Aged Care and Oral Health - World Toothache Day February 9th
Toothaches, as you likely know, can be terribly unpleasant! There is even a day dedicated to this unpleasant experience – World Toothache Day on 9 February.
With the day approaching, take a moment to remember what a toothache feels like, or if you are lucky enough not to know, you may be able to remember someone else around you experiencing this intense pain in their teeth.
Either way, you probably agree that World Toothache Day has been made official for a reason – toothaches, officially, are horrid.
Why not consider your dental health in the lead up to World Health Day 2017 and ensure that you look after your teeth and perhaps get that dental check-up that you may have been putting off.
That’s right – according to the Australian Institute of Health and Welfare (AIHW) (2016) 2013 survey findings, 32% of Australians aged 5 and older did not go to the dentist due to the cost of dental care!
The AIHW (2016) found that 19% of insured Australian adults that had to pay for their own dentistry, reported that dental care created a significant financial problem.
Aged Care and Oral Health
Dental issues that are linked with the ageing process, include:
- Dry mouth
- Root and coronal caries
Porter et al. (2015) found in a study of older nursing home residents that many had poor oral health. This contributed significantly to a decrease in oral health-related quality of life.
Many of the residents in Porter et al.’s study conveyed that they suffered cracked lips, dry mouth, poor-fitting dentures, broken teeth and gum-bleeding.
It was concluded that health promotion interventions may help to improve the oral health for nursing home residents. This may also suggest a way to improve the oral health-related quality of life for aged nursing home residents.
An additional care consideration for older clients is that they may be more sensitive to the medications/analgesics and anaesthetics required to perform dental work (ADA 2015).
It has been suggested that older people should have minimal use of epinephrine due to the anticipated effect on an aged heart (ADA 2015).
Furthermore, older people are more at risk of medication errors, interactions and side effects, due to often being on many prescription and non-prescription medications (ADA 2015).
Other conditions that are more common in older adults, such as dementia and communication difficulties (e.g. hearing loss), also contribute to a greater risk of poor oral health (ADA 2015). Cognitive and communication issues can lead to difficulties for the person to comprehend and be guided by instructions that could improve their dental health (ADA 2015).
The ADA (2015) suggests tailoring daily living care to the individual’s needs. This may mean employing large font to ease interpretation of written information, limiting background noises to aid auditory information transfer, or creating a calm and trustworthy environment for people with dementia (ADA 2015).
With World Toothache Day approaching, it is worth considering what you can do in your nursing care to assist your older clients to improve their oral health.
As a nurse or health professional, it is imperative that you are aware of this issue and that you tailor healthcare interventions to meet the individual client’s need.
As you become older too, it is essential that you look after your own oral health as well.
Why not make this World Toothache Day an opportunity to positively contribute to the oral and dental health of yourself and your clients.
[show_more more=”Show References” less=”Hide References” align=”center” color=”#808080″]
- American Dental Association 2015, Ageing and Dental Health, ADA, viewed 3 February 2017, http://www.ada.org/en/member-center/oral-health-topics/aging-and-dental-health
- Australia Institute of Health and Welfare 2016, Cost of Dental Care: People Who Can’t Afford A Dentist, AIHW, Australian Government, viewed 3 February 2017, http://www.aihw.gov.au/dental/cost/
- Porter, J, Ntouva, A, Read, A, Murdoch, M, Ola, D & Tsakos G 2015, ‘The Impact of Oral Health on the Quality of Life for Nursing Home Residents’, Health and Quality of Life Outcomes, no. 13, vol. 2012, viewed 3 February 2017, https://hqlo.biomedcentral.com/articles/10.1186/s12955-015-0300-y
Madeline Gilkes focused the research project for her master's of healthcare leadership on health coaching for long-term weight loss in obese adults. Madeline is also a qualified weight management practitioner and Registered Nurse. Her vision is to prevent lifestyle diseases, obesogenic environments, dementia, and metabolic syndrome. She has a master of healthcare leadership, a graduate certificate in aged care, and a bachelor of nursing. Madeline works as an academic and has spent the past years in the role of clinical facilitator and clinical nurse specialist (gerontology & education). She is due to complete her Graduate Certificate in Adult and Vocational Education at CSU before November 2018. See Educator Profile