Oral health care of hospitalized elderly in a Southern Brazilian public hospital

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26565

Keywords:

Oral health care; Elderly; Caregiver; Oral health; Nursing staff.

Abstract

Oral health care plays a part in the integral recovery of hospitalized older people. Based on that, this study characterized the oral health care of hospitalized older people in a Brazilian public hospital. Through application of questionnaires, this cross-sectional study assessed oral health care practice by hospital nursing staff (n=31), companions (n=134) and hospitalized older people (n=200) of a public hospital in Southern Brazil. Clinical examination was conducted by two previously calibrated examiners to screen the oral health condition of the patients, considering the presence of cavitated lesions, residual roots, visible biofilm, calculus, gum inflammation and bleeding. Data were analysed descriptively. Nursing staff limits oral health assessment to surgical procedures; 55% of nurses and 58% of companions do not supervise the oral hygiene, but 81% and 96%, respectively, claim to perform oral hygiene of elderly with difficulties to do so. The elderly (51%) claimed to brush their teeth 3x/day or more; yet, their oral health was characterized by the presence of visible biofilm, calculus, gingival inflammation and bleeding and decayed teeth. Oral health advisory or assessment is not part of the hospital routine. Companions and hospital nursing staff are willing to receive oral health care information. Poor oral health was observed in hospitalized older people, which would probably be enhanced by an interdisciplinary educational approach towards oral health care to older patients.

References

Aro, T., Laitala, M., Syrjälä, A. M., Laitala, M. L., & Virtanen, J. I. (2018). Perceptions of older people’s oral health care among nurses working in geriatric home care. Acta Odontologica Scandinavica, 76(6), 427–432. https://doi.org/10.1080/00016357.2018.1425900

Awano, S., Ansai, T., Takata, Y., Soh, I., Akifusa, S., Hamasaki, T., … Takehara, T. (2008). Oral health and mortality risk from pneumonia in the elderly. Journal of Dental Research, 87(4), 334–339. https://doi.org/10.1177/154405910808700418

Barbosa, C. S., Marchini, A. M., & Marchini, L. (2013). General and oral health-related quality of life among caregivers of Parkinson’s disease patients. Geriatrics and Gerontology International, 13(2), 429–436. https://doi.org/10.1111/j.1447-0594.2012.00926.x

Borgnakke, W. S., & Brignardello-Petersen, R. (2017). Insufficient evidence to claim that more frequent toothbrushing reduces the risk of developing new caries. Journal of the American Dental Association, 148(4), e1. https://doi.org/10.1016/j.adaj.2016.11.024

Brasil. Ministério da Saúde. (2011). Pesquisa Nacional de Saúde Bucal - SBBrasil 2010 - Resultados principais. Brasília.

Bratthall, D., Hänsel-Petersson, G., & Sundberg, H. (1996). Reasons for the caries decline: what do the experts believe? European Journal of Oral Sciences, 104(4), 416–422. https://doi.org/10.1111/j.1600-0722.1996.tb00104.x

Carrilho Neto, A., De Paula Ramos, S., Sant’ana, A. C., & Passanezi, E. (2011a). Oral health status among hospitalized patients. International Journal of Dental Hygiene, 9(1), 21–29. https://doi.org/http://dx.doi.org/10.1111/j.1601-5037.2009.00423.x

Carrilho Neto, A., De Paula Ramos, S., Sant’ana, A., & Passanezi, E. (2011b). Oral health status among hospitalized patients. International Journal of Dental Hygiene, 9(1), 21–29. https://doi.org/10.1111/j.1601-5037.2009.00423.x

Castrejón-Pérez, R. C., Borges-Yá̃ez, S. A., Gutiérrez-Robledo, L. M., & Ávila-Funes, J. A. (2012). Oral health conditions and frailty in Mexican community-dwelling elderly: A cross sectional analysis. BMC Public Health, 12(1), 773. https://doi.org/10.1186/1471-2458-12-773

Coker, E., Ploeg, J., Kaasalainen, S., & Carter, N. (2017b). Observations of oral hygiene care interventions provided by nurses to hospitalized older people. Geriatric Nursing, 38(1), 17–21. https://doi.org/10.1016/j.gerinurse.2016.06.018

Crum, R. M., Anthony, J. C., Bassett, S. S., & Folstein, M. F. (1993). Population-Based Norms for the Mini-Mental State Examination by Age and Educational Level. JAMA: The Journal of the American Medical Association. https://doi.org/10.1001/jama.1993.03500180078038

Ezeh, A. C., Bongaarts, J., & Mberu, B. (2012). Global population trends and policy options. The Lancet, 380(9837), 142–148. https://doi.org/10.1016/S0140-6736(12)60696-5

Fernandes, A. de S., Emiliano, G. B. G., Martins, A. R. de A., & Souza, G. C. de A. (2016). Conhecimentos E Práticas De Saúde Bucal Por Pacientes Internados E Equipe Hospitalar. Revista Ciência Plural, 2(3), 3–16.

