PROVIDING ORAL CARE FOR DEPENDENT ELDERS Angie Stone

The Clenching Resident Cleaning only the fronts is better than nothing and is… almost

The Resistive Resident Do Not Approach the resident from the front Approach from the

The Spitting Resident Fluoride in the mouth will help teeth, a lot.

The State of Oral Health in Nursing Homes Elderly nursing home residents have extensive

Implications of Poor Oral Health is Associated With: • Poor Nutrition • Pain •

Implications of Poor Oral Health Serious Diseases Include: • Lung Disease (COPD) • Cardiovascular/Cerebrovascular

Systemic Infection… Aspiration Pneumonia “Aspiration pneumonia is probably the most common sequelae of poor

Benefits of Good Oral Health • Decreased Oral Malodor • Decreased Costs • Enriched

Your Role Is Critical • CNA decide how to approach • CNA work it

My Role… • To Support You in Keeping Your Residents Healthy • Oral Care

WHO DO YOU KNOW THAT COULD BENEFIT FROM IMPROVED ORAL CARE?

Thank You! Angie Stone, RDH, BS Founder Hy. Life, LLC astone@hylifellc. com 608 -884

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PROVIDING ORAL CARE FOR DEPENDENT ELDERS Angie Stone, RDH, BS Founder Hy. Life, LLC

WHAT ARE YOUR BIGGEST CHALLENGES?

The Clenching Resident Cleaning only the fronts is better than nothing and is… almost as good as cleaning the entire tooth!!

A Useful Tool DEX T BRUSH

The Resistive Resident Do Not Approach the resident from the front Approach from the side or behind

The Spitting Resident Fluoride in the mouth will help teeth, a lot.

The State of Oral Health in Nursing Homes Elderly nursing home residents have extensive oral disease and poor oral hygiene and suffer the WORST oral health of any population. Journal American Geriatrics Society, 2006 (U. S. Department of Health and Human Services. Oral Health in America: A report from the Sugeon General. 2000)

Implications of Poor Oral Health is Associated With: • Poor Nutrition • Pain • Weight Loss • Diminished Quality of Life • Serious Illness in Old Age Journal American Geriatrics Society, 2006

Implications of Poor Oral Health Serious Diseases Include: • Lung Disease (COPD) • Cardiovascular/Cerebrovascular Disease • Diabetes Mellitus • Systemic Infection Journal American Geriatrics Society, 2006

Systemic Infection… Aspiration Pneumonia “Aspiration pneumonia is probably the most common sequelae of poor oral health in aged persons. ” Clinical Infectious Diseases 2005: 40

Benefits of Good Oral Health • Decreased Oral Malodor • Decreased Costs • Enriched Quality of Life • Reduced Infection/Inflammation • Improved Overall Health

Your Role Is Critical • CNA decide how to approach • CNA work it out with the resident • CNA get it done • CNA decide which way is best

My Role… • To Support You in Keeping Your Residents Healthy • Oral Care Services • Brushing, Between the Teeth Cleaning, Xylitol, Toothbrushes, Toothpaste • Oral Health Advocacy • Resident and Family Camaraderie • Family Group Presentations • Care Team Support • Care Team Training

December 4, 2010 October 20, 2012

WHO DO YOU KNOW THAT COULD BENEFIT FROM IMPROVED ORAL CARE?

Thank You! Angie Stone, RDH, BS Founder Hy. Life, LLC astone@hylifellc. com 608 -884 -0038 www. hylifellc. com