Oral Hygiene for People with Dementia Essay

2200 Words Apr 9th, 2006 9 Pages
Assignment 1

Evidence based practice

"Oral Hygiene for adults with Dementia"

-Introduction-

The purpose of this essay is to discuss a clinical skill or nursing action by referring to the nursing and allied health literature to explain and support evidence based practice. The skill I wish to examine is the practice of oral hygiene for adults with dementia in residential aged care facilities. In this essay I aim to provide the reader with adequate references to support the best practice for oral hygiene for people with dementia.

-Evidence based practice -

Good oral health is important for a person's sense of well being and quality of life (Fiske, 2001). Inadequate oral hygiene can lead to pain, tooth loss, oral disease,
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Also noted in the care plan are problems that could be encountered with the resident and strategies that can be enforced if needed (NGC, 2003).
By identifying the persons self care ability, the provider can determine at what level care is necessary - whether just reminding, assisting, full assist or palliative care is needed (NCG, 2003) The nurse assess the persons physical and cognitive ability by assessing measurement of a clients muscle strength, flexibility and dexterity, balance, coordination, and tolerance (Crisp & Taylor, 2001, p.1067-1068). This can be done by observing and timing a person to completely brush the front surface of their teeth and take note of their ability to pick up the tooth brush and how they hold it and if they maintain concentration on the task at hand (Crisp & Taylor, 2001, p. 1068).
It is important to have regular mouth checks, whether the person being treated has dentures or not, this can highlight problems, so they can be treated early, all findings should be noted in the care plan (Fiske, 2001).

-Providing oral hygiene care-

In early and mid stages of dementia communication techniques such as chaining, task breakdown, bridging, rescuing and distraction can be used (Joanna Briggs Institute [JBI], 2004). Chaining is the procedure that involves the carer starting

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