BACKGROUND: Dental status has been implicated in several systemic inflammatory diseases and is a potential focus for systemic infections. Therefore, most lung-transplant centers have recommendations regarding pre-transplant dental care and follow-up, but there are no official clinical guidelines. To date there is little information on oral health status in lung transplant (LTx) recipients. The aim of this study was to systematically assess oral health status in LTx recipients. OBJECTIVES: The aim of this study was to assess oral health status, including periodontal disease, oral health behavior, and awareness of the need for good oral health after LTx. METHODS: LTx recipients were recruited during follow-up outpatient visits at a university clinic transplant unit. Oral health status was quantified using the count of Decayed, Missing, and Filled Teeth (DMF-T) and the grade of periodontal disease was measured by probing depth. Patients' oral health behavior was assessed using a questionnaire. RESULTS: Seventy-three patients were included at 5.8 ± 3.4 years after lung transplantation. The mean DMF-T was 21.9 ± 5.5. Patients with cystic fibrosis as the indication for transplantation had a significantly lower DMF-T than patients with chronic obstructive pulmonary disease as the transplant indication. Of the 66 patients with teeth, 97% had moderate or severe periodontal disease. The prevalence of moderate or severe periodontal disease was significantly higher in LTx recipients (mean age 55.9 years) compared with older individuals (age 65-74 years) from the German general population (P < .005). CONCLUSIONS: This single center study shows deficits in oral health and oral health behavior in patients after LTx. There is a strong need for interdisciplinary collaboration and clinical guidelines to foster better oral health education of the transplant recipient and better oral health.

As a lecturer in the module Orthodontics in the study programme Bachelor of Oral Hygiene, the construct innovative facilitating of learning is the one I adopted as I embarked on a self-transformative journey. This dissertation focuses on the professional development of my practice and the self (me). The self-transformative journey taken was not taken independently but with my students who became my co-travellers and co-constructors engaging in a learning process. Engaging in a learning process meant journeying in the steps of the Action Research cycle(s) and being especially observant of Herrmann’s Whole-Brain® thinking theory and other learning theories such as constructivist learning, cooperative learning, self-regulated learning and the like. / Dissertation (MEd)--University of Pretoria 2020. / pt2021 / Humanities Education / MEd / Unrestricted

Bakgrund: Den orala hälsan har påverkan på individers välbefinnande, livskvalitet och allmän hälsa. Hälso- och sjukvårdspersonal bör ha kunskaper om orala hälsans risk och friskfaktorer samt hantering av symtom. Munvårdsutbildning är avgörande för att utföra åtgärder som krävs vid ohälsa, för att förebygga munhälsa och för att skapa förståelse om vikten av samarbete mellan tandvård och hälso- och sjukvården. Syftet: Syftet med studien var att studera om kunskap inom oral hälsa och munvård ökar genom att genomföra munvårdsutbildningen som görs i samverkan mellan sjuksköterske- och tandhygienistutbildningen.  Material och metod: En interventionsstudie genomfördes med pappersenkäter. Urvalet var sjuksköterskestudenter i termin två på Jönköping University. Metodanalys genomfördes med fisher exact test samt en kvalitativ innehållsanalys. Resultat: Respondenternas kunskap inom oral hälsa och munvård ökade efter utförd munvårdsutbildning och det visades en statistisk signifikant skillnad på de flesta frågor före respektive efter. Utifrån respondenternas reflektioner framkom tre kategorier, erhöll ny kunskap, Fick förståelse för munvård och sambandet mellan oral-allmän hälsa och Behöver praktisk träning. Slutsats: Sjuksköterskestudenters kunskap om munhälsa och munvård ökade efter utförd munvårdsutbildning. Utbildningen bidrog till framtida kliniska färdigheter och gav en inblick i samverkan mellan professioner. / Title: Evaluation of oral health care education for nursing students. A survey study. Background: Oral health care has an impact on individuals' well-being, quality of life and general health. Healthcare professionals should have knowledge of oral health risks and health factors as well as treatment of symptoms. Oral health education is crucial to carry out measures required in case of bad oral health and to create an understanding of the importance of cooperation between dental care and health care. Aim: The purpose of this study was to study whether knowledge in oral health and oral care increases by implementing oral health education in collaboration between the nursing program and the dental hygienist program. Method: An intervention study was conducted with paper questionnaires. The selection was nursing students in semester two at Jönköping University. Method analysis was conducted with fisher exact test and a qualitative content analysis. Results: The respondents' knowledge of oral health and oral care increased after oral health education and there was a statistically significant difference in most questions before and after. Based on the respondents' reflections, three categories emerged, Gained new knowledge, Gained an understanding of oral care and the link between oral-general health, Need practical training. Conclusion: Nursing students' knowledge of oral health and oral care increased after oral health education. The education contributed to future clinical skills and provided insight into interprofessional collaboration.

