Target Outcomes for Long‐term Oral Health Care in Dementia: a Delphi Approach
Identifieur interne : 008D79 ( Main/Exploration ); précédent : 008D78; suivant : 008D80Target Outcomes for Long‐term Oral Health Care in Dementia: a Delphi Approach
Auteurs : Judith A. Jones [États-Unis] ; Elizabeth J. Brown [États-Unis] ; Ladislav Volicer [États-Unis]Source :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 2000-12.
Descripteurs français
- Wicri :
- topic : Soins de santé.
English descriptors
- KwdEn :
- American society, Asgd, Asgd objective, Asgd objectives, Asgd objectives 1and, Bedford, Care residents, Caregiver, Census bureau, Clinical decision, Daily care, Daily mouth care, Delphi, Delphi approach, Delphi process, Delphi surveys, Delphi technique, Dementia, Dent, Dental care, Dental service, Edith nourse rogers memorial veterans hospital, Family caregivers, Family members, Frail elders, Health care, Health care providers, Health professionals, Hospice approach, Longterm care, Loose teeth, Mouth infections, Nursing home, Nursing home care, Nursing home reform, Nursing homes, Omnibus budget reconciliation, Oral advance directives, Oral health, Oral health care, Oral hygiene care, Oral pain, Oral problems, Other dementias, Other health care providers, Participant, Patient family, Patient preferences, Professional caregivers, Provider, Rational approach, Response rates, Social workers, Sore gums, Spec care dent, Statistics administration, Target outcomes.
- Teeft :
- American society, Asgd, Asgd objective, Asgd objectives, Asgd objectives 1and, Bedford, Care residents, Caregiver, Census bureau, Clinical decision, Daily care, Daily mouth care, Delphi, Delphi approach, Delphi process, Delphi surveys, Delphi technique, Dementia, Dent, Dental care, Dental service, Edith nourse rogers memorial veterans hospital, Family caregivers, Family members, Frail elders, Health care, Health care providers, Health professionals, Hospice approach, Longterm care, Loose teeth, Mouth infections, Nursing home, Nursing home care, Nursing home reform, Nursing homes, Omnibus budget reconciliation, Oral advance directives, Oral health, Oral health care, Oral hygiene care, Oral pain, Oral problems, Other dementias, Other health care providers, Participant, Patient family, Patient preferences, Professional caregivers, Provider, Rational approach, Response rates, Social workers, Sore gums, Spec care dent, Statistics administration, Target outcomes.
Abstract
This study developed a list of target outcomes for long‐term oral health care in persons with dementia. A three‐round Delphi study was used to develop a list of target outcomes. Participants included 99 staff and 171 family members associated with the Dementia Special Care Unit in Bedford, MA. In Round 1 participants were asked to list five outcomes for long‐term oral health care. Items were grouped, redundancies removed, and fed back in Round 2, when participants scored the items from 1 (least important) to 10 (most important). Round 2 responses were tabulated and the top 20 were fed back for scoring in Round 3. The top 10 target outcomes in decreasing order of importance were: patient will be free from oral pain, patient will not be at risk for aspiration, emergency dental treatment will be available when needed, prevent mouth infections, daily mouth care is as much a part of daily care as shaving or brushing hair, prevent discomfort from loose teeth or sore gums, teeth will be brushed thoroughly once a day, staff will be able to provide oral hygiene care as needed, provide dental care to prevent problems eating, and recognize oral problems early. Family and professional caregivers were remarkably consistent in their identification of the top 10 outcomes. Further work is needed to ensure broad international and interdisciplinary acceptance (including families and the long‐term care residents themselves) of target outcomes for long‐term oral health care in persons with dementia.
Url:
DOI: 10.1111/j.1752-7325.2000.tb03344.x
Affiliations:
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A three‐round Delphi study was used to develop a list of target outcomes. Participants included 99 staff and 171 family members associated with the Dementia Special Care Unit in Bedford, MA. In Round 1 participants were asked to list five outcomes for long‐term oral health care. Items were grouped, redundancies removed, and fed back in Round 2, when participants scored the items from 1 (least important) to 10 (most important). Round 2 responses were tabulated and the top 20 were fed back for scoring in Round 3. The top 10 target outcomes in decreasing order of importance were: patient will be free from oral pain, patient will not be at risk for aspiration, emergency dental treatment will be available when needed, prevent mouth infections, daily mouth care is as much a part of daily care as shaving or brushing hair, prevent discomfort from loose teeth or sore gums, teeth will be brushed thoroughly once a day, staff will be able to provide oral hygiene care as needed, provide dental care to prevent problems eating, and recognize oral problems early. Family and professional caregivers were remarkably consistent in their identification of the top 10 outcomes. Further work is needed to ensure broad international and interdisciplinary acceptance (including families and the long‐term care residents themselves) of target outcomes for long‐term oral health care in persons with dementia.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Jones, Judith A" sort="Jones, Judith A" uniqKey="Jones J" first="Judith A." last="Jones">Judith A. Jones</name></noRegion><name sortKey="Brown, Elizabeth J" sort="Brown, Elizabeth J" uniqKey="Brown E" first="Elizabeth J." last="Brown">Elizabeth J. Brown</name><name sortKey="Volicer, Ladislav" sort="Volicer, Ladislav" uniqKey="Volicer L" first="Ladislav" last="Volicer">Ladislav Volicer</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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