Oral health care planning for people with degenerative conditions.
|
|
- Alexandrina Paul
- 8 years ago
- Views:
Transcription
1 Oral health care planning for people with degenerative conditions. Debbie Lewis Specialist in Special Care Dentistry Dorset Healthcare NHS Foundation Trust
2 The objectives of my session are! To consider the oral health issues affecting people with Parkinson's Disease, Dementia, MS and Huntington's Disease.! To discuss the impact of degenerative conditions on oral health.! To illustrate patient centred oral care planning.! To look at multidisciplinary team working.! To recommend a communication passport for people with degenerative conditions
3 Oral health care planning for people with degenerative conditions Due to progressive condition- Emphasis on rigorous preventive regimes Comprehensive restorative treatment Maintenance of the natural dentition Avoid the problematic management of dentures in later stages.
4 Oral Care Plan The lynch pin is to develop a written oral care plan, with involvement of the individual, family/and/or carer, which facilitates communication between the patient, carers and the dental team and helps to ensure that all involved in the individual s care are aware of her/his needs.
5 Oral Care Plan! Maintain comfort, dignity and self-esteem! To encourage independence and self-caremonitor ability! General health, medical condition and prognosis, medication and therapeutics! Previous standard of oral hygiene and oral care skills maintaining routines as long as possible
6 PARKINSON S DISEASE! Symptom / Impairment! Impact on oral health! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Hypersalivation and posture Medication- Levodopa
7 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Hypersalivation and posture Medication- Levodopa Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA
8 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Dysphagia Decreased quantity and quality of saliva Weak oral musculature Hypersalivation and posture Medication- Levodopa
9 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Increased risk of aspiration infections Associated with poor oral hygiene Ability to tolerate treatment. Weak oral musculature Hypersalivation and posture Medication- Levodopa
10 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Increased risk of aspiration infections Associated with poor oral hygiene/ability to tolerate treatment Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Hypersalivation and posture Medication- Levodopa
11 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Increased risk of aspiration infections Associated with poor oral hygiene/ability to tolerate treatment Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Difficulty with dentures, Difficulty eating and drinking. Nakayama et al. J Epidemiol 2004 Drooling and posture Medication- Levodopa
12 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Hypersalivation and posture Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Increased risk of aspiration infections Associated with poor oral hygiene/ability to tolerate treatment Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Difficulty with dentures, Difficulty eating and drinking Drooling and access to the mouth- head collar Medication- Levodopa
13 PARKINSON S DISEASE! Symptom / Impairment! Muscle rigidity Random movements Tremor Impaired Manual Dexterity Mobility Dysphagia Decreased quantity and quality of saliva Weak oral musculature Hypersalivation and posture Medication- Levodopa Impact on oral health! Ability to self care Ability to tolerate oral care/dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Increased risk of aspiration infections Associated with poor oral hygiene/ability to tolerate treatment Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Difficulty with dentures, Difficulty eating and drinking Drooling and access to the mouth- head collar Salivary disturbance and taste dysfunction
14 DEMENTIA! Symptom / Impairment! Cognitive skills Impact on oral health! Memory loss Dependence Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem
15 Dementia! Symptom / Impairment! Cognitive skills Impact on oral health! Ability for selfcare Denture wearing skills Capacity Memory loss Dependence Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem
16 Dementia! Symptom / Impairment! Cognitive skills Impact on oral health! Ability for selfcare Denture wearing skills Capacity Memory loss Support with oral care Lost dentures Dependence Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem
17 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Impact on oral health! Ability for selfcare Denture wearing skills Capacity Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Wiseman 2005 Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem
18 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Non- compliance Eating difficulties Impact on oral health! Ability for selfcare Denture wearing skills Capacity Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Refuse oral care- periodontal disease/caries Refuse dental treatment- Sed/GA Communication Personality change may be due to dementia or oral problem
19 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Non- compliance Impact on oral health! Ability for selfcare Denture wearing skills Capacity Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Refuse oral care- periodontal disease Refuse dental treatment - Sed/GA Eating difficulties High sugar diet- caries Communication Personality change may be due to dementia or oral problem
20 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Non- compliance Eating difficulties Communication Impact on oral health! Ability for selfcare Denture wearing skills Capacity Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Refuse oral care- periodontal disease Refuse dental treatment - Sed/GA High sugar diet- caries Ability to express pain or discomfort-refusal to eat/ pulling at face/not wearing denture/restlessness/ disturbed sleep/moaning/shouting/crying Personality change may be due to dementia or oral problem
21 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem Impact on oral health! Ability for selfcare Denture wearing skills Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Refuse oral care- periodontal disease Refuse dental treatment High sugar diet- caries Ability to express pain or discomfort Pain- need diagnosis
22 Dementia! Symptom / Impairment! Cognitive skills Memory loss Dependence Non- compliance Eating difficulties Communication Personality change may be due to dementia or oral problem Dementia Guidelines Impact on oral health! Ability for selfcare Denture wearing skills Support with oral care Lost dentures Access to dental services and ability to tolerate treatment Refuse oral care- periodontal disease Refuse dental treatment Sed/GA High sugar diet- caries Ability to express pain or discomfort Pain- need diagnosis
23 Marking Lost Dentures Storage Copy dentures Oral Assessment
24 Multiple Sclerosis! Symptom / Impairment! Impact on oral health! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
25 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
26 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balancebladder control problems Progressive disability Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
27 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
28 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Quality of life Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
29 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Quality of life Quality of life Eating and drinking Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Cognitive skills
30 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Quality of life Quality of life Eating and drinking Ability self care Decreased quantity and quality of saliva Swallowing problems Cognitive skills
31 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Ability to tolerate treatment Ability to tolerate treatment. Eating and drinking Ability self care Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Swallowing problems Cognitive skills
32 Multiple Sclerosis! Symptom / Impairment! Tremor Spasms/Rigidity Impaired Manual Dexterity Fatigue Parasthesia Mobility balance Progressive disability Bladder control problems Memory Motivation.personalityDepression Facial Pain/ Trigeminal neuralgia Burning mouth Problem with vision blurred/double Decreased quantity and quality of saliva Swallowing problems Impact on oral health! Ability to self care Ability to tolerate oral care/ dental treatment Need Sedation/GA Access to dental services and ability to tolerate treatment Access to dental services and ability to tolerate treatment Ability self care Ability to tolerate treatment Ability to tolerate treatment. Eating and drinking Ability self care Xerostomia which increases the risk of dental caries, periodontal disease, oral infections, and denture problems, burning mouth Difficulty eating and drinking Tolerating dental treatment Cognitive skills Ability for selfcare, Capacity Denture wearing skills
33 Huntington s Disease! Symptom / Impairment! Impact on oral health! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problemschorea movements Medication Communication impaired speech and slurring
34 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Medication Communication impaired speech and slurring
35 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Medication Communication impaired speech and slurring
36 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment High sugar consumption, Smoking, alcohol Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Medication Communication impaired speech and slurring
37 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment High sugar consumption, Smoking, alcohol Ability self care. Access to dental services Ability to tolerate treatment Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Medication Communication impaired speech and slurring
38 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment High sugar consumption, Smoking, alcohol Ability self care. Access to dental services Ability to tolerate treatment Difficulty eating and drinking- PEG Maintaining constant body wt/incr appetite/cram food/ choking Tolerating oral care/ dental treatment Medication Communication impaired speech and slurring
39 Huntington s Disease! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Chorea movements Medication Impact on oral health! Ability self care Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment High sugar consumption, Smoking, alcohol Ability self care. Access to dental services Ability to tolerate treatment Difficulty eating and drinking Maintaining constant body wt/incr appetite/cram food/ choking Tolerating dental treatment Xerostomia Communication impaired speech and slurring
40 Huntington s Disease! Show Poster! Symptom / Impairment! Loss of muscular coordination Short term memory lapses Loss of concentration and organisational skills May develop a lack of interest in hygiene and self-care. Cognitive skills Mobility Fatigue Bladder control problems Addictive tendancies Personality changes/mood swings/depression Degeneration of muscles involved in swallowing/ Swallowing problems Medication Communication impaired speech and slurring Impact on oral health! Ability to oral care/ tolerate treatment Ability to oral care/ tolerate treatment Denture wearing skills Access to dental services and ability to tolerate treatment High sugar consumption, Smoking, alcohol Ability self care. Access to dental services Ability to tolerate treatment Difficulty eating and drinking Maintaining constant body wt/incr appetite/cram food/ choking Tolerating dental treatment Xerostomia Ability to express need Access to dental services.
41 Patient centred oral care plan The flexible patientcentred approach is especially appropriate when planning care for individuals who have degenerative disease How much treatment can they cope with physically and psychologicallyretain well-being. Good days/bad days/time of day Realistic Which of their oral problems are they most concerned about getting treated? Enables an individual to have inclusion and involvement in the decisions made about their oral care needs and how they are met.
42 Patient centred oral care plan Treatment and aftercare may need to be modified to accommodate the patient s condition and living situation How well can their oral health be maintained? Who is able to give help with daily oral healthcare? Restore key teeth Skills and facilities required to manage delivery of care eg Diaco/hoist/ Sed/GA
43 Patient centred oral care plan High quality but low maintenance treatment should be the aim. There is no point in completing an ambitious course of restorative care if there is no adequate level of daily oral healthcare to maintain it.
44 Functionally dependent older people have higher rates of tooth loss, greater prevalence of denture related problems, greater prevalence and severity of caries, higher prevalence of periodontal disease and less likely to have seen a dentist for 5 years Henry 1995
45 Special Oral Care Aspirating toothbrush, Kimberley Clark
46 Shared care People with disabilities vary in their views on the type of service they want. Whilst some prefer to use mainstream services, others want more specialised services.
