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APHA Scientific Session and Event Listing

Recorded presentation

Jane M. Chalmers, BDSc, MS, PhD, Geriatric and Special Needs Program, University of Iowa, College of Dentistry, 801 Newton Rd, Iowa City, IA 52242, 319 335 7203, jane-chalmers@uiowa.edu

The provision of oral hygiene care for residents of nursing homes is one of the most challenging activities for carers, especially with the many older residents with dementia and related disruptive behaviors. Longitudinal oral epidemiological data from US and international nursing homes studies have substantiated the high levels of plaque accumulation and oral diseases observed clinically in residents. This presentation will describe the disruptive behaviors observed during oral hygiene care with residents, including those with dementia and other neurological disorders. Information from several recent studies by Coleman and Chalmers that observed oral hygiene care in nursing homes will highlight procedural, organizational and carer influences on the provision of oral hygiene care. A model will illustrate how these and other influences are intertwined in a complex cycle that results in inadequate oral hygiene care provision for residents in many nursing homes (Chalmers, Cody, and Pyfferoen, 2006). Several oral health promotion initiatives for medical and nursing staff as well as Certified Nursing Assistants (CNAs) will be discussed; these include a national physician oral health toolkit (Chalmers, 2006, Commonwealth Department of Health and Aging, Australia), a story-based interactive web training course for CNAs (Iowa Geriatric Education Center), and a best-practice model for improving older adults' oral health for those that are homebound (Iowa's Seniors Smiles) and residing in nursing homes (Iowa and Australia).

Learning Objectives: At the conclusion of this presentation, the participant (learner) will be able to

• describe the influences on oral hygiene care provision in nursing homes;
• recognize disruptive behaviors in residents with dementia and be able to apply strategies to improve oral hygiene care provision in these residents;
• resource geriatric oral health promotion initiatives for nursing homes.

Keywords: Dementia, Nursing Homes

Presenting author's disclosure statement:

Any relevant financial relationships? Yes

Organization	Clinical/Research Area	Type of Relationship
GC America	Minimal Intervention Dentistry	Speaker's bureau and teaching engagements

Any company-sponsored training?	Yes
Did the company pay your travel and lodging?	Yes
Were you provide you with slides as part of the training sessions?	No
Did you receive an honorarium or consulting fee for participating in the training?	Yes
Any institutionally-contracted trials related to this submission?	No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Recorded presentation