No description available.

Bakgrund Inom Hälso- och sjukvården har trycket på vården ökat markant och beräknas öka ännu mer. Allt fler äldre lever längre och allt oftare som multisjuka. Detta ställer större krav på vården och sjuksköterskorna. När tid och rutiner inte finns och där kompetens saknas och samarbetsnivån är låg, ökar riskerna inom omvårdnaden att alla moment inte blir utförda. Munvård är ett område som många gånger utelämnas. Utebliven munvård kan leda tillökad sjukdom med resultatet längre vårdtider. Varken bra för patienten, sjuksköterskan eller hälso-och sjukvården. Denna litteraturstudie vill därför undersöka vilka erfarenheter sjuksköterskor har av munvård hos äldre sjuka patienter. Syfte Syftet med denna litteraturöversikt är att beskriva sjuksköterskors erfarenheter av munvård hos äldre sjuka patienter. Metod En strukturerad litteraturöversikt av kvalitativa och kvantitativa vetenskapliga artiklar med inslag av liknande metodik som används vid systematiska översikter från databaserna PubMed samt CINAHL. Litteraturstudien är baserad på elva artiklar, en kvantitativ, sju kvalitativa och tre med mixad metod. Resultat Litteraturstudien visar att sjuksköterskans erfarenhet av munvård är betydelsefull, viktig och nödvändig. Studierna framhåller vikten av rätt förutsättningar för att utföra god munvård och nämner då tid, kunskap, tvärprofessionella samarbeten samt positiv inställning. När dessa förutsättningar finns, utförs god munvård framgångsrikt men närtid, resurser och kunskap saknas prioriteras munvården bort inom omvårdnaden. Slutsats När organisationen ger rätt förutsättningar med bra uppdaterad utbildning, tydliga processer och klinisk vägledning prioriteras munvården och utförs korrekt. Inom specialistvården är god munvård självklar, med bättre resultat än övriga vårdavdelningar. Fungerande tvärprofessionella samarbeten ökar den positiva inställningen och den äldre sjuka patientens hälsa. När munvård utförs på ett korrekt tillvägagångssätt minskar olika sjukdomar relaterade till munhälsa. / Background Within the health care system, the pressure on care has increased significantly and is expected to increase even more. More and more elderly people are living longer, but more and more often with multiple illnesses. This places greater demands on care and nurses. When time and routines do not exist and where competence and cooperation are low, there are increased risks in care that not all steps are carried out. Oral care is an area that is often left out. Lack of oral care can lead to increased disease with the result being longer treatment times. Not good for the patient, nurse or health care. This literature study therefore wants to investigate what experiences nurses have with oral care in elderly ill patients. Aim The purpose of this literature review is to describe nurses' experiences of oral care in elderly ill patients. Method A structured literature review of qualitative and quantitative scientific articles, incorporating similar methodologies to those used in systematic reviews, sourced from the databases PubMed and CINAHL. The literature study is based on eleven articles, consisting of one quantitative, seven qualitative, and three employing mixed methods. Results The literature review shows that the nurse's experience in oral care is significant, important and necessary. The studies highlight the importance of the right conditions for performing good oral care and mention time, knowledge, interprofessional collaborations and a positive attitude. When these conditions are present, good oral care is carried out successfully, but when time, resources and knowledge are lacking, oral care is prioritized away from nursing. Conclusions When the organization provides the right conditions for nurses, it leads to updated training, clear processes and clinical guidance, then oral care is prioritized and performed correctly. In specialist care, good oral care goes without saying with better results than other care departments. Functional interprofessional collaborations provide the conditions for person-centred care and increase the positive attitude towards the health of the elderly ill patient. When oral care is performed in a correct manner, various diseases related to oral health are reduced.

