2. • Met with Health Region Directors of Care on
March 15, 2017
• Provided an overview of Better Oral Health in
Long Term Care
• Provided Better Oral Health in Long Term Care
resources to each health region.
• Informed Directors of the progress to date of
Better Oral Health in Long Term Care.
3. 2010: Saskatchewan Oral
Health Coalition (SOHC)
• May, 2010 saw the formation of the SOHC. It
consists of health professionals, including oral
health professionals, community agencies, health
region programs, provincial agencies, First
Nations communities, and individuals and
groups whose goal is to improve the oral health
of Saskatchewan residents.
• 2011 – SOHC members identified Oral Health
Care in LTC as the top priority to move
forward with.
4.
5. Better Oral Health in Long Term Care:
Best Practice Standards for
Saskatchewan
Since 2011, the Saskatchewan Oral Health
Professions (SOHP) and Saskatchewan Oral Health
Coalition have collaborated to develop a model for
oral health care in LTC:
• conducted best practice literature review
• developed policies and procedures
• continued data collection
• informed and include other health regions and
providers.
6. In 2011, the Saskatchewan Oral Health
Professions (SOHP) and Saskatchewan Oral
Health Coalition (SOHC) endorsed the use
and adaptation of the Australian Better Oral
Health in Residential Care
Better Oral Health in Long Term Care: Best
Practice Standards for Saskatchewan
program was focus tested in Saskatoon
Health Region at Parkridge Centre, in two of
their neighborhoods, in early 2014.
Better Oral Health in Long Term Care
7. • Better Oral Health in Long Term Care: Best Practice
Standards for Saskatchewan is a train-the-trainer
model teaching the best practices to provide daily
oral care.
• The Parkridge Centre pilot was used as the
model for full implementation in other LTC
homes in Saskatoon Health Region.
8. Better Oral Health in Long Term Care
Educators’ Portfolio Professional Portfolio Staff Portfolio
12. The oral care costs are included in the $21.25/month
charged to each resident for personal care items.(Pilot program at Parkridge
Centre in Saskatoon )
Better Oral Health in Long Term Care
Residents with Natural
Dentition Not Requiring
Assistance:
$1.74/month, which includes:
•Fluoridated toothpaste
($0.72)
•Toothbrushes GUM ($0.52)
•End-Tuft toothbrushes GUM
($0.50)
Residents Needing Assistance or
Having Swallowing or Expectorating
Difficulties:
$2.69/month, which includes:
• Perivex ($1.67)
• Toothbrushes GUM ($0.52)
• End-Tuft toothbrushes GUM ($0.50)
Residents that are
edentulous:
$2.30/month, which includes:
•Perivex ($1.67)
•Toothbrushes GUM ($0.52)
•Polident Tablet ($0.11)
Better Oral Health in Long Term Care: Best
Practice Standards for Saskatchewan
Basic Oral Hygiene Supplies
13. 2011 – Yearly treatments
Better Oral Health in Long Term Care
14. The oral health kit
is based on the
model used @
Deer Lodge Centre
in Winnipeg.
Better Oral Health in Long Term Care
Equipment
• Perivex can be purchased from Cardinal Health.
16. Oct 2015 saw the transition from the pilot project as the Saskatoon
Health Region OHP hired a dental assistant into the LTC OH
Coordinator position.
LTC OHC has audited/refreshed staff at Parkridge and
implemented Better Oral Health in Long Term Care: Best Practice
Standards for Saskatchewan at Sherbrooke, Sunnyside home, and just
started at Luther care home training times.
Saskatoon Health Region LTC Advisory Committee has the
reviewed Better Oral Health in LTC strategy and is supportive.
2 contract dental hygienists with Saskatoon Health Region will work
with LTC and within acute care to implement.
Better Oral Health in Long Term Care
19. Thankful Residents
This particular resident was
having her partial dentures
cleaned every day, but not
her natural teeth!
Notice the big smile after the
care aide has completed her
oral care!
This particular care aide
requested that I visit and
help her become more
comfortable doing oral care
for this resident, who was
new to her area of care.
Better Oral Health in Long Term Care
20. Love this Smile
This Residents’ body
has stiffened up and he
can no longer care for
his own mouth on his
own.
