Implementing and sustaining evidence-based practices in long-term care.

Oral Health

The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of Oral Health: Nursing Assessment and Intervention Best Practice Guideline. Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!

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Oral care best practices for residents with responsive behaviour: Approaches and strategies

This RNAO-sponsored webinar is 34 minutes long, with a focus on dementia oral care.

Kurchinski, K., & Woodbeck, H. (2016). Oral care best practices for residents with responsive behaviour: Approaches and strategies [Video file]. Retrieved from https://www.youtube.com/watch?v=oFS1c-qpCeE

 

 

Oral care approaches when residents have expressive behaviours

This YouTube webinar from the Registered Nurses Association of Ontario Oral Care Community of Practice describes options for giving oral care to residents who have expressive behaviours.  It provides a background on the meaning of behaviours and practical ways to approach oral care.

Thoma, J., & Kurchinski, K. (2016). Oral Care Approaches when Residents have Expressive Behaviours [Video file]. Retrieved from https://www.youtube.com/watch?v=ntcCpfOZBPE

Growing old with a smile - video series and workbook

This website offers a workbook with 10 accompanying videos to help long-term care home staff to learn techniques to provide better oral care to their residents. 

Minnesota Dental Association. (n.d.). Growing old with a smile: Oral health for older adults in long-term care. Retrieved from https://www.mndental.org/public/oral-health/seniors-and-oral-health/

 

For caregivers – A guide to providing oral care (ODHA)

This fact sheet from the Ontario Dental Hygienists' Association provides signs of poor oral care and gives clear instructions for how a caregiver can give oral care to another person.

Ontario Dental Hygienists' Association. (n.d.). For caregivers – A guide to providing oral care. Retrieved from https://odha.on.ca/wp-content/uploads/2016/08/CaregiversNewFactSheet.pdf

 

Periodontal disease and older adults

This pocket guide was developed by the National Initiative for the Care of the Elderly (NICE). It describes the signs and symptoms of periodontal disease and gives practical tips on how to provide oral care for people with dementia.

National Initiative for the Care of the Elderly. (2012). Periodontal disease and older adults.  Retrieved from http://www.nicenet.ca/files/U_of_T_Nice_193448_Expert_Dental_Tool-4.pdf

 

Brushing Up on Mouth Care: Dalhousie University - Health Population Institute

This website from Dalhousie University focuses on oral health care resources as a result of oral health activities in long term care homes. Resources include a manual, education videos, oral care tool kits, assessment and care planning tools and guidelines for organizationally mapping oral care.

Dalhousie University. (n.d.). Population Health Institute: Brushing up on mouth care.  Retrieved from http://www.dal.ca/dept/hpi/community-reports/oral-care-uptake.html

Web Address: http://www.dal.ca/dept/hpi/community-reports/oral-care-uptake.html

 

Oral care auditing tool - RNAO

This is a comprehensive collection of audits to review oral care in long term care. It contains instructions and audits on: dental equipment; Denture and denture supplies; Oral care supplies in residents’ care caddie; Oral care practices; POC/Flowsheet; Actual Resident Assessment of oral care; Admission Process; Levels of assistance and behaviours; Annual Assessment; Quarterly Assessment; Annual evaluation of oral care education; and Resident and Family Information.

MacDonald, I. (2016). Oral Care Auditing Tool. Toronto, ON: Registered Nurses Association of Ontario - Oral Care Community of Practice 2015-16.

 

Oral care community of practice data collection tools (RNAO)

This booklet is a group of tools that long term care or other health care organizations can use to collect baseline data on the status of oral care. Tools included are: RAI-MDS indicators; audits for oral supplies and care on charts; and an oral health knowledge survey.

MacDonald, I. (2015). Oral care community of practice data collection tools. Toronto, ON: Registered Nurses Association of Ontario.

 

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