Objectives: This cross-sectional survey aimed to evaluate the oral health behaviour of patients prior to endoprosthesis (EP), as well as the handling of oral health topics by German orthopaedic surgeons. Materials and methods: Consecutive patients prior to EP answered a questionnaire regarding oral health behaviour, oral hygiene, oral complaints and information on the relationship between EP and oral health. Another questionnaire was digitally mailed to orthopaedic centres throughout Germany. This questionnaire included the importance of oral health for EP and issues on dental referrals/consultations prior to EP. Results: A total of 172 patients were included in the study, of whom 35.5% of patients reported that they were informed about oral health and EP. Half of the individuals reported regular professional tooth cleaning, and less than one-third (29.1%) reported of the performance of interdental cleaning. Information on oral health and EP was associated with regular professional tooth cleaning (yes: 59.8% vs. no: 35.6%, p = 0.01). A total of 221 orthopaedic clinics were included in the study, of which only a few had dental contact (14%), although the majority (92.8%) of the clinics were familiar with causal relationships between oral health and EP infections. Less than half of the centres reported of either verbal (48%) or written (43.9%) referrals for their patients to the dentist. University Medical Centres reported of more frequent dental contacts (p < 0.01). Conclusion: Prior to EP, patients exhibited deficits in oral health behaviour, and orthopaedic clinics exhibited a lack of dental collaboration. Improvements in interdisciplinary care, especially regarding practical concepts for patient referral and education on oral health, appear to be necessary.

Introduction: Oral hygiene is a significant aspect of nursing care. Endocarditis, stroke, lung cancer, and hypertension have been associated with poor oral hygiene. Research exploring oral care practices for mechanically ventilated patients is well documented. In contrast, oral hygiene for the non-mechanically ventilated acute care population remains underestimated. The purpose of this study was to establish a baseline of the type, frequency, and consistency of oral hygiene being performed on non-mechanically ventilated ICU patients and explore how the oral care provided was documented. Methodology: A literature search was conducted and reported as a literature review. The databases CINAHL Plus with Full Text, MEDLINE, PsychINFO, Academic Search Premier, and Cochrane Database of Systematic Reviews were searched. Key terms used were "oral hygiene," "oral care," "oral intensity," "mouth rinse," "mouth care," chlorhexidine rinse and ICU, "intensive care unit," "critical care" and infection*, pneumonia*, NV, non-ventilat*, and nonventilat*. The articles' selection addressed type, frequency, consistency, and/or documentation of oral hygiene in ICU patients, particularly non-mechanically ventilated patients, if available. Inclusion criteria consisted of English language, and academic journal articles. No specified publication date was placed as a restriction. The results were limited to English language, academic journal articles, peer reviewed research articles, evidence-based articles or practices, and articles published within the last ten years (2006 to 2016). All articles on oral hygiene practices in the ICU or critical care population were included. Articles that did not relate to oral hygiene practices in acute care, ICU patients, or critically ill hospitalized patients were excluded. Articles focused solely on the mechanically ventilated or intubated population were also excluded. Results: The review yielded very few articles focusing solely on non-mechanically ventilated ICU patients. Nevertheless, resulting data showed four areas common to oral hygiene practices in non-mechanically ventilated patients in the ICU: type of documentation, type of products, frequency of care, and personnel providing care. Documentation was found to be lacking compared to personnel's self-reported frequency of oral care. Oral hygiene products were found to be consistent in non-mechanically ventilated patients, while there was no consistency of products used in the general acute care population. Oral hygiene was self-reported by staff members to have been performed an average of two to three times per day for non-mechanically ventilated patients. Oral hygiene self-reported frequency was found to be inconsistent among the general acute care population. Lastly, registered nurses (RNs) were the primary providers of oral hygiene to patients. Conclusions: Findings support the existing gap in the literature on oral hygiene practices in non-mechanically ventilated patients in the ICU. Despite evidence documenting the impact of oral hygiene on health, further research is guaranteed.

