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Strategies for conducting dental examinations among cognitively impaired nursing home residents

Identifieur interne : 00A793 ( Main/Merge ); précédent : 00A792; suivant : 00A794

Strategies for conducting dental examinations among cognitively impaired nursing home residents

Auteurs : Jeanie Kayser-Jones [États-Unis] ; William F. Bird [États-Unis] ; Maryann Redford [États-Unis] ; Ellen S. Schell [États-Unis] ; Sheri H. Einhorn [États-Unis]

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RBID : ISTEX:3E6404128F4D662FF40B99AF0BC0238255779EA8

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English descriptors

Abstract

Many nursing home residents have poor oral health and are in need of treatment. A major barrier to pre viding care is the difficulty of examining cognitively impaired elders. In two research studies, 625 exams were conducted on 181 nursing home residents, the majority of whom suffered severe cognitive impairment. Qualitative data collected during the course of these two studies revealed strategies that permitted examiners to conduct the examinations successfully, including developing rapport with the residents, providing a quiet environment, and enlisting the help of the primary caregiver. The importance of interdisciplinary collaboration among health professionals, especially dentists and nurses, is discussed.

Url:
DOI: 10.1111/j.1754-4505.1996.tb00833.x

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ISTEX:3E6404128F4D662FF40B99AF0BC0238255779EA8

Le document en format XML

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<wicri:orgArea>Associate Clinical Professor and Vice Chair, Restorative Dentistry and Public Health and Hygiene, School of Dentistry, University of California</wicri:orgArea>
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<term>Cognitive impairment</term>
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<term>Demented</term>
<term>Demented residents</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental examination</term>
<term>Dental examination data</term>
<term>Dental examinations</term>
<term>Dental research</term>
<term>Dental student</term>
<term>Dentist</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Ethical issues</term>
<term>Field notes</term>
<term>First step</term>
<term>Gerodontics</term>
<term>Great need</term>
<term>Health professionals</term>
<term>Health statistics</term>
<term>Human services</term>
<term>Impairment</term>
<term>Many residents</term>
<term>Mild impairment</term>
<term>Moderate impairment</term>
<term>Multiple strategies</term>
<term>National institute</term>
<term>National institutes</term>
<term>National survey</term>
<term>Nursing home</term>
<term>Nursing home residents</term>
<term>Nursing home staff</term>
<term>Nursing homes</term>
<term>Nursing personnel</term>
<term>Nursing staff</term>
<term>Occluding pairs</term>
<term>Oral health</term>
<term>Oral health care</term>
<term>Oral health status</term>
<term>Periodontal screening</term>
<term>Physiological nursing</term>
<term>Primary caregiver</term>
<term>Principal investigator</term>
<term>Qualitative data</term>
<term>Quiet environment</term>
<term>Recording system</term>
<term>Research assistant</term>
<term>Research dentist</term>
<term>Research dentists</term>
<term>Research studies</term>
<term>Research team</term>
<term>Resident</term>
<term>Severe impairment</term>
<term>Special care</term>
<term>Tongue blade</term>
<term>Tooth mobility</term>
<term>Tooth scores</term>
<term>Various strategies</term>
<term>Visual cues</term>
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<term>Cognitive impairment</term>
<term>Cognitively</term>
<term>Demented</term>
<term>Demented residents</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental examination</term>
<term>Dental examination data</term>
<term>Dental examinations</term>
<term>Dental research</term>
<term>Dental student</term>
<term>Dentist</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Ethical issues</term>
<term>Field notes</term>
<term>First step</term>
<term>Gerodontics</term>
<term>Great need</term>
<term>Health professionals</term>
<term>Health statistics</term>
<term>Human services</term>
<term>Impairment</term>
<term>Many residents</term>
<term>Mild impairment</term>
<term>Moderate impairment</term>
<term>Multiple strategies</term>
<term>National institute</term>
<term>National institutes</term>
<term>National survey</term>
<term>Nursing home</term>
<term>Nursing home residents</term>
<term>Nursing home staff</term>
<term>Nursing homes</term>
<term>Nursing personnel</term>
<term>Nursing staff</term>
<term>Occluding pairs</term>
<term>Oral health</term>
<term>Oral health care</term>
<term>Oral health status</term>
<term>Periodontal screening</term>
<term>Physiological nursing</term>
<term>Primary caregiver</term>
<term>Principal investigator</term>
<term>Qualitative data</term>
<term>Quiet environment</term>
<term>Recording system</term>
<term>Research assistant</term>
<term>Research dentist</term>
<term>Research dentists</term>
<term>Research studies</term>
<term>Research team</term>
<term>Resident</term>
<term>Severe impairment</term>
<term>Special care</term>
<term>Tongue blade</term>
<term>Tooth mobility</term>
<term>Tooth scores</term>
<term>Various strategies</term>
<term>Visual cues</term>
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<div type="abstract" xml:lang="en">Many nursing home residents have poor oral health and are in need of treatment. A major barrier to pre viding care is the difficulty of examining cognitively impaired elders. In two research studies, 625 exams were conducted on 181 nursing home residents, the majority of whom suffered severe cognitive impairment. Qualitative data collected during the course of these two studies revealed strategies that permitted examiners to conduct the examinations successfully, including developing rapport with the residents, providing a quiet environment, and enlisting the help of the primary caregiver. The importance of interdisciplinary collaboration among health professionals, especially dentists and nurses, is discussed.</div>
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