The role of nursing in oral health of older adults
Keywords:
Nursing, Oral Health, Oral Hygiene, Aged, Systematic ReviewAbstract
Introduction: The population demand for older adults requires the attention of trained nursing professionals who provide comprehensive care that allows the inclusion of oral health; the ability to open an area of opportunity is in the hands of every nursing professional, fostering a multidisciplinary approach and improvement in the care of the elderly.
Objective: To identify the oral health practices carried out by nursing personnel in the elderly and an analysis of the impact that they could have if they were replicated in Mexico at the institutional level.
Methods: A literature review was carried out in six search engines: Pubmed, SciElo, Redalyc, Elsevier, Wiley and Google Schoolar. With MeSH terms in english language (Nursing, Elderly and Oral Health) and in spanish and portuguese (Enfermería, Higiene Bucal, Adulto Mayor and Salud Oral). Seven articles that met the inclusion criteria were reviewed.
Results: The studies showed that, with the training, implementation or evaluation of the nursing staff’s practices, there is an improvement in the oral health conditions of Older Adults. In Mexico, the opening of the nursing staff to explore other areas of opportunity could be directed in oral health practices, adopting the model of other countries.
Conclusions: The participation of Nursing and Dentistry has been growing around the world, however in our country it is still limited and various activities in Health education are omitted, so an evaluation and training of both disciplines is suggested to find a point of meeting and enriching knowledge for the benefit of the population.
References
Norma Oficial Mexicana NOM-019-SSA3-2013, Para la práctica de enfermería en el Sistema Nacional de Salud. México, D.F.:Diario Oficial de la Federación, 2013. Disponible en:http://www.dof.gob.mx/nota_detalle.php?codigo=5312523& fecha=02/09/2013
Organización Mundial de la Salud. Temas de Salud. Enfermería. Ginebra, Suiza:WHO, 2018. Disponible en https://www.who.int/topics/nursing/es/
Gómara E. Enfermería:¿Hacia dónde vamos?Enfermería de Salud Pública. Revista Iberoamericana de Enfermería Comunitaria. 2012;5(1):5-10
Prado-Solar LA, González M, Gómez N, Borges K. La teoría déficit de autocuidado:Dorothea Orem punto de partida para calidad en la atención. Revista Médica Electrónica. 2014;36(6):835-845
Lewis A, Wallace J, Deutsch A, King P. Improving the oral health of frail and functionally dependent elderly. Australian Dental Journal. 2015;60(1):95-105
Norma Oficial Mexicana NOM-019-SSA3-2013, Para la práctica de enfermería en el Sistema Nacional de Salud. Ciudad de México, México:Diario Oficial de la Federación, 2018
Consejo Nacional de Población. Conapo e Inapam, de la mano en la atención del envejecimiento. Ciudad de México, México:CONAPO;2019. Disponible en:https://www.gob.mx/inapam/prensa/conapo-e-inapam-de-la-mano-en-la-atencion-del-envejecimiento-156950?idiom=es
Naess G, Kirkevold M, Hammer W, Straand J, Wyller TB. Nursing care needs and services utilized by home-dwelling elderly with complex health problems:observational study. BMC Health Services Research. 2017;17(645):1-10
García L. Gerontología educativa:cómo diseñar proyectos educativos con personas mayores (colección gerontología social). Buenos Aires;Madrid. Ed. Médica Panamericana, 2015
Razak PA, Richard KJ, Thankachan RP, Hafiz KA, -Kumar KN, Sameer KM. Geriatric oral health:a review article. Journal of International Oral Health. 2014;6(6):110-116
Secretaría de Salud. Sistema de Vigilancia Epidemiológica de Patologías Bucales. Ciudad de México,México:Secretaría de Salud, 2015. Disponible en:http://www.cenaprece.salud.gob.mx/programas/interior/saludbucal/descargas/pdf/ 10Anos_SIVEPAB.pdf
Jiménez G, Gómez O. Utilización de la “enfermera dental“para mejorar el plan de estudios de una facultad de odontología. Boletín de la Oficina Sanitaria Panamericana. 1970;68:416-35
National Health System. Dental Nurse. London, UK:NHS, 2018. Disponible en:https://www.healthcareers.nhs.uk/explore-roles/dental-team/roles-dental-team/dental-nurse
American Dental Hygienist Association. Dental Hygiene Programs. Chicago, Illinois;ADHA:2018. Disponible en: https://www.adha.org/dental-hygiene-programs
Pérez M, Isabel M, Muñoz J. Déficit total o parcial de autocuidados en la higiene. Enfermería Clínica. 2002;12(3):127-32
Vidal C. El desarrollo de recursos humanos y el plan de acción. Educación Médica y Salud. 1984;18(2):113-22
Centro Nacional de Programas Preventivos y Control de Enfermedades. Proyecto SOFAR - Salud Oral y Factores de Riesgo. México:CENAPRECE;2017. Disponible en:https://www.gob.mx/cms/uploads/attachment/file/331807/Untitled2.pdf
Garrido-Urrutia C, Romo-Ormazábal F, Araya D, Muñoz-López D, Espinoza I. Cuidado bucal en mayores dependientes de un programa de cuidados domiciliarios. Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral. 2016;9(2):140-45
Rodríguez-Díaz B, Moreno C, Jaimes N. Efecto de estrategias de cuidado de enfermería en el adulto mayor con deterioro de la movilidad física y conductas generadoras de la salud en centros de bienestar en la ciudad de Bucaramanga. Revista CUIDARTE. 2011;2(1):155-60
Orlandini G, Lazzari CM. El conocimiento del equipo de enfermería sobre la higiene oral en pacientes críticamente enfermos. Revista Gaúcha de Enfermagem. 2012;33(3):34-41
Wardh I, Wikström M. Long-Term effects of using oral care aides at a nursing home for elderly dependent residents-a pilot study:oral care aides effect on oral microflora. Special Care in Dentistry. 2014;34(2):64-69
Marchini L, Recker E, Hartshorn J, Cowen H, Lynch D, Drake D. Iowa nursing facility oral hygiene (INFOH) intervention:a clinical and microbiological pilot randomized trial. Special Care in Dentistry. 2018;38(6):345-55
Zenthoefer A, Meyer-Kühling I, Hufeland AL, Schröder J, Cabrera T, Baumgart D. Career's education improves oral health of older people suffering from dementia- results of an intervention study. Clinical Interventions in Aging. 2016;11:1755-62
Ildarabadi E, Armat M, Motamedosanaye V, Ghanei F. Effect of oral health care program on oral health status of elderly people living in nursing homes:a quasi-experimental study. Mater Sociomed. 2017;29(4):263-67
Scottish Intercollegiate Guidelines Network (SIGN). SIGN 50, A guideline developer's handbook, revised edition. