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Flashcards in Geriatric Oral Health Needs Deck (14)
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1

Focus on New Perspective on Aging

*MacArthur Studies of Successful Aging asked:  “What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?”

*Examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters.

*Common ____ have emerged, such as remaining ___ ____ly and____ly, maintaining ___ contacts, and avoiding ___.

*Evidence is in the growing number of older adults who have ____ their natural dentition into advanced old age.

*Successful aging at the ___ and ___ health levels.

*Epidemiologic studies demonstrate trends in improved health and quality of life among newer cohorts of older adults. 

Focus on New Perspective on Aging

*MacArthur Studies of Successful Aging asked:  “What genetic, biomedical, behavioral, and social factors are crucial to maintaining health and functional capacities in the later years?”

*Examined longitudinally a large cohort of independent elders on several physical, cognitive, emotional, and social parameters.

*Common predictors have emerged, such as remaining active physically and cognitively, maintaining social contacts, and avoiding disease.

*Evidence is in the growing number of older adults who have retained their natural dentition into advanced old age.

*Successful aging at the systemic and oral health levels.

*Epidemiologic studies demonstrate trends in improved health and quality of life among newer cohorts of older adults. 

2

Changes Thru Life Stages

*___ Prone Years

*___, ___, ____

*___ ___

____
_____ ___

*___, ___ , ____

*Repeat Cycle

 

Changes Thru Life Stages

 

*Cavity Prone Years

*Neglect, Illness, Finances

*Periodontal Disease

*Caries

*Tooth Loss

*Education, Restoration, Rehabilitation

*Repeat Cycle

 

3

Demographic Trends

*Geriatric population is exploding

*Will continue until the 21st Century

*1900 – _%

*2000 – 13% (3 million to 35 million)

*2030 – ___% (___ million)

 

*Minorities were __%(now) à___% (2030)

*8% Non-Hispanic blackà12%

*___% Hispanicà___%

*2% Asian and Pacific Islanderà 7%

*1% ___ ___ expected to remain same

 

Demographic Trends

*Geriatric population is exploding

*Will continue until the 21st Century

*1900 – 4%

*2000 – 13% (3 million to 35 million)

*2030 – 20% (70 million)

 

*Minorities were 16%(now) à35% (2030)

*8% Non-Hispanic blackà12%

*6% Hispanicà16%

*2% Asian and Pacific Islanderà 7%

*1% Native American expected to remain same

 

4

Access to Care

 

*What are the barriers to access to care among the elderly?

 

___
___
___ 
___

 

Access to Care

 

*What are the barriers to access to care among the elderly?

 

*Finances

*Transportation

*Health

*Priority

 

5

What does that mean?

*Planning for and providing oral care

___ issues?

___ English?

*___ issues? ___ status?

*Ratio of men to women

*___ more than likely will be married

*___ well being

*____ of caregivers

*Income of ___

 

What does that mean?

*Planning for and providing oral care

Cultural issues?

*Speak English?

*Gender issues? Marital status?

*Ratio of men to women

*Men more than likely will be married

*Emotional well being

*Availability of caregivers

*Income of widows

 

6

What kind of Activities

 

*____ activities

*In-home ___

*R____ therapy

*___ Activities

*You might find out other activities

 

What kind of Activities

 

*Wellness activities

*In-home services

*Rehabilitation therapy

*Independent Activities

*You might find out other activities

 

7

What makes elderly Different?

 

*Increasing health concerns

___y losses

____decline

Process information mor ____

May have___ issues

May be physically ___

Lessened ___and influence

____/dispersal of friends and family

Alteration in strength of voice by changes: ___ ___ ___ ____

If patient has episodic imprecise articulation may be a warning sign of ____, certain ____l conditions, improperly fitting ___s, ___ interactions.

What makes elderly Different?

 

*Increasing health concerns

Sensory losses

Memory decline

Process information more slowly

May have transportation issues

May be physically isolated

Lessened power and influence

Loss/dispersal of friends and family

Alteration in strength of voice by changes: Oral, Pharyngeal, Laryngeal or Respiratory system

If patient has episodic imprecise articulation may be a warning sign of TIA, certain neuropathological conditions, improperly fitting dentures, drug interactions.

8

Directed Questions

 

*Chronically ill patients tend not to follow ___ and lose way

*Lower perceived ___ , lower ____

*Encouragement

*Enthusiasm

*Frequent recall

*Self-discovery technique

 

Directed Questions

 

*Chronically ill patients tend not to follow therapy and lose way

*Lower perceived threat, lower compliance

*Encouragement

*Enthusiasm

*Frequent recall

*Self-discovery technique

 

9

What is Your Role?

*First focused healthcare interview

What is the difference between a casual conversation and interview?

Information__ ___  with no particular effort to guide the conversation.  (convo)

One participant is making a conscious effort to __ ___n. (interview)

Skill is in making feel simply like engaging in ____

We are trying to achieve a life review.

 

What is Your Role?

*First focused healthcare interview

What is the difference between a casual conversation and interview?

Information flows freely with no particular effort to guide the conversation.  (convo)

One participant is making a conscious effort to obtain information. (interview)

Skill is in making feel simply like engaging in conversation

We are trying to achieve a life review.

 

10

Analysis

*Why do it? Understand the person, how they ___  who they are

*What are the themes that you gathered

*Themes are ___ at create ___

*___ ____, etc.

*Usually___ themes

*Not the same for everyone

 

Analysis

*Why do it? Understand the person, how they became who they are

*What are the themes that you gathered

*Themes are markers that create continuity

*Money, upbringing, etc.

*Usually four/six themes

*Not the same for everyone

 

11

Environment

*Noise

*Hard to be heard if voice is low

*Hard of hearing

*Confusion

 

Instead find a quiet spot

Sit at eye level of patient

Environment

*Noise

*Hard to be heard if voice is low

*Hard of hearing

*Confusion

 

Instead find a quiet spot

Sit at eye level of patient

12

Teach Back Technique

 

*Let me see if I understand what you’ve told me so far…

*How did I do?

*What have I missed?

*What do you want to correct or add?

 

Teach Back Technique

 

*Let me see if I understand what you’ve told me so far…

*How did I do?

*What have I missed?

*What do you want to correct or add?

 

13

Initiating Conversation

 

*Do not use because words

It’s good for you, you need it etc

 

FORM

F: 

O: 

R: 

M: 

 

Enunciate Clearly and let the person see your mouth when you speak as there is a difference in talking loudly. 

Initiating Conversation

 

*Do not use because words

It’s good for you, you need it etc

 

FORM

F: Family

O: Occupation

R: Recreation

M: Motivation

 

Enunciate Clearly and let the person see your mouth when you speak as there is a difference in talking loudly. 

14

Etiquette

SOFTEN skills

*S

*O

*F

*T

*E

*N

 

 

PEARLS statements

P

E

A

L

S

 

S

 

Etiquette

SOFTEN skills

*Smile

*Open Body

*Forward Lean

*Touch

*Eye contact

*Nod

 

 

PEARLS statements

Partnersips

Empathy

Apology

Legitimization

Support

 

L earn from open-ended questions

I ntegrate using a diagram or visual

S ummarize for accuracy & completeness

T alk about omissions and meaning

E mpathize by validating

N egotiate recommendations