47 Shared care Shared care between general dental practice and a special care service General dental practice offers advantages that Include: Continuity of care Opportunity to access mainstream service Wider choice of service providers-incl. hygienists/therapists Attend the dentist with the rest of the family
48 Shared care More convenient location than a specialist centre is likely to have If some items of management or treatment are complex, then the support of a special care service may be necessary Facilities for sedation and general anaesthesia, or access to these services are essential, for some people with degenerative conditions Access to Domiciliary care is also essential
49 Key Skills Flexibility Teamwork Communication Assertiveness and Anticipation Manual handling and Map reading Planning and time management Improvisation Networking and liaison Gerodontology Guidelines for the Delivery of a Domiciliary Oral Healthcare Service uk
50 Equality- Access to care Dedicated Parking Signage Handrail and ramp Waiting area seating/ communication aids Low reception desk Accessible toilets Hoists/ wheelchair tippers
51 Multidisciplinary Team for People with Degenerative Conditions. Pharmacist Speech & language Therapy Voluntary orgs Community nursing team Day centre and care home staff Patient Hospital Specialist Relatives and carers Community mental health teams General medical practitioners Palliative care teams Dental team and specialist Occupatonal therapist Specialist Nurse Social services
52 Voluntary orgs
53
54 Standards for Care Homes Oral health assessment Independence- striking balance to maintain adequate oral health Standards for routine oral and denture hygiene linked to the National Minimum Care Standards- Standard 13 (HIQA,2007) Structured,modular training for carers to assist/and/or provide daily care with a standardised resource Oral Care Plans/Oral Health Charter Written oral care plans can facilitate communication between dental team, patient and carers
55 MULTIDISCIPLINARY
56 Aims of the Clinic There is strong evidence that providing patients and carers with information about their condition has a positive effect on physical, psychological and social outcomes National service framework Long term Conditions!. Knowledge/understanding! Anxiety! Decision making/patient involvement! Patient professional partnership! Communication with the family (May 2003)
57 MULTIDISCIPLINARY The medical consultant sees people by appointment and other services work more informally. Other professionals include a dietician, speech and language therapist, specialist nurse, occupational therapist, psychologist, genetic counsellor and an oral health promoter who is available for advice and to help facilitate access to oral health care.
58 With the input from patients of the service and their families/carers, the oral health promoter and her team have developed an information leaflet specifically for people with Huntingtdon s disease and their carers MULTIDISCIPLINARY
59 MULTIDISCIPLINARY Many of these patients have received preventive oral health advice with the aim of establishing good habits early on in the disease process. They have also been supported with accessing oral healthcare and have been able to close the loop by providing feedback to the oral health team at follow up clinics.
60 People with dementia Provides a snapshot of the person behind the dementia Habits Hobbies Likes and dislikes Communication This is me
61 This is me This leaflet will help you support me in an unfamiliar place My name Please place a photograph of yourself in the space provided. My name: full name and the name I prefer to be known by I currently live Carer/the person who knows me best I would like you to know My home and family, things that are important to me My life so far
62 My hobbies and interests Things which may worry or upset me photo This is me is about the person at the time the document is completed and will need to be updated as necessary.
63 This is me should be completed by the person or persons who know the patient best and wherever possible with the person themselves. Please refer to the back page for guidance notes to help you complete This is me. I like to relax by My hearing and eyesight My communication My mobility My sleep My personal care My eating and drinking My medication
64 The trials of being a human diary When am I seeing Dr Zan? I ve booked you in on Monday Thought Dr Floss was coming then No, I ll remind you again on Sunday So, when is Dr Floss coming? That s the following week \you can forget about Dr Floss for now I find myself declaring- tongue in cheek What time is it with Doctor Zhan We re going at half past 4 That is a bit late. Yes, but mum I have got a day s work to cram in before So we re not seeing Doctor Zan next week? Yes we are- what I just said And I must tell Dr Floss about my throat? No, she s the one comes about your head What am I seeing Dr Zan for? You said your throat is troubling you Oh is it? I don t remember that And you can get your jab against the flu So where do we go for Dr Floss? We don t; she comes out to visit us And you re taking me to Dr Zan s? (Bite my tongue not to retort: I think I ll let you get the bus. ) So when do I see Doctor Zan? Next Monday afternoon Seems such a long time to have to wait Monday will come around so soon Will we be back in time for Dr Floss? Don t worry- that s a different day So I don t have to remember then? No, I ll remind you anyway What was that you said before I have to remember about on Sunday? Nothing mum, it s me has to recall to remind you about Monday (sigh)
