Confronting dental uncertainty in old age
Identifieur interne : 001511 ( Istex/Corpus ); précédent : 001510; suivant : 001512Confronting dental uncertainty in old age
Auteurs : Michael I. Macentee ; Kavita R. Mathu-MujuSource :
- Gerodontology [ 0734-0664 ] ; 2014-02.
Abstract
To provide an overview of the literature about uncertainty in health care and how it relates to the oral health care of older people.
Url:
DOI: 10.1111/ger.12109
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Macentee</name><affiliation><mods:affiliation>Faculty of Dentistry, Department of Oral Health Sciences, University of British Columbia, BC, Vancouver, Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Michael I. MacEntee, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.Tel.: +604 822 3564Fax: +604 827 4448E‐mail:</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: macentee@dentistry.ubc.ca</mods:affiliation></affiliation></author><author><name sortKey="Mathu Uju, Kavita R" sort="Mathu Uju, Kavita R" uniqKey="Mathu Uju K" first="Kavita R." last="Mathu-Muju">Kavita R. 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Published by John Wiley & Sons Ltd</licence></availability><date type="published" when="2014-02"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Confronting dental uncertainty in old age</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Michael I.</forename><surname>MacEntee</surname></persName><affiliation><orgName>Faculty of Dentistry</orgName><orgName>Department of Oral Health Sciences</orgName><orgName>University of British Columbia</orgName><address><settlement type="city">Vancouver</settlement><region>BC</region><country key="CA">Canada</country></address></affiliation><affiliation>Correspondence to: Michael I. MacEntee, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada. Tel.: +604 822 3564 Fax: +604 827 4448 E‐mail: macentee@dentistry.ubc.ca</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Kavita R.</forename><surname>Mathu‐Muju</surname></persName><affiliation><orgName>Faculty of Dentistry</orgName><orgName>Department of Oral Health Sciences</orgName><orgName>University of British Columbia</orgName><address><settlement type="city">Vancouver</settlement><region>BC</region><country key="CA">Canada</country></address></affiliation></author><idno type="istex">2B50F5CED23E7E1D226A6DBBC6F66EF5E44F2130</idno><idno type="ark">ark:/67375/WNG-7MSTWT68-D</idno><idno type="DOI">10.1111/ger.12109</idno><idno type="unit">GER12109</idno><idno type="toTypesetVersion">file:GER.GER12109.pdf</idno></analytic><monogr><title level="j" type="main">Gerodontology</title><title level="j" type="sub">Developing Pathways for Oral Care in Elders</title><title level="j" type="alt">GERODONTOLOGY</title><idno type="pISSN">0734-0664</idno><idno type="eISSN">1741-2358</idno><idno type="book-DOI">10.1111/(ISSN)1741-2358</idno><idno type="book-part-DOI">10.1111/ger.2014.31.issue-s1</idno><idno type="product">GER</idno><imprint><biblScope unit="vol">31</biblScope><biblScope unit="page" from="37">37</biblScope><biblScope unit="page" to="43">43</biblScope><biblScope unit="page-count">7</biblScope><date type="published" when="2014-02"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract style="main" xml:id="ger12109-abs-0001">
Objective
<p>To provide an overview of the literature about uncertainty in health care and how it relates to the oral health care of older people.</p>
Background
<p>The medical literature describes uncertainty in health care from the initial informed‐consent to its impact on a patient's ability to cope with undesirable outcomes.</p>
Methods
<p>A narrative review of the medical, dental and psychological literature was conducted to identify pertinent information on the theory and implications of uncertainty in healthcare. The findings are infused into a case‐report illustrating the recurrence of uncertainty experienced by an older woman who had multiple treatments over several years to restore her dentition damaged severely by dental caries.</p>
Results
<p>Uncertainty originates from inadequate understanding, incomplete information and undifferentiated alternatives leading to unnecessary diagnostic tests and healthcare costs. A conceptual taxonomy clarifies the characteristics of uncertainty in the context of scientific, practical or personal sources and offers management possibilities through effective communications to identify choices and probabilities that help patients to adapt and cope with adverse events.</p>
Conclusions
<p>Uncertainty pervades healthcare. It can lead patients to self‐blame, anger and withdrawal from care unless it is communicated effectively so that they can adapt and cope with the disappointment of adversity and continue with alternative approaches to care.</p></abstract><textClass><keywords><term xml:id="ger12109-kwd-0001">uncertainty</term><term xml:id="ger12109-kwd-0002">dentistry</term><term xml:id="ger12109-kwd-0003">elders</term><term xml:id="ger12109-kwd-0004">theory.</term></keywords><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>Original Articles</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="ger12109" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1741-2358</doi><issn type="print">0734-0664</issn><issn type="electronic">1741-2358</issn><idGroup><id type="product" value="GER"></id></idGroup><titleGroup><title sort="GERODONTOLOGY" type="main">Gerodontology</title><title type="short">Gerodontology</title></titleGroup></publicationMeta><publicationMeta level="part" position="10"><doi origin="wiley">10.1111/ger.2014.31.issue-s1</doi>
<titleGroup>
