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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Whole body health requires oral health - talking points (CDHA)

This document offers talking points on the connection between oral and overall health. Oral health can influence other body systems, while therapies for chronic diseases can have an impact on the oral cavity and nurses can use this fact sheet while talking to residents and families about the importance of oral hygiene.  

The Canadian Dental Hygienist Association. (2015). Talking points – whole body health requires oral health. [Fact sheet]. Retrieved from https://files.cdha.ca/profession/resources/FactSheet_WholeBody_printerFriendly_final2.pdf

Source: Canadian Dental Hygienists Association www.cdha.ca.

Whole body health requires oral health - Talking points

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://youtu.be/oFS1c-qpCeE

 

Oral Care Best Practices for Residents with Responsive Behaviour: Approaches and strategies
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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://youtu.be/ntcCpfOZBPE
Oral Care Approaches when Residents have Expressive Behaviours
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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/

 

Growing old with a smile - video series and workbook
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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

 

For Caregivers – A Guide to Providing Oral Care

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://brushingup.ca/

 

 

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

 

File Oral Care Auditing Tool

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.

 

PDF icon Oral Care Community of Practice Data Collection Tools

Part 3 - Best practices for oral care interventions in LTC

This 30-minute video demonstrates how to brush another persons teeth and describes interventions for various oral care problems found in residents in long term care. It is Part 3 of the RNAO Long-Term Care Best Practices Program - Oral Assessment Series (3 parts).

MacDonald, I. & Peachman-Faust, T. (2016). Part 3 - Best practices for oral care interventions in long term care. [Video file]. Retrieved from https://www.youtube.com/watch?v=fp5oXYNHQp4

 

Part 3-Best practices for oral care interventions in LTC

Part 2 - Oral Assessment in LTC: Unhealthy changes and common abnormalities

This 25-minute video shows a range of unhealthy changes and common abnormalities that can be found during oral assessments of residents living in long term care homes. How to do an oral assessment is reviewed. It is Part 2 of the RNAO Long-Term Care Best Practices Program - Oral Health Assessment Series (3 parts).

MacDonald, I. & Peachman-Faust, T. (2015). Part 2 - Oral assessment in LTC: Unhealthy changes and common abnormalities. [Video file]. Retrieved from  https://www.youtube.com/watch?v=fsQF-ElrwZk

 

Part 2 - Oral Assessment in LTC: unhealthy changes and common abnormalities

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