65
66
67
68 Thank you Any Questions?
Oral health and MS. Factsheet. How might MS affect my oral health? September 2012
Factsheet September 2012 Oral health and MS MS (multiple sclerosis) doesn't directly make you more likely to get dental problems than other people. But it might make it harder for you to maintain good
More informationGood end of life care in care homes
My Home Life Research Briefing No.6 This briefing sets out the key findings of a research review on good end of life care in care homes undertaken by Caroline Nicholson, in 2006, as part of the My Home
More informationOral health and MS. Factsheet
Factsheet Oral health and MS Multiple sclerosis (MS) does not directly make you any more susceptible to dental diseases than other members of the population. However, people with MS often have difficulties
More informationThe road to recovery. The support available to help you with your recovery after stroke
The road to recovery The road to recovery The support available to help you with your recovery after stroke We re for life after stroke Introduction Need to talk? Call our confidential Stroke Helpline
More informationVoting for your top research questions Survey
MS Priority Setting Partnership Voting for your top research questions Survey Prioritising important research questions for multiple sclerosis a partnership between people affected by MS and healthcare
More informationMy health action plan
My health action plan Contents What is a health action plan? 3 Section 1 Personal information 7 Section 2 People who help me 13 Section 3 Communication 17 Section 4 Medicine 23 Section 5 My general health
More informationDental care for patients with head and neck cancer
Dental care for patients with head and neck cancer This leaflet explains why it is important to see a dentist before and after your treatment for head and neck cancer. It also explains what you can expect
More informationSt Gemma s Hospice Therapy Team
St Gemma s Hospice Therapy Team Occupational Therapists Physiotherapists Dietitian Complementary Therapists Creative Arts Worker 0113 218 5500 www.st-gemma.co.uk St Gemma s Therapy Team The therapy team
More informationParkinson s Disease (PD)
Parkinson s Disease (PD) Parkinson s disease (PD) is a movement disorder that worsens over time. About 1 in 100 people older than 60 has Parkinson s. The exact cause of PD is still not known, but research
More informationHeads Up for Healthier Living
Help for today. Hope for tomorrow... Heads Up for Healthier Living For people with Alzheimer s disease and their families Living with Alzheimer s disease can be challenging. Whether you have the disease
More informationOral health and MS. MS Essentials Factsheet. Why is oral health important? How might MS affect my oral health? March 2010
MS Essentials Factsheet March 2010 Oral health and MS MS (multiple sclerosis) does not directly make you any more likely to get dental diseases than other people. But people with MS sometimes have difficulties
More informationDoncaster Community Health Team for Learning Disabilities. Information for families and carers. RDaSH. Learning Disability Services
Doncaster Community Health Team for Learning Disabilities. Information for families and carers RDaSH Learning Disability Services Useful contact numbers General enquiries: 01302 796467 Duty nurse number:
More informationMultiple Sclerosis (MS)
Multiple Sclerosis (MS) Purpose/Goal: Care partners will have an understanding of Multiple Sclerosis and will demonstrate safety and promote independence while providing care to the client with MS. Introduction
More informationPosition Paper on Access to Oral Health Care for Canadians
Position Paper on Access to Oral Health Care for Canadians Approved CDA Board of Directors May 2010 Preamble A daily regimen of brushing and flossing is an important part of good oral health while equitable
More informationDental services. in Bath and North East Somerset, Bristol, North Somerset and South Gloucestershire
Dental services in Bath and North East Somerset, Bristol, North Somerset and South Gloucestershire Contents Finding an NHS dentist 1 What can I do to avoid dental disease? 2 Information about sugar 2 Dental
More informationThe Importance of Dental Care. in Huntington Disease
Huntington s New South Wales The Importance of Dental Care in Huntington Disease Supported by NSW Health 1 2 The Importance of Dental Care in Huntington Disease It should be stated at the outset that the
More informationSpeech & Swallowing The ba sic fac t s
Speech & Swallowing The ba sic fac t s Multiple sclerosis If people are asking you to repeat words; if it s getting harder to carry on conversations because your speech is slurred, slow, or quiet; if you
More informationUnderstanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members
TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than
More informationStroke Care at Princess Royal University Hospital
Networked Services Stroke Care at Princess Royal University Hospital Information for patients, relatives and carers This leaflet explains the care we provide in our stroke centre, which is one of eight
More informationTop Tips for supporting and meeting the needs of people with Profound and Multiple Learning Disabilities (PMLD)
Cover Top Tips for supporting and meeting the needs of people with Profound and Multiple Learning Disabilities (PMLD) Introduction Basic Health Needs Communication Eating & Drinking Posture & Mobility
More informationLewy body dementia Referral for a Diagnosis
THE Lewy Body society The more people who know, the fewer people who suffer Lewy body dementia Referral for a Diagnosis Lewy Body Dementias REFERRAL FOR A DIAGNOSIS In the UK people with all forms of dementia
More informationThe Most Frequently Asked Questions About Dental Implants... A Consumer s Guide to Understanding Implant Treatment
Number 3 $1.25 The Most Frequently Asked Questions About Dental Implants... A Consumer s Guide to Understanding Implant Treatment If you are like most people considering dental implants, you probably have
More informationDISABILITY CLAIMS UNDER INSURANCE POLICIES
DISABILITY CLAIMS UNDER INSURANCE POLICIES This article by our legal contributor and Information & Referral Associate is to assist persons living with Parkinson s in making claims for disability benefits
More informationUniversity College London Hospitals. Psychological support services for people affected by cancer
University College London Hospitals Psychological support services for people affected by cancer 2 3 Introduction - the psychological impact of cancer The diagnosis and treatment of cancer can have a devastating
More informationDental care and treatment for patients with head and neck cancer. Department of Restorative Dentistry Information for patients
Dental care and treatment for patients with head and neck cancer Department of Restorative Dentistry Information for patients i Why have I been referred to the Restorative Dentistry Team? Treatment of
More informationOccupational therapy after stroke
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Occupational therapy after stroke After a stroke, you are likely to need help to regain your abilities, learn new skills and cope with any remaining
More informationLateral pterygoid muscle Medial pterygoid muscle
PATIENT INFORMATION BOOKLET Trismus Normal Jaw Function The jaw is a pair of bones that form the framework of the mouth and teeth. The upper jaw is called the maxilla. The lower jaw is called the mandible.
