OPS 1 Frances Report

Question 1

What is the Francis report?

Answer 1

The Francis Report was published based on a public inquiry into poor care at the Mid Staffordshire NHS Foundation Trust. The report examined what led to poor standards of care at the hospital, unnecessary patient deaths and why the warning signs of serious failings were not recognised.
“and they must be protected from avoidable harm and any deprivation of their basic rights”
and
“A culture focussed on doing the systems business- not that of the patients”
and
“Enhance the…education, training and support of all the key contributors to the provision of healthcare.”

Question 2

What is the average age of death in 2011?

Answer 2

75.

Question 3

By 2037 those aged 65 and older will make up how much of the population?

Answer 3

25%.

Question 4

What percentage of over 65’s will have a chronic condition by 2035?

Answer 4

66%.

Question 5

How many over 65’s are currently taking more than 10 medications?

Answer 5

16.4%.

Question 6

How many people in the UK currently have a diagnosis?

Answer 6

46%.

Question 7

What percentage of over 75, 65-74 and 55-64 of the Scottish population still have teeth remaining in 2012?

Answer 7

Over 75- 54%
65-74- 73%
55-64- 86%.

Question 8

Are the levels of edentulism increasing or decreasing?

Answer 8

Decreasing.

Question 9

What can iron tablets do if left to dissolve in the mouth?

Answer 9

They can burn a hole in the mouth.

Question 10

What are the most common oral diseases in the elderly?

Answer 10

Caries/root caries
Periodontal disease
Oral mucosal disorders.

Question 11

One fifth of oral cancer cases are diagnosed in the UK in people ages what and over?

Answer 11

75 and over.

Question 12

Does an elderly patient have to see a dentist even if they don’t have any teeth?

Answer 12

YES!

Question 13

What is avoidable harm?

Answer 13

Avoidable harm is unintentional harm caused to the patient that could have been prevented.

Question 14

What is aspiration pneumonia?

Answer 14

Pneumonia is a breathing condition in which there is inflammation (swelling) or an infection of the lungs or large airways. Aspiration pneumonia occurs when food, saliva, liquids, or vomit is breathed into the lungs or airways leading to the lungs, instead of being swallowed into the oesophagus and stomach.
Oral bacteria are the main source of it. Poor oral health results in an increased bacterial load and subsequently increased risk of aspiration pneumonia. Improved oral health reduces the likelihood of catching this disease.

Question 15

What is the Berwick report?

Answer 15

The Berwick Report clearly identifies the importance of constant vigilance, monitoring and learning to make sure our patients do not come to any kind of avoidable harm. Patient safety should be the ever-present concern of every person working in or affecting NHS funded care.

Question 16

What is article 5 of the UN convention of human rights?

Answer 16

Noone shall be subjected to degrading treatment.

Question 17

What is article 21 of the UN convention of human rights?

Answer 17

Everyone has the right of equal access to public service in this country.

Question 18

What is article 25 of the UN convention of human rights?

Answer 18

Everyone has the right to a standard of living adequate for the health and wellbeing of himself and of his family, including food, clothing housing and medical care.

Question 19

What is article 27 of the UN convention of human rights?

Answer 19

Everyone has the right freely to participate in the cultural life of the community.

Question 20

Why do the elderly have more difficulty with access to dental care?

Answer 20

Mobility and access to dental premises
Communication
Dental anxiety
Cost.

Question 21

Why is your oral health important to your general health?

Answer 21

To make you pain free and comfortable
Risk of life threatening spread of oral infection
Infection can smell and taste unpleasant, inhibiting social interaction and thus self-wellbeing
Nutrition.

Question 22

Why is oral health important to the quality of your life?

Answer 22

For eating
Comfort
Appearance
Smiling/laughing
Personality.

Question 23

What does loss of teeth lead to?

Answer 23

Impaired masticatory function
Avoidance of foods that are hard to chew
Not meeting nutritional needs
Increased intake of processed, high cholesterol and lipid based food stuffs.

Question 24

Why is the importance of oral health related to good social interaction?

Answer 24

For family visit
Talking to friends
Participating in social events
Eating together.

Question 25

What are the challenges of treating an elderly patient in dentistry?

Answer 25

Domiciliary dentistry
Arranging transport to dental clinic
Longer appointments
Failed appointments
Is our current workforce big enough to meet the need?

Question 26

What is the caring for smiles programme?

Answer 26

Caring for Smiles is a national programme that provides oral care training for care home staff to ensure they know how to look after the oral health of their residents. This requires regular assessment of an individual’s mouth and the development of a care plan with details of his or her particular needs.

Question 27

What are the barriers to change the priority of oral health in care homes?

Answer 27

Oral health is a low priority in care plans
Carers have limited knowledge of oral health
Carers have difficulty in gaining access to residents teeth
High turnover of care staff
Poorly paid care staff
Do they feel valued?

Question 28

What three groups research and help bridge the barrier of oral health?

Answer 28

Community oral health research group
Oral health of older people research theme
Scottish oral health research collaboration.

Question 29

What is Berwick’s key principles?

Answer 29

Place the quality of patient care, especially patient safety, above all other aims

Engage, empower, and hear patients and carers at all times

Foster whole-heartedly the growth and development of all staff, including their ability and support to improve the processes in which they work

Embrace transparency unequivocally and everywhere, in the service of accountability, trust, and the growth of knowledge.