Figuero, E., Roldán, S., Serrano, J., Escribano, M., Martín, C., & Preshaw, P. M. (2019). Efficacy of adjunctive therapies in patients with gingival inflammation. A systematic review and meta‐analysis. Journal of Clinical Periodontology. https://doi.org/10.1111/jcpe.13244

Gibney, J. M., Wright, F. A., D’Souza, M., & Naganathan, V. (2019). Improving the oral health of older people in hospital. Australasian Journal on Ageing, 38(1), 33–38. https://doi.org/10.1111/ajag.12588

Gil-Montoya, J. A., de Mello, A. L. F., Barrios, R., Gonzalez-Moles, M. A., & Bravo, M. (2015). Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clinical Interventions in Aging, 2015:10, 461–467. https://doi.org/10.2147/CIA.S54630

Hajat, C., & Stein, E. (2018). The global burden of multiple chronic conditions: A narrative review. Preventive Medicine Reports, 12(September), 284–293. https://doi.org/10.1016/j.pmedr.2018.10.008

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. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD008367.pub3

James, P., Worthington, H. V., Parnell, C., Harding, M., Lamont, T., Cheung, A., … Riley, P. (2017). Chlorhexidine mouthrinse as an adjunctive treatment for gingival health. Cochrane Database of Systematic Reviews, 2017(3). https://doi.org/10.1002/14651858.CD008676.pub2

Kahn, S., Garcia, C. H., Galan, J., Namen, F. M., Machado, W. A. S., Da Silva, J. A., … Egreja, A. M. (2008). Avaliação da existência de controle de infecção oral nos pacientes internados em hospitais do estado do Rio de Janeiro. Ciencia e Saude Coletiva, 13(6), 1825–1831. https://doi.org/10.1590/S1413-81232008000600017

Kamdem, B., Seematter-Bagnoud, L., Botrugno, F., & Santos-Eggimann, B. (2017). Relationship between oral health and Fried’s frailty criteria in community-dwelling older persons. BMC Geriatrics, 17(1), 1–8. https://doi.org/10.1186/s12877-017-0568-3

Khan, H. T. A. (2018). Population ageing in a globalized world: Risks and dilemmas? Journal of Evaluation in Clinical Practice, (October), 1–7. https://doi.org/10.1111/jep.13071

Kumar, S., Tadakamadla, J., & Johnson, N. W. (2016). Effect of toothbrushing frequency on incidence and increment of dental caries: A systematic review and meta-analysis. Journal of Dental Research, 95(11), 1230–1236. https://doi.org/10.1177/0022034516655315

Lasta, R., Devilla, A., Simoni, V., Foralosso, J. C., Kellermann, M. G., Marcon, S., … Rodrigues-Junior, S. A. (2019). Oral health profile of participants of an elderly cohabitation program in the state of Santa Catarina, Brazil. Revista de Odontologia Da UNESP, 48, 1–9. https://doi.org/10.1590/1807-2577.06119

Lee, Y. J., Noh, H. J., Han, S. Y., Jeon, H. S., Chung, W. G., & Mun, S. J. (2019). Oral health care provided by nurses for hospitalized patients in Korea. International Journal of Dental Hygiene, 17(4), 336–342. https://doi.org/10.1111/idh.12417

Malik, N., Mohamad Yatim, S., Hussein, N., Mohamad, H., & McGrath, C. (2018). Oral hygiene practices and knowledge among stroke-care nurses: A multicentre cross-sectional study. Journal of Clinical Nursing, 27(9–10), 1913–1919. https://doi.org/10.1111/jocn.14241

Murray Thomson, W. (2014). Epidemiology of oral health conditions in older people. Gerodontology, 31, 9–16. https://doi.org/10.1111/ger.12085

Naruishi, K., Nishikawa, Y., Kido, J. ichi, Fukunaga, A., & Nagata, T. (2018). Relationship of aspiration pneumonia to cognitive impairment and oral condition: a cross-sectional study. Clinical Oral Investigations, 22(7), 2575–2580. https://doi.org/10.1007/s00784-018-2356-7

