is desperately needed in many nursing homes and can easily be improved upon. Training the facility staff in dental hygiene is one small change that can significantly enhance the care of your loved ones. Long-term care facilities are required by law to follow certain guidelines and protect the health of their residents.Nursing home neglect lawyers always recommend frequent and unscheduled visits to the facility where your loved one resides.
The best way to be aware of the kind of care the home provides is to show up often and unannounced. Alternatively, some schools offer degree programs for registered nurses who already have an associate degree, which take about two years to complete.
You should discuss this issue with the staff at the nursing home and, if you aren’t completely satisfied with the responses you are receiving, contact the Mininno Law Office for a free case evaluation. The American Dental Hygienists’ Association shares that most universities design Bachelor of Science in Dental Hygiene programs for those who already have an associate degree. A nursing program allows students to focus on a specific area of health care, like working as a surgical nurse or with oncology patients. A dental hygiene degree program enhances a student’s skills and prepares him for a career in research. In 2015, some educational institutions will offer a Doctor of Nursing Practice degree in lieu of a master’s degree, per the recommendation made by the American Association of Colleges of Nursing.
A Master of Science in Dental Hygiene program prepares a student for a career as a researcher, educator or administrator.
To become a licensed registered nurse, most states require an individual to have an associate or bachelor’s degree and to pass the National Council Licensure Examination, or NCLEX-RN. Each state has its own requirements regarding dental hygienist licensure and generally requires a two- or four-year degree, according to the U.S.
Richards-Gustafson specializes in SEO and writing about small-business strategies, health and beauty, interior design, emergency preparedness and education. Researcher Education for Marriage Counseling Active Learning in Nursing Education Solar Engineer Education Information Radiologist Education Requirements Difference Between an A.S.



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