Geriatric Oral Health Needs Flashcards
Focus on New Perspective on Aging
*MacArthur Studies of Successful Aging asked: “What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?”
*Examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters.
*Common ____ have emerged, such as remaining ___ ____ly and____ly, maintaining ___ contacts, and avoiding ___.
*Evidence is in the growing number of older adults who have ____ their natural dentition into advanced old age.
*Successful aging at the ___ and ___ health levels.
*Epidemiologic studies demonstrate trends in improved health and quality of life among newer cohorts of older adults.
Focus on New Perspective on Aging
*MacArthur Studies of Successful Aging asked: “What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?”
*Examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters.
*Common predictors have emerged, such as remaining active physically and cognitively, maintaining social contacts, and avoiding disease.
*Evidence is in the growing number of older adults who have retained their natural dentition into advanced old age.
*Successful aging at the systemic and oral health levels.
*Epidemiologic studies demonstrate trends in improved health and quality of life among newer cohorts of older adults.
Changes Thru Life Stages
*___ Prone Years
*___, ___, ____
*___ ___
____
_____ ___
*___, ___ , ____
*Repeat Cycle
Changes Thru Life Stages
*Cavity Prone Years
*Neglect, Illness, Finances
*Periodontal Disease
*Caries
*Tooth Loss
*Education, Restoration, Rehabilitation
*Repeat Cycle
Demographic Trends
*Geriatric population is exploding
*Will continue until the 21st Century
*1900 – _%
*2000 – 13% (3 million to 35 million)
*2030 – ___% (___ million)
*Minorities were __%(now) à___% (2030)
*8% Non-Hispanic blackà12%
*___% Hispanicà___%
*2% Asian and Pacific Islanderà 7%
*1% ___ ___ expected to remain same
Demographic Trends
*Geriatric population is exploding
*Will continue until the 21st Century
*1900 – 4%
*2000 – 13% (3 million to 35 million)
*2030 – 20% (70 million)
*Minorities were 16%(now) à35% (2030)
*8% Non-Hispanic blackà12%
*6% Hispanicà16%
*2% Asian and Pacific Islanderà 7%
*1% Native American expected to remain same
Access to Care
*What are the barriers to access to care among the elderly?
___
___
___
___
Access to Care
*What are the barriers to access to care among the elderly?
*Finances
*Transportation
*Health
*Priority
What does that mean?
*Planning for and providing oral care
___ issues?
___ English?
*___ issues? ___ status?
*Ratio of men to women
*___ more than likely will be married
*___ well being
*____ of caregivers
*Income of ___
What does that mean?
*Planning for and providing oral care
Cultural issues?
*Speak English?
*Gender issues? Marital status?
*Ratio of men to women
*Men more than likely will be married
*Emotional well being
*Availability of caregivers
*Income of widows
What kind of Activities
*____ activities
*In-home ___
*R____ therapy
*___ Activities
*You might find out other activities
What kind of Activities
*Wellness activities
*In-home services
*Rehabilitation therapy
*Independent Activities
*You might find out other activities
What makes elderly Different?
*Increasing health concerns
___y losses
____decline
Process information mor ____
May have___ issues
May be physically ___
Lessened ___and influence
____/dispersal of friends and family
Alteration in strength of voice by changes: ___ ___ ___ ____
If patient has episodic imprecise articulation may be a warning sign of ____, certain ____l conditions, improperly fitting ___s, ___ interactions.
What makes elderly Different?
*Increasing health concerns
Sensory losses
Memory decline
Process information more slowly
May have transportation issues
May be physically isolated
Lessened power and influence
Loss/dispersal of friends and family
Alteration in strength of voice by changes: Oral, Pharyngeal, Laryngeal or Respiratory system
If patient has episodic imprecise articulation may be a warning sign of TIA, certain neuropathological conditions, improperly fitting dentures, drug interactions.
Directed Questions
*Chronically ill patients tend not to follow ___ and lose way
*Lower perceived ___ , lower ____
*Encouragement
*Enthusiasm
*Frequent recall
*Self-discovery technique
Directed Questions
*Chronically ill patients tend not to follow therapy and lose way
*Lower perceived threat, lower compliance
*Encouragement
*Enthusiasm
*Frequent recall
*Self-discovery technique
What is Your Role?
*First focused healthcare interview
What is the difference between a casual conversation and interview?
Information__ ___ with no particular effort to guide the conversation. (convo)
One participant is making a conscious effort to __ ___n. (interview)
Skill is in making feel simply like engaging in ____
We are trying to achieve a life review.
What is Your Role?
*First focused healthcare interview
What is the difference between a casual conversation and interview?
Information flows freely with no particular effort to guide the conversation. (convo)
One participant is making a conscious effort to obtain information. (interview)
Skill is in making feel simply like engaging in conversation
We are trying to achieve a life review.
Analysis
*Why do it? Understand the person, how they ___ who they are
*What are the themes that you gathered
*Themes are ___ at create ___
*___ ____, etc.
*Usually___ themes
*Not the same for everyone
Analysis
*Why do it? Understand the person, how they became who they are
*What are the themes that you gathered
*Themes are markers that create continuity
*Money, upbringing, etc.
*Usually four/six themes
*Not the same for everyone
Environment
*Noise
*Hard to be heard if voice is low
*Hard of hearing
*Confusion
Instead find a quiet spot
Sit at eye level of patient
Environment
*Noise
*Hard to be heard if voice is low
*Hard of hearing
*Confusion
Instead find a quiet spot
Sit at eye level of patient
Teach Back Technique
*Let me see if I understand what you’ve told me so far…
*How did I do?
*What have I missed?
*What do you want to correct or add?
Teach Back Technique
*Let me see if I understand what you’ve told me so far…
*How did I do?
*What have I missed?
*What do you want to correct or add?
Initiating Conversation
*Do not use because words
It’s good for you, you need it etc
FORM
F:
O:
R:
M:
Enunciate Clearly and let the person see your mouth when you speak as there is a difference in talking loudly.
Initiating Conversation
*Do not use because words
It’s good for you, you need it etc
FORM
F: Family
O: Occupation
R: Recreation
M: Motivation
Enunciate Clearly and let the person see your mouth when you speak as there is a difference in talking loudly.
Etiquette
SOFTEN skills
*S
*O
*F
*T
*E
*N
PEARLS statements
P
E
A
L
S
L
I
S
T
E
N
Etiquette
SOFTEN skills
*Smile
*Open Body
*Forward Lean
*Touch
*Eye contact
*Nod
PEARLS statements
Partnersips
Empathy
Apology
Legitimization
Support
L earn from open-ended questions
I ntegrate using a diagram or visual
S ummarize for accuracy & completeness
T alk about omissions and meaning
E mpathize by validating
N egotiate recommendations