A care aide assists him
by guiding his hand
with the hand over
technique, but some
days he can’t grip his
toothbrush at all. They
then provide full
assistance.
Better Oral Health in Long Term Care
21. Smiles all Around
This resident is happy
he is able to see the
dentist in his own
home, and also that I
have been able visit him
to help him brush and
floss his own teeth
more effectively.
He told me “no one had
ever explained to him why
he should brush his teeth”.
Better Oral Health in Long Term Care
24. Findings From the Six Month
Oral Health Assessment*
• 93% more residents now have healthy
mouths.
• 56% fewer residents had areas of concern
in mouth.
• 81% fewer residents had unhealthy
mouths.
• Better Oral Health in Long Term Care
evaluation report to be completed by
September, 2017.
* 2 houses in a neighborhood; KV-H6 & H7 (16 residents)
25. I have been asked by residents and their
families:
“Why do LTC homes have spaces
allotted for beauty salons
and physical therapy rooms in the
planning of the building development,
but no Dental Clinics ?”
Better Oral Health in Long Term Care
26.
27. Senior Dental Therapist has assessed residents at Stony
Rapids Health Centre, and provided oral health supplies.
28. DHE provides Oral Health Module for Continuing Care
Aides training in Community College.
29. Contract dental therapist/hygienist providing dental
treatment assessments at Providence Place.
DHE provides annual assessments at Grasslands Health
Centre in Rockglen. DHE would like to begin the Better
Oral Health in LTC Program there.
Referrals from Prairie Villa and Ross Payant Centennial
Home in Assiniboia, Lafleche, and Gravelbourg.
Better Oral Health in LTC will be implemented in
neighborhoods at Extendicare.
30. The SHR LTC Oral Health Coordinator has
trained/orientated a dental hygienist to implement the
Better Oral Health in Long Term Care program for
Heartland Health Region and Priairie North Health
Region.
DHE provides Oral Health Module to Special Care Aides
taking course at community college.
32. Contract hygienist (Unity) has been trained and will be
implementing Better Oral Health in LTC.
In the past, DHE & SLP implemented training for LTC
staff in several LTC homes, to provide assessments and
daily oral care. Due to staff changes, this has changed.
33. DHE provides Oral Health Module for Continuing Care Aides @
Saskatchewan Polytechnic in Prince Albert.
DHE provided assessments in the following LTC homes:
Birchview Home (Birch Hills)
Evergreen Health Centre (Leoville)
Health Complex (Spiritwood)
Herb Bassett Home (Prince Albert)
Lakeland Lodge
Lakeland Lodge (Big River)
Mont St. Joseph (Kinistino)
Parkland Terrace
Pineview Terrace
Special Care Centre (Hafford)
Wheatland Lodge (Leask)
Whispering Pine (Canwood)
34. • DHE’s & DA’s with Primary Health Care have implemented Better
Oral Health in LTC: Best Practice Standards for Saskatchewan, and have
completed education in the following LTC homes:
Balcarres Integrated Care Centre St. Josephs Integrated Care Centre
(Lestock)
Centennial Lodge (Broadview) Silver Heights (Raymore)
Echo Lodge (Fort Qu’Appelle) South East Integrated Care Centre
(Moosomin)
Golden Prairie Nursing Home (Indian
Head)
Whitewood Community Health Centre
Grenfell Pioneer Home Wolseley Integrated Care Centre
Long Lake Valley Integrated Care
Centre (Imperial)
Montmartre Health Centre
• DHE’s, DA’s, and Director of Care will be trained on Better Oral
Health in Long Term Care (assessments, etc.) in June.
35. Sunrise Health Region will be starting a pilot in one LTC
home using Better Oral Health in LTC: Best Practice
Standards for Saskatchewan.
Dental Health Educator trained in Better Oral Health in
LTC.
Following a CBC radio interview with Kerrie Krieg,
Kamsack has expressed interest in implementing Better
Oral Health in LTC: Best Practice Standards for
Saskatchewan.
http://www.cbc.ca/news/canada/sas
katchewan/oral-health-care-
saskatchewan-1.3970397
