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Older people may have a range of health problems or disabilities that impact on their ability to care for their own oral health and may need assistance during their hospital stay as well as follow up care on discharge.

For older people admitted to acute hospitals, oral health assessment and oral health care should be considered as an integral component of patient-centred care and a valuable opportunity to address these health issues. Cost and transport is also a factor affecting older people and their decisions around accessing dental treatment services.Īs people age they tend to interact with a range of health workers more frequently than they do a dentist. Oral health care may be overlooked by community-living patients with decreasing levels of cognition, health and mobility. Medications taken by older people often cause dry mouth (xerostomia) which affects speaking, eating and also increases the levels of oral bacteria and infection.Poor oral health results in bad breath and affects people’s ability to speak, socialise and feel happy with their appearance.Chronic oral infection can complicate the medical management of general illnesses such as diabetes, chronic heart failure and respiratory diseases.Aspiration pneumonia is a major cause of morbidity and mortality for hospitalised and institutionalised frail older people. Poor oral health is linked to increased risk of cardiovascular disease, stroke and aspiration pneumonia.Oral pain may also affect mood and behaviour, especially for people with dementia who find it difficult to self report their pain and discomfort.Oral pain and difficulty with eating can affect nutritional intake and body weight and therefore skin integrity, strength and mobility, and continence.Oral health is linked to general health, and oral conditions involving teeth, gums and dentures can significantly affect overall well-being and the ability to age positively. Oral health care for older people is often further complicated by a past dental history including crown and bridge work, partial dentures and implants. Older peoples’ mouths are prone to oral disease and those with natural teeth are more likely to have advanced gum disease (gingivitis or periodontitis). Why is oral health care important for older people in hospital?Īs the ageing population is increasingly retaining their natural teeth, their need for optimal oral health care also increases. Simple oral health strategies involving a multi-disciplinary approach can assist with promoting and maintaining good oral health.Oral Health Assessment of older people on admission is essential for identification of issues and implementation of management strategies.Oral disease impacts on other areas of health and quality of life.As their ability to self-manage oral hygiene decreases, their risk of oral disease and infection increases. Increasing numbers of older people are retaining at least some of their natural teeth.The risk of poor oral health increases when older people become less able to self-manage due to issues of functional dependence, physical frailty, medical co-morbidity, poly-pharmacy and cognitive impairment.Five facts everyone should know about oral health This domain was developed by the South Australian Dental Service. Dental Treatment Pathway flow chart (PDF 22KB).Better oral health care - Professional portfolio (PDF 768KB).Better oral health care - Staff portfolio (PDF 2.0MB).Please refer to the following resources for more information: Bad Again -美しき反逆- (BL version) (loading lyrics.) 4.Oral health care domain - Care of older people toolkit On this page Ratsbane (W version) (loading lyrics.) 3. 白い奇蹟 (W version) (loading lyrics.) Disc 2 1. Stainless Night (W version) (loading lyrics.) 16. 1999 Secret Object (BL version) (loading lyrics.) 15. Big Time Changes (W version) (loading lyrics.) 13. El Dorado (BL version) (loading lyrics.) 12. Aphrodite (Live Black Mass version) (loading lyrics.) 11. 秘密の花園 (Live Black Mass version) (loading lyrics.) 10. BL version (1999 Black List) W version (Worst -アルバム-) Combined version.įire After Fire (Expo. Porfavor arregla el enlace de Black Mass Final 3 Nights disc2.rar. (Honke) Gokuaku Shuutaisei Ban 1999 Black List. 蝋人形の館 (Combined version) (loading lyrics.) 6.

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