May 26th 2010

1. ORAL CARE IN
LONG-TERM CARE
ORAL CARE FOR ALL
Laura Carney
Speech-Language Pathologist
Saskatoon Health Region, Long-Term Care
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

2. POPULATION
THOSE LIVING IN LTC IN SHR
AGEING
DEMENTIA
POST STROKE, PARKINSON’S DX
OTHER NEUROLOGICAL DX
RESPIRATORY/CARDIAC DX
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

3. TWO PRIMARY GROUPS
THOSE WITH ORALPHARYNGEAL DYSPHAGIA
THOSE WITH NO DX OF
DYSPHAGIA BUT WHO HAVE
BEEN DX WITH ASPIRATION
PNEUMONIA
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

4. GROUP ONE: DYSPHAGIA
HIGH # OF MEDICAL CONDITIONS
WHICH PREDISPOSE PERSON TO
DYSPHAGIA
MEDICATIONS MAY INCREASE RISK
OF DYSPHAGIA
CONTROVERSY: USE OF THICKENED
FLUIDS (LOGEMANN ET AL, 2008)
STAFF TIME VARIES FOR
INTERVENTION
ORAL CARE: POCKETING OF FOOD
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

5. GROUP TWO
ASPIRATION PNEUMONIA
NOT INITIALLY REFERRED FOR
SWALLOWING ASSESSMENT;
SEEN POST-DISCHARGE AND
NOW DX AS DYSPHAGIC
SUSPECT IS SALIVA
LANGMORE ET AL (1998):
DYSPHAGIA NOT A PRIME RISK
FOR AP UNLESS OTHER RISK
FACTORS ON BOARD
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

6. GROUP TWO:
ASPIRATION PNEUMONIA
FACTORS INCLUDED:
DEPENDENT FOR FEEDING
DEPENDENT FOR ORAL CARE
NUMBER OF DECAYED TEETH
TUBE FEEDING
MULTI MEDICAL DIAGNOSES
NUMBER OF MEDICATIONS
SMOKING
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region

7. ORAL CARE IN LTC
EDUCATION: ORAL CARE AND
CHEST HEALTH
NURSING
CARE AIDES
OWNERSHIP OF
RESPONSIBILITY
EXPECTATION THAT CARE WILL
BE GIVEN
Healthiest People~Healthiest Communities~Exceptional Service
© 2010, Saskatoon Health Region