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AMDA Long Term Care Medicine - 2012


B10 - Improving Oral Hygiene Care for Cognitively and Physically Impaired Patients: What Medical Directors and Supervisors Need to Know


Mar 9, 2012 11:00am ‐ Mar 9, 2012 12:00pm

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:
The American Medical Directors Association designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of clinical 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session will provide take-home messages for clinicians, medical directors, and nurse supervisors from a two-year study of evidence-based methods to improve the daily mouth care of long term care residents who are difficult to manage because of cognitive or physical impairments. Speakers will present recommendations regarding products and supplies, identify and discuss the F-Tags and MDS 3.0 items relevant to oral health, demonstrate (using video footage from a clinical trial) how to effectively approach common behavioral barriers to mouth care, and identify additional resources that can be used in training and support of better mouth care.

Learning Objectives(s):

  • Describe the impact of poor oral hygiene care on systemic health.
  • Comply with Federal regulations and MDS 3.0 items related to oral hygiene care.
  • Identify and order products and supplies that are not traditionally used in mouth care but which can improve mouth care outcomes.
  • Teach the principles of individualized, patient centered management of behavioral barriers to mouth care that frequently present in persons with dementia and other cognitive disorders.


Speakers(s):
Philip Sloane, MD, MPH; Sheryl Zimmerman, PhD

Disclosure(s):
Philip Sloane, MD, MPH has no financial disclosures to report. Sheryl Zimmerman, PhD has no financial disclosures to report.

References(s):
Chalmers J, Johnson V, Tang JH, Titler MG. Evidence-based protocol: oral hygiene care for functionally dependent and cognitively impaired older adults. J Gerontol Nurs. 2004 Nov;30(11):5-12. Barnes VM, Richter R, Vandeven M, Xu T, DeVizio W. Clinical investigation of the antiplaque efficacy of a new variant of a commercially available triclosan/copolymer/fluoride dentifrice. Azarazhooh A, Leake JL. (2006). Systematic review of the association between respiratory diseases and oral health. J Periodontol, 77: 1465-1482. Beck JD, Offenbacher S. (2005). Systemic effects of periodontitis: Epidemiology of periodontal disease and cardiovascular disease. J Periodontol, 76: 2089-2100. Chalmers JM, Carter KD, Spencer AJ. (2003). Oral diseases and conditions in community-living older adults with and without dementia. Special Care in Dentistry, 23(1): 7-17. Chalmers JM, Hodge C, Fuss JM, Spencer AJ, Carter KD, Mathew R. (2001). Opinions of dentist and directors of nursing concerning dental care provision for Adelaide nursing homes. Australian Dental Journal, 46(4): 277-283. Chalmers, J, Levy, SM, Buckwalter, KC, Ettinger, RL, Kambhu, PP. (1996). Factors influncing nurses' aides' provision of oral care for nursing facility residents. Special Care Dentistry, 16(2): 71-90. Chalmers JM, Pearson A. (2005a). A systematic review of oral health assessment by nurses and carers for residents with dementia in residential care facilities. Special Care in Dentistry, 25(5): 227-233. Chalmers J, Pearson A. (2005b). Oral hygiene care for residents with dementia: a literature review. Journal of Advanced Nursing, 52(4): 410-419. Coleman P, Watson NM. (2006). Oral care provided by certified nursing assistants in nursing homes. JAGS, 54: 138-143. Cronin MJ, Dembling WZ, Cugini M, Thompson MC, Warren PR. A 30-day clinical comparison of a novel interdental cleaning device and dental floss in the reduction of plaque and gingivitis. J Clin Dent. 2005;16(2):33-7. Hu D, Zhang YP, DeVizio W, Proskin HM. A clinical investigation of the efficacy of two dentifrices for controlling oral malodor and plaque microflora overnight. J Clin Dent. 2008;19(3):106-10. Jablonski RA, Munro CL, Grap MJ, Schubert CM, Ligon M, Spigelmyer P. Mouth care in nursing homes: knowledge, beliefs, and practices of nursing assistants. Geriatr Nurs. 2009 Mar-Apr;30(2):99-107. Epub 2008 Nov 17. Jackson MA, Kellett M, Worthington HV, Clerehugh V. Comparison of interdental cleaning methods: a randomized controlled trial. J Periodontol. 2006 Aug;77(8):1421-9. Van Strydonck DA, Timmerman MF, Van der Velden U, Van der Weijden F. Clinical efficacy of a chlorhexidine-delivering toothbrush. J Clin Periodontol. 2008 Jul;35(7):584-90. Epub 2008 May 11. Willumsen T, Solemdal K, Wenaasen M, Ogaard B. Stannous fluoride in dentifrice: an effective anti-plaque agent in the elderly? Gerodontology. 2007 Dec;24(4):239-43.

Speaker(s):

  • Philip Sloane, MD, MPH, Distinguished Professor, Co-Director, Program on Aging, Sheps Center for HSR, University of North Carolina at Chapel Hill
  • Sheryl Zimmerman, PhD, Distinguished Professor, Co-Director, Program on Aging, Sheps Center for HSR, University of North Carolina at Chapel Hill

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