Impact of care level, setting and accommodation costs on a newly developed oral care nursing plan format for elderly patients with care needs - Results from a cross-sectional study

Bleiel, Dirk, Nitschke, Ina, Noack, Michael J. and Barbe, Anna Greta . Impact of care level, setting and accommodation costs on a newly developed oral care nursing plan format for elderly patients with care needs - Results from a cross-sectional study. Int. J. Dent. Hyg.. HOBOKEN: WILEY. ISSN 1601-5037

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DOI:10.1111/idh.12525

Abstract

Objectives A new oral care nursing plan format for improved communication among dentists, nursing staff and caregivers has been developed in Germany. We aimed to (1) describe this plan, (2) investigate the prevalence of oral health problems among elderly patients with care needs documented by the plan, outline the recommendations in the plans and (3) investigate whether the accommodation costs or care needs of patients influenced oral care quality or the need for oral hygiene support documented within the plan. Methods In this cross-sectional trial, oral care nursing plans were collected from outpatient and inpatient care clinics. Items on the oral care nursing plan were divided into three areas (oral health, oral hygiene needs, and coordination needs and dental therapy) and were correlated with the care level and accommodation costs. Results Oral care nursing plans were collected from seven dentists (N = 747; 94.5% from inpatient and 5.5% from outpatient care). The plans enabled documentation of well-known oral health and hygiene problems among elderly patients. In their current form, the plans provided recommendations for obvious oral hygiene tasks such as toothbrushing or fluoridating, rather than specialized tasks such as nutritional advice or dry mouth asymptomatic therapeutic approaches. Although accommodation costs were associated with the need for oral hygiene support (not with oral care condition), the care level influenced both measures. Conclusions The oral care nursing plan can facilitate documentation of oral health and hygiene among elderly individuals with care needs. Further clarification of the plan would help promote careful documentation by dentists.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Bleiel, Dirk	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Nitschke, Ina	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Noack, Michael J.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Barbe, Anna Greta	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED