The Francis Report

Question 1

What is the Francis report?

Answer 1

• ‘Too great a degree of Tolerance of Poor standards and they must be protected from avoidable harm’
• Revealed appalling care of dependent older adults within NHS foundation Trust
• Abuse and neglect
• Not isolated incident
• Resistance to change
• Resulted in hospitals and trusts being on special measures

Question 2

What are some challenges of the ageing population?

Answer 2

• Living longer but often with poor health leading to diseased old age
• Polypharmacy
• Dementia
• Lower levels of e-dentulous patients
• More patients, more complex dentistry, more complex MH and SH , are enough dentists

Question 3

Common oral disease in elderly population?

Answer 3

• Caries/ root caries
• Periodontal disease
• Oral mucosal disorders
• Oral cancers

Question 4

How can aspiration Pneumonia occur in elderly?

Answer 4

• Having a dirty mouth can be fatal
• Oral bacteria is main source of infection for aspiration pneumonia
• Poor oral health = increased bacterial load = increased risk of aspiration pneumonia
• Improved oral health reduces risk

Question 5

How is staphylococcal mucositis related to aspiration pneumonia?

Answer 5

• Lack of oral care in mouth
• Build up of dead mucosal cells, dried mucous and salivary secretions
• Demonstrated Staph Aureus
• Seen during COVID-19 in intubated pt

Question 6

What are the UN Convention of Human rights related to patient safety?

Answer 6

Article 5
- No one shall be subjectedto degrading treatment

Article 21
- Everyone has the right of equal access to public service in his country.

Article 25
- Everyone has the right to a standard of living adequate for the health and well-being of himself and of his family, including food, clothing, housing and medical care

Article 27
- Everyone has the right freely to participate in the cultural life of the community

Question 7

Why is oral health important to quality of life?

Answer 7

• Eating
• Comfort
• Appearance
• Smiling / Laughing
• Personality

Question 8

What does loss of teeth relate to?

Answer 8

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

Question 9

How is caring for the elderly not business friendly?

Answer 9

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