Darbo tikslas. Įvertinti burnos higienistų, dirbančių Kauno miesto privačiose ir viešosiose odontologijos klinikose, darbo organizavimo ypatumus. Tyrimo metodika. Atlikta momentinė anoniminė Kauno miesto burnos higienistų anketinė apklausa. Išdalinta 70 anketų: 56 dirbantiems privačiose ir 14 viešosiose odontologijos klinikose. Anketas užpildė ir grąžino 45 privačiose (atsako dažnis 80,3 proc.) ir 14 viešosiose (atsako dažnis 100 proc.) klinikose dirbantys burnos higienistai. Statistinė duomenų analizė buvo atliekama naudojant SPSS 17 for Windows programinį paketą. Hipotezėms tikrinti buvo naudojama aprašomoji statistika bei Chi kvadrato (χ2 ), t ir Mann-Whitney kriterijai. Rezultatai. Dažniausiai odontologijos klinikose atliekamos burnos higienistų procedūros: burnos higienos mokymas (100 proc.), dantų akmenų šalinimas ultragarsu (100 proc.) bei rankiniais instrumentais (93,2 proc.). Dažniausiai aptarnaujami jauni (19-35 metų) bei vidutinio amžiaus (36-55 metų) pacientai. Rečiausiai – vaikai ar paaugliai iki 18 metų (22,8 proc.), neįgalūs pacientai. Privačiose įstaigose dirbantys burnos higienistai dažniau nei viešosiose dirba dar ir odontologo asistentu (atitinkamai 62,2 ir 21,4 proc.). Viešose įstaigose dažniau nei privačiose dirba mokslinį darbą (14,3 proc) arba dėstytojauja (2,4 proc.). Beveik absoliuti dauguma (93,2 proc.) respondentų linkę manyti, kad geriau burnos higienistu dirbti privačioje įstaigoje dėl geresnių darbo sąlygų, darbo vietos organizavimo (87,3 ir 63,6... [toliau žr. visą tekstą] / Aim of the study. To evaluate the dental hygienists work organization peculiarities in private and public dental clinics in Kaunas city. Methods. An anonymous questionnaire have been completed in private and public dental clinics in Kaunas city. In total 70 questionnaires were distributed to employed dental hygienists: 56 in private and 14 in public dental clinics in Kaunas. Questionnaires filled out and returned: 45 dental hygienists employed in private (response rate 80,3 %) and 14 in public dental clinics (response rate 100 %). The statistical analysis was performed using SPSS version 17 for Windows statistical software . Hypotheses were checked using descriptive statistics and Chi square (χ2), t and Mann-Whitney criterions. Results. Most frequently dental hygienists performed oral treatments in dental clinics such as oral hygiene education and training (100 %), scaling (100 %) and calculus removal using hand instruments (93.2 % ). Most dental hygienist served young (19-35 years) and middle-aged (36-55 years) patients. Least - working with children or adolescents under 18 years old (22.8 %), with disabled patients. Dental hygienists in private dental institutions more than in public works as a dental assistant (respectively 62.2 and 21.4 %) Meanwhile, in public dental institutions dental hygienist more than in private work in research work (14.3% ) and as academics (2.4 %). Majority (93.2%) of respondents tend to believe that is better to work as a dental hygienist in... [to full text]

Darbo tikslas. Nustatyti ir įvertinti vyresniųjų klasių (IX-XII) mokinių žinias bei požiūrį į profesionaliosios burnos higienos paslaugas. Tyrimo metodika. Atlikta anoniminė anketinė mokinių apklausa keturiose Kauno miesto mokyklose, pasirinktose atsitiktinės atrankos būdu. Išdalinta 400 anketų. Anketas užpildė ir grąžino 373 respondentai (atsako dažnis 93,25 proc.). Kiekybinė duomenų analizė buvo atliekama naudojant SPSS 17.0 versijos statistinį paketą. Rezultatai. Mokiniai dantis valo du kartus per dieną (73,7 proc.). Merginos dažniau nei vaikinai valo dantis, naudoja tarpdančių siūlą, liežuvio granduką bei becukrę kramtomąją gumą. Dauguma (77,5 proc.) mano, jog dantų akmenys sukelia ėduonį, tik 38,3 proc. pritaria, kad sveikiems dantims ir dantenoms reikalinga dantų pasta su fluoru. Merginos statistiškai reikšmingai dažniau nei vaikinai galvoja, kad profesionalios burnos higienos procedūros, specialūs burnos priežiūros kabinetai ir pamokos apie burnos sveikatą yra reikalingos. Trečdalis (30,8 