Community Dental Health

cover art

Cover Date:
March 2017
Print ISSN:
0265 539X
Vol:
34
Issue:
1

Directly observed daily mouth care provided to care home residents in one area of Kent, UK

Objective: To gather accurate data on the daily mouth care provided in care homes including tooth brushing, oral health assessment, and recording of care provided. Basic research design: Direct observation and notes review. Clinical setting: Both nursing and ‘regular’ care homes. Participants: 365 Residents living in 16 care homes and their carers underwent observation, notes review or data collection in some form. Main outcome measures: Provision of mouth morning care. Results: Of 161 residents observed, most (93, 58%) did not have their teeth/dentures brushed. If performed, brushing was often carried out by the resident themselves (36 cases, 53%), rather than by
a carer (32 cases, 44%). Carers used a toothbrush to clean inside a resident’s mouth in just 7 cases (4.3% of all personal care routines observed). Smaller care homes were no more likely to brush residents teeth than larger care homes, and nursing homes were no more likely to brush teeth than other care homes. Of the 309 sets of notes available for review, 41 (13%) contained a dedicated oral health needs assessment, and 109 (35%) contained a daily oral care chart in some form. Mouth care was often recorded inaccurately (15% of cases). Conclusions: This is the first observational study in the UK to assess oral care actually provided to residents by carers in care homes. The findings reveal a substantially different picture of daily mouth care than was previously understood and suggest that many of the nation’s care home residents may not be receiving adequate, or any, oral health care.

Key words: older people, care home, mouth care, dental, oral, England

doi:10.1922/CDH_3956Zander05

Article Price
£15.00
Institution Article Price
£
Page Start
32
Page End
36
Authors
A. Zander, D. Boniface

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  1. The oral health of people with learning disabilities - a user-friendly questionnaire survey
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  1. Sugar before bed: a simple dietary risk factor for caries experience
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  1. Urinary fluoride excretion in preschool children after intake of fluoridated milk and use of fluoride-containing toothpaste
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  1. Directly observed daily mouth care provided to care home residents in one area of Kent, UK
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  1. Association between sense of coherence and oral health-related quality of life among toddlers
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