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MacEntee, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.</line><line>Tel.: +604 822 3564</line><line>Fax: +604 827 4448</line><line>E‐mail: <email>macentee@dentistry.ubc.ca</email></line></lineatedText></correspondenceTo><selfCitationGroup><citation type="self" xml:id="ger12109-cit-1001"><i>doi:</i> <accessionId ref="info:doi/10.1111/ger.12109">10.1111/ger.12109</accessionId> <articleTitle>Confronting dental uncertainty in old age</articleTitle></citation></selfCitationGroup><linkGroup><link type="toTypesetVersion" href="file:GER.GER12109.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Confronting dental uncertainty in old age</title><title type="shortAuthors">M. I. MacEntee, K. R. Mathu‐Muju</title></titleGroup><creators><creator affiliationRef="#ger12109-aff-0001" corresponding="yes" creatorRole="author" xml:id="ger12109-cr-0001"><personName><givenNames>Michael I.</givenNames> <familyName>MacEntee</familyName></personName></creator><creator affiliationRef="#ger12109-aff-0001" creatorRole="author" xml:id="ger12109-cr-0002"><personName><givenNames>Kavita R.</givenNames> <familyName>Mathu‐Muju</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="CA" type="organization" xml:id="ger12109-aff-0001"><orgDiv>Faculty of Dentistry</orgDiv> <orgDiv>Department of Oral Health Sciences</orgDiv> <orgName>University of British Columbia</orgName> <address><city>Vancouver</city> <countryPart>BC</countryPart> <country>Canada</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="ger12109-kwd-0001">uncertainty</keyword><keyword xml:id="ger12109-kwd-0002">dentistry</keyword><keyword xml:id="ger12109-kwd-0003">elders</keyword><keyword xml:id="ger12109-kwd-0004">theory.</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="ger12109-abs-0001"><section xml:id="ger12109-sec-0001"><title type="main">Objective</title><p>To provide an overview of the literature about uncertainty in health care and how it relates to the oral health care of older people.</p></section><section xml:id="ger12109-sec-0002"><title type="main">Background</title><p>The medical literature describes uncertainty in health care from the initial informed‐consent to its impact on a patient's ability to cope with undesirable outcomes.</p></section><section xml:id="ger12109-sec-0003"><title type="main">Methods</title><p>A narrative review of the medical, dental and psychological literature was conducted to identify pertinent information on the theory and implications of uncertainty in healthcare. The findings are infused into a case‐report illustrating the recurrence of uncertainty experienced by an older woman who had multiple treatments over several years to restore her dentition damaged severely by dental caries.</p></section><section xml:id="ger12109-sec-0004"><title type="main">Results</title><p>Uncertainty originates from inadequate understanding, incomplete information and undifferentiated alternatives leading to unnecessary diagnostic tests and healthcare costs. A conceptual taxonomy clarifies the characteristics of uncertainty in the context of scientific, practical or personal sources and offers management possibilities through effective communications to identify choices and probabilities that help patients to adapt and cope with adverse events.</p></section><section xml:id="ger12109-sec-0005"><title type="main">Conclusions</title><p>Uncertainty pervades healthcare. It can lead patients to self‐blame, anger and withdrawal from care unless it is communicated effectively so that they can adapt and cope with the disappointment of adversity and continue with alternative approaches to care.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Confronting dental uncertainty in old age</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Confronting dental uncertainty in old age</title></titleInfo><name type="personal"><namePart type="given">Michael I.</namePart><namePart type="family">MacEntee</namePart><affiliation>Faculty of Dentistry, Department of Oral Health Sciences, University of British Columbia, BC, Vancouver, Canada</affiliation><affiliation>Michael I. MacEntee, Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.Tel.: +604 822 3564Fax: +604 827 4448E‐mail:</affiliation><affiliation>E-mail: macentee@dentistry.ubc.ca</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kavita R.</namePart><namePart type="family">Mathu‐Muju</namePart><affiliation>Faculty of Dentistry, Department of Oral Health Sciences, University of British Columbia, BC, Vancouver, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2014-02</dateIssued><dateCreated encoding="w3cdtf">2013-11-30</dateCreated><dateValid encoding="w3cdtf">2013-05-13</dateValid><edition>doi: 10.1111/ger.12109 Confronting dental uncertainty in old age</edition><copyrightDate encoding="w3cdtf">2014</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>To provide an overview of the literature about uncertainty in health care and how it relates to the oral health care of older people.</abstract><abstract>The medical literature describes uncertainty in health care from the initial informed‐consent to its impact on a patient's ability to cope with undesirable outcomes.</abstract><abstract>A narrative review of the medical, dental and psychological literature was conducted to identify pertinent information on the theory and implications of uncertainty in healthcare. The findings are infused into a case‐report illustrating the recurrence of uncertainty experienced by an older woman who had multiple treatments over several years to restore her dentition damaged severely by dental caries.</abstract><abstract>Uncertainty originates from inadequate understanding, incomplete information and undifferentiated alternatives leading to unnecessary diagnostic tests and healthcare costs. A conceptual taxonomy clarifies the characteristics of uncertainty in the context of scientific, practical or personal sources and offers management possibilities through effective communications to identify choices and probabilities that help patients to adapt and cope with adverse events.</abstract><abstract>Uncertainty pervades healthcare. 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