proc.) mokinių nežino, kur turėtų kreiptis dėl profesionalios burnos higienos procedūros. Daugumai mokinių (82,6 proc.) informacijos apie burnos ertmės priežiūrą suteikia odontologas/burnos higienistas, 44,0 proc. tėvai, 10,2 proc. mokyklos sveikatos priežiūros specialistas, 9,7 proc. mokytojai. Daugiau nei pusė (59,8 proc.) respondentų naudojasi profesionalios burnos higienos procedūromis, gimnazijų dažniau nei vidurių mokiniai. Dažniausia profesionalios burnos higienos procedūrų... [toliau žr. visą tekstą] / Aim of the study. Identify and evaluate the senior classes (IX-XII) students' knowledge and attitudes to oral hygiene and professional services. Methods. An anonymous survey of students in four schools in Kaunas was conducted and selected at random. Distributed 400 questionnaires. Questionnaires filled in and returned by 373 respondents (response rate 93.25 %). Quantitative data analysis was performed using SPSS version 17.0 statistical package. Results. Students clean their teeth twice a day (73.7 %). Girls clean their teeth more frequently than boys, using dental floss, tongue cleaner and chewing gum. The majority (77.5 %) believes that dental caries is caused by calculi, only 38.3 % supports a toothpaste with fluoride is necessary to mantain healthy teeth and gums. Girls significantly more often than boys, think that professional oral hygiene procedures, special oral care classrooms and lessons on oral health are needed. One-third (30.8 %) students don't know where to apply for professional oral hygiene procedures. Information about oral health care for most students is provided by dentist or dental hygienist (82.6 %), parents 44.0 %, School Health Specialist - 10.2 %, teachers - 9.7 %.. More than half (59.8 %) respondents use professional oral hygiene procedures, gymnasium students more than high school students. Reasons for refusal among students of the most frequent professional oral hygiene procedures is a high price (36.5 %). It was claimed more by high school rather... [to full text]

O cuidado oral em pacientes intubados internados em Unidade de Terapia Intensiva é uma atividade da Enfermagem que se constitui num conjunto de competências fundamentadas em evidências científicas. A saúde oral refere-se ao ótimo estado da cavidade oral e o bom funcionamento de suas estruturas, obtido por meio da higiene oral adequada, estratégia crucial de prevenção para excluir o risco de problemas bucais e promover o conforto físico e psicológico dos pacientes. A higiene oral inadequada traz vulnerabilidade a cavidade oral potencializando focos de infecções propícias à pneumonia nosocomial. Objetiva identificar e analisar na literatura as melhores evidências disponíveis referentes ao produto, dispositivo e frequência do cuidado oral para prevenção de pneumonia associada à ventilação mecânica em pacientes intubados e em ventilação mecânica internados em Unidade de Terapia Intensiva. Trata-se de uma revisão integrativa da literatura, na qual foi realizada buscas de estudos primários nas bases de dados eletrônicas PubMed, EMBASE e CINAHL, utilizando descritores controlados e os respectivos vocabulários destas bases de dados: MeSh, EMTREE e TÍTULOS. Das 184 referências identificadas, 52 foram selecionados após leitura de título e resumo para serem lidos na íntegra, 18 constituíram a amostra final. A extração e análise dos dados foram realizadas por dois revisores independentes. As publicações dos 18 estudos ocorreram no período de 2009 a 2017. O controle do biofilme e prevenção de lesões na cavidade oral constituem ações importantes para a obtenção da boa saúde oral. Para esse controle, são necessárias intervenções que promovam a remoção mecânica e/ou farmacológica do mesmo. Essas intervenções constituem a combinação de produtos, dispositivos e frequência do cuidado oral. As melhores evidências indicaram a combinação dos seguintes produtos, dispositivos e frequência: creme dental Biotene® combinado com a escovação dentária e também Biotene® enxaguante bucal, para promover a hidratação