The perceived importance of appearance and oral function, comfort and health for severely demented persons rated by relatives, nursing staff and hospital dentists
Identifieur interne : 00AA85 ( Main/Exploration ); précédent : 00AA84; suivant : 00AA86The perceived importance of appearance and oral function, comfort and health for severely demented persons rated by relatives, nursing staff and hospital dentists
Auteurs : Gunilla Nordenram [Suède] ; Lisa Rönnberg [Suède] ; Bengt Winblad [Suède]Source :
- Gerodontology [ 0734-0664 ] ; 1994-07.
Descripteurs français
- Wicri :
- topic : Personnel infirmier, Comportement social.
English descriptors
- KwdEn :
- Best interests, Cognitive, Cognitive functions, Cognitive impairment, Demented, Demented patient, Demented patients, Demented person, Demented persons, Dementia, Dental care, Dental health, Dental status, Dental treatment, Different items, Different wards, Elderly people, Family member, Family members, Fresh breath, Frontal lobe degeneration, Functional assessment, Geriatric dentistry, Gerodontology, Good agreement, High ratings, Hospital dentist, Hospital dentists, Human contact, Important score, Item number, Items number, Karolinska institute, Limited importance, Normal appearance, Normal speech, Nursing home, Nursing staff, Ofthe, Oral care, Oral comfort, Oral disease, Oral function, Oral health, Oral pain, Oral safety, Oral status, Oral treatment, Personnel group, Rating scale, Rational decisions, Senior geriatrician, Social behaviour, Staff members, Treatment success, Ward personnel, Ward staff.
- Teeft :
- Best interests, Cognitive, Cognitive functions, Cognitive impairment, Demented, Demented patient, Demented patients, Demented person, Demented persons, Dementia, Dental care, Dental health, Dental status, Dental treatment, Different items, Different wards, Elderly people, Family member, Family members, Fresh breath, Frontal lobe degeneration, Functional assessment, Geriatric dentistry, Gerodontology, Good agreement, High ratings, Hospital dentist, Hospital dentists, Human contact, Important score, Item number, Items number, Karolinska institute, Limited importance, Normal appearance, Normal speech, Nursing home, Nursing staff, Ofthe, Oral care, Oral comfort, Oral disease, Oral function, Oral health, Oral pain, Oral safety, Oral status, Oral treatment, Personnel group, Rating scale, Rational decisions, Senior geriatrician, Social behaviour, Staff members, Treatment success, Ward personnel, Ward staff.
Abstract
Dental health is an aspect of the quality of life. Oral treatment goals for, the severely demented and the benefits of oral treatment are complex issues. Severely demented people can neither express their wishes nor make rational decisions about oral care. Acting “in the best interests” of a demented person who refuses or does not understand the purpose of treatment depends on what perspective and treatment priorities the advocate has. For oral treatment of a demented person the advocate may be a relative, a member of the ward staff or a hospital dentist. In a structured interview, the relatives of demented patients in a Stockholm hospital and members of the nursing staff were asked to rate the importance of goals for dental care. These ratings were also recorded for hospital dentists. In this study there was agreement on the importance of freedom from oral pain and fear of aspiration. Nursing personnel gave priority to aspects of good care such as being able to chew and enjoy eating. Relatives were also concerned with social behaviour and communication such as fresh breath, normal speech, and normal appearance. The ratings by the hospital dentists were generally lower which might reflect professional awareness of the limitations of treatment success implied by cognitive impairment.
Url:
DOI: 10.1111/j.1741-2358.1994.tb00098.x
Affiliations:
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Le document en format XML
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<term>Cognitive functions</term>
<term>Cognitive impairment</term>
<term>Demented</term>
<term>Demented patient</term>
<term>Demented patients</term>
<term>Demented person</term>
<term>Demented persons</term>
<term>Dementia</term>
<term>Dental care</term>
<term>Dental health</term>
<term>Dental status</term>
<term>Dental treatment</term>
<term>Different items</term>
<term>Different wards</term>
<term>Elderly people</term>
<term>Family member</term>
<term>Family members</term>
<term>Fresh breath</term>
<term>Frontal lobe degeneration</term>
<term>Functional assessment</term>
<term>Geriatric dentistry</term>
<term>Gerodontology</term>
<term>Good agreement</term>
<term>High ratings</term>
<term>Hospital dentist</term>
<term>Hospital dentists</term>
<term>Human contact</term>
<term>Important score</term>
<term>Item number</term>
<term>Items number</term>
<term>Karolinska institute</term>
<term>Limited importance</term>
<term>Normal appearance</term>
<term>Normal speech</term>
<term>Nursing home</term>
<term>Nursing staff</term>
<term>Ofthe</term>
<term>Oral care</term>
<term>Oral comfort</term>
<term>Oral disease</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral pain</term>
<term>Oral safety</term>
<term>Oral status</term>
<term>Oral treatment</term>
<term>Personnel group</term>
<term>Rating scale</term>
<term>Rational decisions</term>
<term>Senior geriatrician</term>
<term>Social behaviour</term>
<term>Staff members</term>
<term>Treatment success</term>
<term>Ward personnel</term>
<term>Ward staff</term>
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<term>Demented</term>
<term>Demented patient</term>
<term>Demented patients</term>
<term>Demented person</term>
<term>Demented persons</term>
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<term>Dental health</term>
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<term>Different wards</term>
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<front><div type="abstract" xml:lang="en">Dental health is an aspect of the quality of life. Oral treatment goals for, the severely demented and the benefits of oral treatment are complex issues. Severely demented people can neither express their wishes nor make rational decisions about oral care. Acting “in the best interests” of a demented person who refuses or does not understand the purpose of treatment depends on what perspective and treatment priorities the advocate has. For oral treatment of a demented person the advocate may be a relative, a member of the ward staff or a hospital dentist. In a structured interview, the relatives of demented patients in a Stockholm hospital and members of the nursing staff were asked to rate the importance of goals for dental care. These ratings were also recorded for hospital dentists. In this study there was agreement on the importance of freedom from oral pain and fear of aspiration. Nursing personnel gave priority to aspects of good care such as being able to chew and enjoy eating. Relatives were also concerned with social behaviour and communication such as fresh breath, normal speech, and normal appearance. The ratings by the hospital dentists were generally lower which might reflect professional awareness of the limitations of treatment success implied by cognitive impairment.</div>
</front>
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