More informationNEW PATIENT CLINICAL INFORMATION FORM. Booth Gardner Parkinson s Care & Movement Disorders Center Evergreen Neuroscience Institute
NEW PATIENT CLINICAL INFORMATION FORM Booth Gardner Parkinson s Care & Movement Disorders Center Evergreen Neuroscience Institute Date: Name: Referring Doctor: How did you hear about us? NWPF Your Physician:
More informationFatigue Management in Neurology. Alison Nock MS Specialist Occupational Therapist
Fatigue Management in Neurology Alison Nock MS Specialist Occupational Therapist Overview of Fatigue Common disabling symptom Some people rate fatigue as the worst symptom of their disease. Predominant
More informationEast Lancashire Community Rehabilitation Team (CRT) Service User Information
East Lancashire Community Rehabilitation Team (CRT) Service User Information 2 This Information Pack has been designed to help you understand who the Community Rehabilitation Team are and how we may be
More informationLearning about Mouth Cancer
Learning about Mouth Cancer Creation of this material was made possible in part by a pioneering grant from CBCC-USA. Distributed by India Cancer Initiative What is mouth cancer? Our bodies are made up
More informationSpeech and language therapy after stroke
Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Speech and language therapy after stroke Speech and language therapy (SLT) can help if you have communication problems or swallowing problems after
More informationDental care and dementia
alzheimers.org.uk Dental care and dementia Good oral health is important for general health, well-being and quality of life. It brings significant benefits to self-esteem, dignity, social integration and
More informationStatement of Values Respect - Caring - Openness - Partnership - Teamwork Fairness & Equality
Patient Information Children s s Out-Patient Department Statement of Values Respect - Caring - Openness - Partnership - Teamwork Fairness & Equality The Uniforms we wear Children s Outpatients Approximately
More informationHealth Professionals who Support People Living with Dementia
Clinical Access and Redesign Unit Health Professionals who Support People Living with Dementia (in alphabetical order) Health Professional Description Role in care of people with dementia Dieticians and
More informationYou and Your Health Service
You and Your Health Service What you can expect from your health service and what your health service can expect from you TABLE OF CONTENTS Glossary 2 Foreword 3 Background 5 What you can expect from
More informationHow are you? A guide to psychological resources for coping with MS
How are you? A guide to psychological resources for coping with MS Having MS is a challenge and can affect not only physical abilities but also emotional wellbeing. The unpredictability of the illness
More informationPARKINSON S DISEASE Patient Checklist
PARKINSON S DISEASE Patient Checklist Developed in cooperation with Nederlandse Vereniging voor Neurologie (Dutch Neurology Association) Nederlandse Vereniging voor Neuro Verpleegkundigen (Dutch Association
More informationMellen Center for Multiple Sclerosis
Mellen Center Cleveland Clinic Marie Namey, RN, MSN, MSCN Mellen Center Cleveland Clinic Cleveland, OH Home of. Mellen Center for Multiple Sclerosis Mellen Center Mission The Mellen Center remains committed
More informationYour child s general anaesthetic for dental treatment. Information for parents and guardians of children
Your child s general anaesthetic for dental treatment Information for parents and guardians of children This booklet explains what to expect when your child has a general anaesthetic for dental treatment.
More informationYour child s general anaesthetic for dental treatment
Questions you may like to ask your anaesthetist Q Who will give my child s anaesthetic? Q Is this the only type of anaesthetic possible for dental treatment? Q Have you often used this type of anaesthetic?