da cavidade oral, reduzindo a xerostomia; clorexidina 0,12%, melhor evidência como antisséptico; lubrificantes a base de água e hidrossolúveis para mucosa oral e lábios; escova de dentes elétrica de cabeça pequena e cerdas macias, como melhor evidência de dispositivo, porém seu custo pode ser um fator que pode impedir sua larga utilização, em sua indisponibilidade, as evidências apontam para a escova de dentes pediátrica com cerdas macias; raspadores de língua para a remoção do biofilme local; frequência a cada oito horas. Citadas as escalas de avaliação da cavidade oral, sustentando a verificação da saúde oral e como fator determinante da frequência da intervenção, respeitando assim a individualidade do paciente. Recomenda-se implementar o uso de escalas de avaliação da saúde oral para a determinação segura da frequência da intervenção; sugere-se novos estudos que abordem esta temática para comparar as escalas de avaliação da cavidade oral, os produtos, dispositivos e frequência; capacitar os profissionais para que a assistência seja realizada com qualidade e segurança, mitigando eventos adversos aos pacientes / Oral care in intubated patients admitted to an Intensive Care Unit is a nursing activity that is a set of competencies based on scientific evidence. Oral health refers to the excellent state of the oral cavity and the proper functioning of its structures, obtained through proper oral hygiene, a crucial prevention strategy to exclude the risk of oral problems and to promote the physical and psychological comfort of patients. Inadequate oral hygiene brings vulnerability to the oral cavity potentiating foci of infections conducive to nosocomial pneumonia. Aims to identify and analyze, in the literature, the best available evidence regarding the product, device and frequency of oral care for the prevention of pneumonia associated with mechanical ventilation in intubated patients and mechanical ventilation admitted to the Intensive Care Unit. It is an integrative review of the literature, in which searches of primary studies in the electronic databases PubMed, EMBASE and CINAHL were carried out using controlled descriptors and the respective vocabularies of these databases: MeSh, EMTREE and TITLES. Of the 184 references identified, 52 were selected after reading the title and abstract to be read in their entirety, 18 constituted the final sample. Data extraction and analysis were carried out by two independent reviewers. The publications of the 18 studies occurred between 2009 and 2017. Biofilm control and prevention of oral cavity lesions are important actions to achieve good oral health. For this control, interventions that promote the mechanical and / or pharmacological removal of the same are necessary. These interventions are the combination of products, devices and frequency of oral care.The best evidences indicated the combination of the following products, devices and frequency: Biotene® toothpaste combined with toothbrushing and also Biotene® mouthwash, to promote hydration of the oral cavity, reducing xerostomia; chlorhexidine 0.12%, better evidence as an antiseptic; water-based and water-soluble lubricants for oral mucosa and lips; small electric toothbrush and soft bristles, as best evidence of device, however its cost may be a factor that may prevent its wide use, in its unavailability, the evidence points to the pediatric toothbrush with soft bristles; tongue scrapers for local biofilm removal; every eight hours. Cited scales of assessment of the oral cavity, supported the verification of oral health and as a determinant factor of the frequency of intervention, thus respecting the individuality of the patient. It is recommended that the use of oral health assessment scales for the safe determination of the frequency of intervention be implemented; new studies that address this theme are suggest to compare oral cavity evaluation scales, products, devices and frequency; to enable professionals to carry out quality and safe care, mitigating adverse events to patients