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Oral care in long term care oral care for all
1.
ORAL CARE IN LONG-TERM
CARE ORAL CARE FOR ALL Laura Carney Speech-Language Pathologist Saskatoon Health Region, Long-Term Care Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
2.
POPULATION THOSE LIVING IN
LTC IN SHR AGEING DEMENTIA POST STROKE, PARKINSON’S DX OTHER NEUROLOGICAL DX RESPIRATORY/CARDIAC DX Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
3.
TWO PRIMARY GROUPS THOSE
WITH ORALPHARYNGEAL DYSPHAGIA THOSE WITH NO DX OF DYSPHAGIA BUT WHO HAVE BEEN DX WITH ASPIRATION PNEUMONIA Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
4.
GROUP ONE: DYSPHAGIA HIGH
# OF MEDICAL CONDITIONS WHICH PREDISPOSE PERSON TO DYSPHAGIA MEDICATIONS MAY INCREASE RISK OF DYSPHAGIA CONTROVERSY: USE OF THICKENED FLUIDS (LOGEMANN ET AL, 2008) STAFF TIME VARIES FOR INTERVENTION ORAL CARE: POCKETING OF FOOD Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
5.
GROUP TWO ASPIRATION PNEUMONIA NOT
INITIALLY REFERRED FOR SWALLOWING ASSESSMENT; SEEN POST-DISCHARGE AND NOW DX AS DYSPHAGIC SUSPECT IS SALIVA LANGMORE ET AL (1998): DYSPHAGIA NOT A PRIME RISK FOR AP UNLESS OTHER RISK FACTORS ON BOARD Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
6.
GROUP TWO: ASPIRATION PNEUMONIA FACTORS
INCLUDED: DEPENDENT FOR FEEDING DEPENDENT FOR ORAL CARE NUMBER OF DECAYED TEETH TUBE FEEDING MULTI MEDICAL DIAGNOSES NUMBER OF MEDICATIONS SMOKING Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
7.
ORAL CARE IN
LTC EDUCATION: ORAL CARE AND CHEST HEALTH NURSING CARE AIDES OWNERSHIP OF RESPONSIBILITY EXPECTATION THAT CARE WILL BE GIVEN Healthiest People~Healthiest Communities~Exceptional Service © 2010, Saskatoon Health Region
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