1. Presented by: Katrina Wirth
Tips for hospital staff on improving oral health to reduce nutritional problems for older people with dementia
Presented by: Katrina Wirth

2. The Current issue to be addressed
Limited allocation of time to each patient with only certain staff to provide oral/dental care.
Nutrition can be affected by the following oral health related problems:
Pain and discomfort when chewing (due to no teeth- “endeulous”)
Swallowing problems that can lead to malnutrition
Infectious diseases of the mouth- such as periodontal disease and caries.
Immune system problems- due to poor oral health that leads to aspiration.
(S.O. Griffin, Jones, Brunson, P.M. Griffin, Bailey, 2012)

3. Interdisciplinary approach to oral health
If all staff come together, it can ensure that oral health care is provided through the use of knowledge from each profession. (Yellowitz, 2016)
Social worker
Nurse
Doctor
*Ensure best care for patient.
*Arrange access to dental care after discharge.
*Note changes.
*Education about prevention.
*Cleaning
*Note changes
*Comprehensive emergency care.
*Cleaning
*Note changes
Psychologist
*Counselling related to causes of dental problems
*Note changes in behaviour/ distress
*Review if there is an oral sensory process dysfunction.
*Prescribe assistive technology.
*Cleaning
*Note changes.
Pharmacist
*Review medications
*Education in regards to opening the mouth and chewing. (Focus on jaw function).
* Note changes.
Occupational Therapist
Physical Therapist

4. Processes of regular cleaning
Effective tooth brushing for at least 2 minutes
Use either a manual or powered toothbrush
If a manual toothbrush is used ensure it has a small head with medium texture bristles
Brush dentures 2 to 3 times a day; remove at night and soak in clean water
Brush teeth and gums after each meal with a fluoridated toothpaste
(Daly & Smith, 2015)

5. Routine comprehensive oral health screens
(Livewell Southwest Healthcare, 2016)

6. Intended positive outcomes
Better nutritional health.
Reduce pain and discomfort when swallowing.
Holistic care provided by all staff.
Regular comprehensive checks to prevent major problems.
Better overall health.
Staff working together to reduce time burdens and to report findings.

7. Conclusion Oral health care is everyone’s priority!
We need to work together to provide effective, timely and comprehensive oral health care for the older people with dementia in our care.

8. References
CanStockPhoto. (2014). Social Worker [image]. Retrieved from
Clipart Kid. (2016). Physical Therapist [image]. Retrieved from
Clipart Library. (2016). Psychologist [image]. Retrieved from library.com/psychologist-cliparts.html
Clipart Library. (2016). Teeth [image]. Retrieved from cliparts.html
Clipart Panda. (2016). Nurse [image]. Retrieved from
Clipartfest. (2016). Doctor [image]. Retrieved from doctor.html
Daly, B., & Smith, K. (2015). Promoting good dental health in older people: role of the community nurse. British Journal of Community Nursing, 20(9), Retrieved from
Google. (2013). Sticky note [image]. Retrieved from

9. References
Griffin, S. O., Jones, J., Brunson, D., Griffin, P. M., & Bailey, W. D. (2012). Burden of oral disease among older adults and implications for Public Health priorities. American Journal of Public Health, 102(3), doi: /AJPH Healthy Life. [image]. (n.d.). Retrieved from Hewlett, E. (2013). Your dental-filling options [image]. Retrieved from HKPPRDHU. (2014). Oral care for older adults [image]. Retrieved from Impact of malnutrition. [mindmap]. (n.d.). Retrieved from IStockPhoto. (2016). Occupational Therapist [image]. Retrieved from Liberty Healthcare Corporation of North Carolina. (2013). Activities of Daily Living [image]. Retrieved from Livewell Southwest Healthcare. (2016). Mouthcare assessment tool. Retrieved from nt_Tool.pdf

10. References
Maddox, R. (2011). Toothbrush and apple [image]. Retrieved from Michail, N. (2016). Biozoon’s 3D printed smooth foods target Europe’s elderly [image]. Retrieved from Europe-s-elderly No teeth Keith. [image]. (2014). Retrieved from Nutrition. [image]. (n.d.). Retrieved from Pharmacist. [image]. (n.d.). Retrieved from Russell-Pavier, M. (2015). Dementia [image]. Retrieved from The Naturalish. (n.d.). Nutrition- apple wordle [image]. Retrieved from The Smile Consultants. (2016). Periodontal disease [image]. Retrieved from Tan. C.T. (2008). The new art and science of pregnancy and childbirth: what you want to know from your Obstetrician. Singapore: World Scientific. Work in Health. (2016). Hunter New England Health Logo [image]. Retrieved from Yellowitz, J. A. (2016). Building the ideal Interdisciplinary team to address oral health. American Society on Aging, 40(3), Retrieved from