More informationUnderstanding Dental Implants
Understanding Dental Implants Comfort and Confidence Again A new smile It s no fun when you re missing teeth. You may not feel comfortable eating or speaking. You might even avoid smiling in public. Fortunately,
More informationPARKINSON S DISEASE IN LONG-TERM-CARE SETTINGS
PARKINSON S DISEASE IN LONG-TERM-CARE SETTINGS De Anna Looper, RN CHPN Corporate Clinical Consultant / Legal Nurse Consultant Carrefour Associates L.L.C. PARKINSON S DISEASE IN LONG-TERM-CARE SETTINGS
More informationInpatient Rehabilitation Guidebook
Inpatient Rehabilitation Guidebook Welcome to Alta Bates Summit Medical Center s Regional Rehabilitation Program Our experienced and caring team will provide you with outstanding care as you begin your
More informationOral health care is vital for seniors
Oral health care is vital for seniors (NC) Statistics Canada estimates seniors represent the fastest growing segment of the Canadian population, a segment expected to reach 9.2 million by 2041. As more
More informationNHS Continuing Healthcare
NHS Continuing Healthcare Questionnaire In association with Questionnaire 1. Full name of patient 2. Home address (prior to transfer into care home if applicable) 3. Patient s Date of Birth 4. Patient
More informationOculopharyngeal muscular dystrophy (OPMD)
Oculopharyngeal muscular dystrophy (OPMD) The term muscular dystrophy is used to cover a wide range of conditions which have in common progressive muscle weakness due to an inherited genetic defect (mutation).
More informationJ/601/2874. This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment Principles.
Unit 13: Dementia Awareness Unit code: DEM 201 Unit reference number: J/601/2874 QCF level: 2 Credit value: 2 Guided learning hours: 17 Unit summary The aim of the unit is to enable learners to gain knowledge
More informationPreoperative Education: CERVICAL SPINE SURGERY
Preoperative Education: CERVICAL SPINE SURGERY 1 Dear Patient, In order to make your hospital stay as comfortable as possible, we have prepared this informational packet for you designed to outline and
More informationSLEEP AND PARKINSON S DISEASE
A Practical Guide on SLEEP AND PARKINSON S DISEASE MICHAELJFOX.ORG Introduction Many people with Parkinson s disease (PD) have trouble falling asleep or staying asleep at night. Some sleep problems are
More informationDo you have a. of what you want to be when you grow up? Do you look at your teacher and think you might want to have that job
DREAM BIG Do you look at your teacher and think you might want to have that job when you are bigger, or have you passed the fire station and thought about helping others as a firefighter? What about a
More informationThe Child Development Centre
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION The Child Development Centre An information guide The print quality of this copy is not an accurate representation of the original. The
More informationDENVER CHIROPRACTIC CENTER GLENN D. HYMAN, DC, CSCS
DENVER CHIROPRACTIC CENTER GLENN D. HYMAN, DC, CSCS Are you in the right place? Please read this before proceeding with paperwork: At Denver Chiropractic Center, we specialize in treating muscles with
More informationChild Development Centre John Parkes Unit
Child Development Centre John Parkes Unit Special Services For Special Children 23603 V1/Child Health/SDHCT/12.14/Review 12.16 Parking Contact Telephone Numbers Reception desk ( 01803 ) 655958 Nursery
More informationHelping people to live life their way
Occupational therapy and Depression Occupational therapy can help people Occupational therapy Dealing Depression is a common illness that affects people of all ages. Depression may occur for no apparent
More informationALL ABOUT SPASTICITY. www.almirall.com. Solutions with you in mind
ALL ABOUT SPASTICITY www.almirall.com Solutions with you in mind WHAT IS SPASTICITY? The muscles of the body maintain what is called normal muscle tone, a level of muscle tension that allows us to hold
More informationPriorities of Care for the Dying Person Duties and Responsibilities of Health and Care Staff with prompts for practice
Priorities of Care for the Dying Person Duties and Responsibilities of Health and Care Staff with prompts for practice Published June 2014 by the Leadership Alliance for the Care of Dying People 1 About
More informationPlease return my passport to me when I am discharged. I like to be known as: Type of home I live in: E.g. supported living, family home
Please return my passport to me when I am discharged My Hospital Passport Place photo here (optional) My name is: I like to be known as: Type of home I live in: E.g. supported living, family home Who to
More informationYour Mouth - Your Choice! Talk to your friends, family, substitute decision-maker or dentist about your dental advance care plan.
