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TMF Health Quality Institute

TMF Health Quality Institute. Training 3 Shelley Mitchell, RDH Shelley.Mitchell@tmf.org. Residents Who Require Special Care and the Resistant Resident. What you will learn today Strategies for providing mouth care for residents with dementia Strategies for avoiding resistant behaviors

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TMF Health Quality Institute

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  1. TMF Health Quality Institute Training 3 Shelley Mitchell, RDH Shelley.Mitchell@tmf.org

  2. Residents Who Require Special Care and the Resistant Resident • What you will learn today • Strategies for providing mouth care for residents with dementia • Strategies for avoiding resistant behaviors • Additional strategies

  3. Review • Poor oral hygiene is linked to: • Cardiovascular disease • Poor glycemic control • Pneumonia • Stroke • Weight loss • Pressure ulcers • Hospital readmission rates

  4. Dementia

  5. Resident’s oral care supplies • Keep in the same place • Make sure supplies are labeled with • Resident’s name • Product name • Jane Doe, toothpaste University of Kentucky School of Dentistry, oral health training- 90 min ppt slide 179

  6. Let’s watch an example of how mouth care is all too often provided Providing Mouth Care for Persons with Dementia: Rita Jablonski- Jaudon: Penn State School or Nursing: You Tube Video: https://www.youtube.com/watch?v=UlDL3YQPDNY

  7. How to prevent the fear response • Smile • Lower tone of voice • Move and speak slowly • Simple instructions • Remove distractions • Do NOT Rush

  8. Approach resident • From the front • Maintain eye level • Introduce self in a lower pitch voice • Address the person by name • Introduce yourself “Good morning John. I am Mary, your nurse”

  9. Let’s watch how to prevent resistant behavior in residents with dementia Providing Mouth Care for Persons with Dementia: Rita Jablonski- Jaudon: Penn State School or Nursing: You Tube Video: https://www.youtube.com/watch?v=UlDL3YQPDNY

  10. Other special care considerations • Stroke • Parkinson’s disease • Arthritis

  11. Stroke may cause problems with: • Vision • Hearing • Remembering, thinking and understanding others

  12. Stroke can cause: • Paralysis of the face and mouth resulting in “one sided neglect”

  13. Stroke, Parkinson’s disease, Arthritis Can make brushing difficult. Child-size toothbrush head for the resident who has trouble opening mouth.

  14. This video offers additional strategies for reducing care resistant behaviors Providing Mouth Care for Persons with Dementia: Rita Jablonski- Jaudon: Penn State School or Nursing: You Tube Video: https://www.youtube.com/watch?v=UlDL3YQPDNY

  15. Additional Resources • Texas Oral Health Coalition: http://txohc.org Access to Dental Care Resources: • Health Resources & Services Administration: “Find a Health Center” - Health Centers provide preventive and primary health care, even if you do not have insurance. https://www.hrsa.gov/index.html • 2-1-1 Texas- If you do not have Medicaid, or if you are 21 years old or older, 2-1-1 is a free help line that is answered in more than 90 languages, 24 hours a day, 7 days a week. An operator can help you find a dentist near you. You can also search online by zip code. http://www.211texas.org/ • Mouth Healthy- American Dental Association. “ADA Find a Dentist” - search by zip code, discipline of dentistry, search by patient type (geriatric) and payment options. http://www.mouthhealthy.org/en • Texas Association of Community Health Centers- Dental help for uninsured individuals. Search at https://www.tachc.org/

  16. Thank you for spending timewith me today Remember… You are the Oral Care Champions Thank you to the University of Kentucky College of Dentistry for content and illustrations used in this presentation. The Oklahoma State Department of Health (OSDH) is an equal opportunity employer and provider.

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