Oliveira, L. S., Bernardino, I. M., Silva, J. A. L., Lucas, R. S. C. C., & D’Avila, S. (2015). Conhecimento e prática do controle de higiene bucal em pacientes internados em unidades de terapia intensiva. Revista Da ABENO, 15(4), 29–36. https://doi.org/10.30979/rev.abeno.v15i4.209

Rantzow, V., Andersson, P., & Lindmark, U. (2018). Occurrence of oral health problems and planned measures in dependent older people in nursing care. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14584

Razak, P. A., Richard, K. M. J., Thankachan, R. P., Hafiz, K. A. A., Kumar, K. N., & Sameer, K. M. (2014). Geriatric oral health: a review article. Journal of International Oral Health, 6(6), 110–116. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/25628498%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4295446

Ruiz Núñez, M. D. R., da Luz Raulino, M., Goulart Castro, R., & de Mello, A. L. (2021). Dental plaque control strategies for the elderly population: A scoping review. International Journal of Dental Hygiene.

Samanta, S., Poddar, B., Azim, A., Singh, R. K., Gurjar, M., & Baronia, A. K. (2018). Significance of Mini Bronchoalveolar Lavage Fluid Amylase Level in Ventilator-Associated Pneumonia: A Prospective Observational Study. Critical Care Medicine, 46(1), 71–78. https://doi.org/10.1097/CCM.0000000000002774

Srinivasan, M., Delavy, J., Schimmel, M., Duong, S., Zekry, D., Trombert, V., … Müller, F. (2019). Prevalence of oral hygiene tools amongst hospitalised elders: A cross-sectional survey. Gerodontology, (December 2018), 1–9. https://doi.org/10.1111/ger.12388

Tanaka, T., Takahashi, K., Hirano, H., Kikutani, T., Watanabe, Y., Ohara, Y., … Iijima, K. (2018). Oral frailty as a risk factor for physical frailty and mortality in community-dwelling elderly. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 73(12), 1661–1667. https://doi.org/10.1093/gerona/glx225

Van Der Maarel-Wierink, C. D., Vanobbergen, J. N. O., Bronkhorst, E. M., Schols, J. M. G. A., & De Baat, C. (2013). Oral health care and aspiration pneumonia in frail older people: A systematic literature review. Gerodontology, 30(1), 3–9. https://doi.org/10.1111/j.1741-2358.2012.00637.x

Vieira, J. C., Massoni, A. C. de L. T., Freitas, C. H. S. D. M., Marinho, F. B., & Costa, C. H. M. Da. (2011). Um olhar sobre os cuidadores de idosos de instituições geriátricas de João pessoa, Paraíba: perfil e cuidados com a saúde bucal dos idosos. Revista Baiana de Saúde Pública, 35(3), 604–618.

Wang, H., Naghavi, M., Allen, C., Barber, R. M., Carter, A., Casey, D. C., … Zuhlke, L. J. (2016). Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1459–1544. https://doi.org/10.1016/S0140-6736(16)31012-1

Wang, T. F., Huang, C. M., Chou, C., & Yu, S. (2015). Effect of oral health education programs for caregivers on oral hygiene of the elderly: A systemic review and meta-analysis. International Journal of Nursing Studies, 52(6), 1090–1096. https://doi.org/10.1016/j.ijnurstu.2015.01.015

Who. (2013). Oral Health Surveys - Basic Methods. World Health Organization, 1.137.

Worthington, H., MacDonald, L., Poklepovic Pericic, T., Sambunjak, D., Johnson, T., Imai, P., & Clarkson, J. (2019). Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries (Review). Cochrane Database of Systematic Reviews Home, (4. Art. No.: CD012018). https://doi.org/10.1002/14651858.CD012018.pub2.www.cochranelibrary.com

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Published

28/02/2022

How to Cite

ALBA, C. R.; BRUM, C. N. de .; LASTA, R. .; KELLERMANN, M. G.; CORRALO, V. da S.; D’ÁVILA, O. P.; SÁ, C. A. de .; RODRIGUES-JUNIOR, S. A. . Oral health care of hospitalized elderly in a Southern Brazilian public hospital. Research, Society and Development, [S. l.], v. 11, n. 3, p. e38711326565, 2022. DOI: 10.33448/rsd-v11i3.26565. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26565. Acesso em: 19 apr. 2024.

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Section

Health Sciences