Embedded Files
Populations: The Centers for Disease Control and Prevention recommend that a comprehensive oral hygiene program should be developed and implemented for all patients being treated in an acute care setting and residents of long-term care facilities with the aim of reducing the risk of pneumonia (Tablan, Anderson, Besser, Bridges, & Hajjeh, 2004).
Purpose: Maintenance of good oral hygiene has been shown to decrease the risk of aspiration pneumonia across several clinical settings ranging from residential aged-care facilities to neurologic intensive-care units (Hua et al., 2016; Watando et al., 2004).
Data Collection: A simple checklist for patients and caregivers to ensure oral care is administered 2x/day. Educate patient and caregivers and provide oral hygiene brochure below.
Monday: Morning _ Night_
Tuesday: Morning _ Night_
Wednesday: Morning _ Night_
Thursday: Morning _ Night_
Friday: Morning _ Night_
Saturday: Morning _ Night_
Sunday: Morning _ Night_
Client/Family Handout
General oral care guidelines
Oral-Hygiene-Caregiver-Education-Handout.pdfOral Hygiene Brochure
Oral Care and preventing aspiration pneumonia
Steps of thorough toothbrushing
mouth_care_oral_rinse.pdfMouth Care during Chemo and/or Radiation
Patient education handout explaining good oral care and prevention of mucositis
ORAL CARE - Head and neck cancer patients_Totlani.pdfHead and Neck Cancer Oral Care
A resource provided by Professor Totlani explaining good oral care. Handout for patients/caregivers
BasicOralCareForPersonsWithDysphagia.pdfArticle: Basic Oral Care for
Patients with Dysphagia
Article: Basic Oral Care for
Patients with Dysphagia
Implementation of effective oral care
Multidisciplinary collaboration
(Lim, 2018).
OralCare_Barriers.pdfArticle: Barriers to Implementing
Oral Care Regime
Article: Barriers to Implementing
Oral Care Regime
Lack of evidence-based protocols
Inadequate accountability structures within organizations
Reduced staff knowledge
Staff attitudes and beliefs
Patient-related factors (e.g. non-compliance)
(Akhilesh & Vivek, 2019)
References
Akhilesh, T., & Vivek, D. (2019). Barriers to implementing an oral care regime for patients with dysphagia.
Hua, F., Xie, H., Worthington, H. V., Furness, S., Zhang, Q., & Li, C. (2016). Oral hygiene care for critically ill patients to prevent ventilator-
associated pneumonia. The Cochrane database of systematic reviews, 10(10), CD008367. https://doi.org/10.1002/14651858.CD008367.pub3
Lim, Mathew. (2018). Basic oral care for patients with dysphagia: A special needs dentistry perspective.
Tablan, O. C., Anderson, L. J., Besser, R., Bridges, C., Hajjeh, R., CDC, & Healthcare Infection Control Practices Advisory Committee (2004).
Guidelines for preventing health-care--associated pneumonia, 2003: recommendations of CDC and the Healthcare Infection Control
Practices Advisory Committee. MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports, 53(RR-3), 1–36.
Watando, A., Ebihara, S., Ebihara, T., Okazaki, T., Takahashi, H., Asada, M., & Sasaki, H. (2004). Daily oral care and cough reflex sensitivity in elderly
nursing home patients. Chest, 126(4), 1066–1070. https://doi.org/10.1378/chest.126.4.1066.
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