How to undertake an effective oral health assessment.

Thushara Thayaparan, Mili Doshi
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Abstract

Rationale and key points: Older people living in nursing and care homes are susceptible to developing oral health issues due, for example, to cognitive, physical and medical issues or conditions; therefore, an oral health assessment is a fundamental aspect of care for this population. Suboptimal oral health can result in pain and difficulty eating, drinking and communicating and can adversely affect the individual's comfort and dignity. Undertaking an effective and systematic oral health assessment can support nurses to identify oral health risk factors and evaluate the level of support individuals need to maintain optimal oral health: • An oral health assessment should be completed on an individual's admission to a nursing or care home and regularly thereafter to ensure early identification of any issues. • Nurses should use a validated oral health assessment tool, amend the individual's care plan as appropriate and instigate relevant care and/or a dental referral based on the outcomes. • An individualised oral care plan should be developed for each resident and should include daily oral hygiene routines, the use of dentures (if applicable) and access to dental care services. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it is evidence-based. Apply this article to your practice. Reflect on its contents and write a short account of: • How this article might improve your practice in undertaking an oral health assessment. • How you could use this information to educate nursing students or colleagues about undertaking oral health assessments.

如何进行有效的口腔健康评估。
理由和要点:生活在护理和护理院的老年人容易出现口腔健康问题,例如由于认知、身体和医疗问题或状况;因此,口腔健康评估是对这一人群进行护理的一个基本方面。口腔健康状况不佳会导致疼痛、饮食困难和沟通困难,并对个人的舒适和尊严产生不利影响。进行有效和系统的口腔健康评估可以帮助护士识别口腔健康风险因素,并评估个人维持最佳口腔健康所需的支持水平:•口腔健康评估应在个人进入护理或护理之家时完成,并在此后定期完成,以确保及早发现任何问题。•护士应使用经过验证的口腔健康评估工具,酌情修改个人的护理计划,并根据结果进行相关护理和/或牙科转诊。•应为每位居民制定个性化的口腔保健计划,包括日常口腔卫生习惯、假牙的使用(如果适用)和获得牙科保健服务。反思性活动:“如何”的文章可以帮助你更新实践,并确保它是基于证据的。把这篇文章应用到你的实践中。反思它的内容,并写一个简短的说明:•这篇文章可能如何改善你在进行口腔健康评估的实践。•如何使用这些信息来教育护理学生或同事进行口腔健康评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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