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Oral health problems in elderly rehabilitation patients
Kristianstad University, Department of Health Sciences.ORCID iD: 0000-0003-0269-730X
Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
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2004 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 2, no 2, 70-77 p.Article in journal (Refereed) Published
Abstract [en]

A combination of poor oral hygiene and dry mouth may be hazardous to the oral health status. However, systematic assessments in order to detect oral health problems are seldom performed in the nursing care of the elderly. The aims of this study were to investigate the occurrence of oral health problems measured using the Revised Oral Assessment Guide (ROAG) and to analyse associations between oral health problems and age, gender, living conditions, cohabitation, reason for admission, number of drugs, and functional and nutritional status. One registered nurse performed oral health assessments using ROAG in 161 newly admitted elderly patients in rehabilitation care. Oral health problems were found in 71% of the patients. Thirty per cent of these patients had between four and eight problems. Low saliva flow and problems related to lips were the most frequent oral health problems. Problems in oral health status were significantly associated with presence of respiratory diseases (problems with gums, lips, alterations on the tongue and mucous membranes), living in special accommodation (low saliva flow, problems with teeth/dentures and alterations on the tongue), being undernourished (alterations on the tongue and low saliva flow) and being a woman (low saliva flow). The highest Odds ratio (OR) was found in problems with gums in relation with prevalence of respiratory diseases (OR 8.9; confidence interval (CI) 2.8–27.8; P < 0.0005). This study indicates the importance of standardised oral health assessments in order to detect oral health problems which can otherwise be hidden when the patients are admitted to the hospital ward.

Place, publisher, year, edition, pages
2004. Vol. 2, no 2, 70-77 p.
Keyword [en]
elderly rehabilitation patients, gender, nursing care, oral health problems, respiratory diseases. revised Oral Assessment Guide, special accommodation, undernourishment
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-5241DOI: 10.1111/j.1601-5029.2004.00073.xPubMedID: 16451465OAI: oai:DiVA.org:hkr-5241DiVA: diva2:275447
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2014-06-17Bibliographically approved
In thesis
1. Assessments of oral health status in frail patients in hospital
Open this publication in new window or tab >>Assessments of oral health status in frail patients in hospital
2004 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aims of this thesis were to evaluate the usefulness of an oral assess¬ment guide and to determine the oral health status among frail patients in hospital settings. A further aim was to analyze possible factors that may be associated with oral health status, with special focus on the relationship between oral health and nutritional status among elderly rehabilitation patients. The Oral Assessment Guide (OAG) was used in patients with haematological malignancies undergoing chemotherapy. In further studies a Revised Oral Assessment Guide (ROAG) was used among geriatric rehabilitation patients. The inter-rater reliability of the OAG between registered nurses at the ward and a dental hygienist (DH) was good, as well as between a registered nurse and a DH using ROAG. Problems in the oral cavity were detected in all patients with haematological malignancies undergoing chemotherapy. Problems related to mucous membranes, teeth and/or dentures were most frequent. Oral health problems were also a frequent finding among the geriatric rehabilitation patients. The frequency of oral health problems was significantly lower at discharge compared to admission. Oral health problems were more often found among patients that stayed for longer periods at the hospital, were more dependent on help with daily activities and suffered for dysphagia, than among the healthier patients. Oral health problems were more common among the patients being at risk of undernourishment, suspected to be or severely undernourished (UN), than among the well-nourished patients. Problems in oral health status were significantly associated with the occurrence of respiratory diseases, living in special accommodation, being UN and being a woman. The highest Odds Ratio (OR) was found in problems with gums in relation to the occurrence of respiratory diseases (OR 8.9; 95 % CI 2.8-27.8). OAG as well as ROAG were found to be useful for assessing oral health status in frail patients at hospital. Oral health problems were a frequent finding among the patients. The use of an oral assessment tool on a routine basis may facilitate the detection of problems which otherwise can be hidden, and can serve as a guide for initiating individualised oral health procedures.

Place, publisher, year, edition, pages
Malmö: Malmö högskola, 2004. 68 p.
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5307 (URN)91-628-6019-4 (ISBN)
Public defence
(English)
Available from: 2009-12-10 Created: 2009-11-13 Last updated: 2014-06-17Bibliographically approved

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