W.I.S.H.F.U.L. thinking: Dental Advance Care Planning Tool Your Mouth - Your Choice! Talk to your friends, family, substitute decision-maker or dentist about your dental advance care plan. It s just a
More informationStep 2: Recognised depression in adults persistent subthreshold depressive symptoms or mild to moderate depression
Step 2: Recognised depression in adults persistent subthreshold depressive symptoms or mild to moderate depression A NICE pathway brings together all NICE guidance, quality standards and materials to support
More informationNational Standards for Dental Services
National Standards for Dental Services National Standards for Dental Services Crown copyright 2006 ISBN 0 7559 5036 4 Scottish Executive St Andrew s House Edinburgh EH1 3DG Printed for the Scottish Executive
More informationYour Questions Answered. Regain Your Smile, Change Your Life with DENTAL IMPLANTS! IMPLANT DENTISTRY
Your Questions Answered Regain Your Smile, Change Your Life with DENTAL IMPLANTS! IMPLANT DENTISTRY PERRY V. GOLDBERG, DDS, MSD WOODHILL MEDICAL PARK 8305 WALNUT HILL LANE, SUITE 125 DALLAS, TEXAS 75231
More informationHospital ID: SS ID: NHS No: NI No: Surname: Forename: D.O.B:
FUNDED NURSING CARE ASSESSMENT Overview Assessment Please attach demographic information form Hospital ID: SS ID: NHS No: NI No: Surname: Forename: : Date of Assessment Location of Assessment: When assessing
More informationDental Care and Chronic Conditions. Respiratory Disease Cardiovascular Disease Diabetes
Dental Care and Chronic Conditions Respiratory Disease Cardiovascular Disease Diabetes Shape Up Your Smile and Avoid Some Complications of Chronic Diseases When you take good care of your oral health,
More informationProvincial Rehabilitation Unit. Patient Handbook
Provincial Rehabilitation Unit Patient Handbook ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM Welcome to Unit 7, the Provincial Rehabilitation Unit. This specialized 20 bed unit is staffed by an interdisciplinary
More informationHelp for completing attendance allowance and disability allowance forms
Help for completing attendance allowance and disability allowance forms Advice and guidance on applying for these benefits HOUSING AND COMMUNITY LIVING www.luton.gov.uk Luton Borough Council aims to help
More informationA guide for adults with. Intestinal. Dysmotility
A guide for adults with Intestinal Dysmotility This leaflet contains information for patients with dysmotility of the gut and discusses symptoms and management. page 2 Contents Introduction 4 Symptoms
More informationProblems with food are fairly common try not to panic.
A Psychological Guide for Families: Feeding & Eating Child & Family Psychology Introduction This booklet is part of a series that has been written by Clinical Child Psychologists from the Child and Family
More informationThe Doctor-Patient Relationship
The Doctor-Patient Relationship It s important to feel at ease with your doctor. How well you are able to talk with your doctor is a key part of getting the care that s best for you. It s also important
More informationMedical Rehabilitation. Rehabilitation Unit
Medical Rehabilitation Rehabilitation Unit Medical Rehabilitation The purpose of this handout is to give you information about University Hospital s Rehabilitation Unit (2 North or 2N). It will explain:
More informationTeriflunomide (Aubagio) 14mg once daily tablet
Teriflunomide (Aubagio) 14mg once daily tablet Exceptional healthcare, personally delivered Your Consultant Neurologist has suggested that you may benefit from treatment with Teriflunomide. The decision
More informationTrinity School: SEN offer: January 2015
SCHOOL NAME: Trinity School, Heathway, Dagenham, Essex, RM10 7SJ Tel: 020 8270 1601 Fax: 020 8270 4969 Email: office@trinity.bardaglea.org.uk Headteacher: Peter McPartland Schools must set out the information
More informationA healthcare professional guide to oral care for older patients. The Seattle Pathway
A healthcare professional guide to oral care for older patients The Seattle Pathway Introduction In 2013 a group of experts met in Seattle, Washington to define a care pathway for oral care in older patients.
More informationA Depression Education Toolkit
A Depression Education Toolkit Facts about Depression in Older Adults What is Depression? Depression is a medical illness. When sadness persists or interferes with everyday life, it may be depression.
More informationMid Essex. Specialist Psychosis Service
Mid Essex Specialist Psychosis Service What is psychosis? Why have you been referred to us? Psychosis is general term used to describe a number of symptoms. Some of the symptoms of psychosis include: False
More informationBut You Look So Good!
But You Look So Good! Fotini (middle), diagnosed in 2007 My neurologist, my family doctor, even my aunt s visiting nurse they all say but you look so good for someone who has MS. My family seems to assume
More informationNeed a New Dentist? How to Choose a Dentist Using 10 Simple Questions
Need a New Dentist? How to Choose a Dentist Using 10 Simple Questions Re: Special Report How to Choose a Dentist Using 10 Simple Questions Dear Friend, Although we all know proper dental care is vital
More informationMedications to help you quit smoking
Medications to help you quit smoking How can medication help me quit smoking? Using medications can increase your chances of quitting smoking 2 to 3 times more than quitting without using medications.
More informationDentures. Dental Implants. Look Younger. Chew Better
Dentures & Dental Implants That Will Help You Look Younger & Chew Better Herbert Dental Copyright 2013 by Herbert Dental All rights reserved. Published by Herbert Dental No part of this publication may
More informationMany thanks to my sponsor:
Oral Care for the Medically Complex Patient: From Intensive Care to Long-term Care Michigan Dental Association Lansing MI April 25, 2015 Cindy Kleiman RDH, BS Oral Care Consultant and Speaker Many thanks
More informationBetter Choices, Better Health
PROGRAM BROCHURE Fall 2015 and Winter 2016 October 2015 March 2016 Education Classes Better Choices, Better Health Exercise Classes D isease-specific and general topics are offered in different formats
More informationMAPLES /PHOENIX REHABILITATION REFERRAL REFERRAL DETAILS:
MAPLES /PHOENIX REHABILITATION REFERRAL Each section must be completed by the treating health professional and goals for rehabilitation must be indicated. Once completed, please post the referral form
More informationSECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY
SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY SECTION B PART 1 - SERVICE SPECIFICATIONS Service specification number Service Commissioner Lead Provider Lead Period Date of
More informationMacmillan Oldham Community Specialist Palliative Care Team. An information guide
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION Macmillan Oldham Community Specialist Palliative Care Team An information guide Macmillan Oldham Community Specialist Palliative Care Team
More informationWhy Good Oral Health is Important. Poor oral health and dental pain significantly affect residents in a variety of ways, including:
The Facts... IOWA GERIATRIC EDUCATION CENTER INFO-CONNECT Oral Hygiene Care for Nursing Home Residents with Dementia Oral hygiene care is very difficult for many residents with dementia. Residents with
More informationSteps to getting a diagnosis: Finding out if it s Alzheimer s Disease.
Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have
More informationImportance of Integrating Stroke Rehabilitation Across the Continuum of Care
Importance of Integrating Stroke Rehabilitation Across the Continuum of Care Dori Tooke, MHA, PT, CSCS Manager-Inpatient Rehab Program St. Luke s Medical Center Milwaukee, WI Disclosure Nothing to disclose
More informationPatient s Handbook. Provincial Rehabilitation Unit ONE ISLAND HEALTH SYSTEM ONE ISLAND FUTURE 11HPE41-30364
Patient s Handbook Provincial Rehabilitation Unit ONE ISLAND FUTURE ONE ISLAND HEALTH SYSTEM 11HPE41-30364 REHABILITATION EQUIPMENT USED ON UNIT 7 During a patient s stay on Unit 7, various pieces of
More informationDrug & Alcohol Star. Not for use. Want to use this Star? Visit www.outcomesstar.org.uk/support
User Guide Drug & Alcohol Star TM The Outcomes Star for drug and alcohol recovery drug use 0 0 0 alcohol use physical health meaningful use of time Contact info@triangleconsulting.co.uk Developed by Sara
More informationBritish Dental Association. Response to the consultation document
British Dental Association Response to the consultation document Age and Experience: Consultation on the Strategy for a Scotland with an Ageing Population The British Dental Association is the professional
More informationIf you have a question about whether MedStar Family Choice covers certain health care, call MedStar Family Choice Member Services at 888-404-3549.
Your Health Benefits Health services covered by MedStar Family Choice The list below shows the healthcare services and benefits for all MedStar Family Choice members. For some benefits, you have to be
More information10 steps to planning for Alzheimer s disease & other dementias A guide for family caregivers
10 steps to planning for Alzheimer s disease & other dementias A guide for family caregivers Caring for a person with memory loss or dementia can be challenging. The following ten steps can help caregivers
More informationFERNHILL DENTAL CENTRE PATIENT SATISFACTION SURVEY 2013
Patients were asked a series of questions regarding the services and facilities provided in our practice. 60 patients participated in the survey including 4 membership patients (dental care plan), 2 private
More informationTaylor Rehabilitation Unit Patient Information
Taylor Rehabilitation Unit Patient Information Leigh Infirmary Author ID: SB Leaflet Number: Med 003 Name of Leaflet: Taylor Rehabilitation Unit Date Produced: April 2014 Review Date: April 2016 Taylor
More informationCommunity Multiple Sclerosis Team Patient Information Leaflet
Community Multiple Sclerosis Team Patient Information Leaflet Shining a light on the future Introduction We hope this leaflet will provide you with information that you will find useful when attending
More informationU.S. Department of Health and Human Services National Institutes of Health National Institute of Dental and Craniofacial Research
U.S. Department of Health and Human Services National Institutes of Health National Institute of Dental and Craniofacial Research What do I need to know about dry mouth? Dry mouth is the feeling that
More informationStudent Centred Appraisal of Need
Student Centred Appraisal of Need Booklet for parents, carers and staff January 2010 INTRODUCTION The Student Centred Appraisal of Need provides a consistent approach in determining educational needs of
More informationYour local specialist mental health services
Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties
More informationMaking sense of cognitive behaviour therapy (CBT)
Making sense of cognitive behaviour therapy (CBT) Making sense of cognitive behaviour therapy What is cognitive behaviour therapy? 4 How does negative thinking start? 6 What type of problems can CBT help
More information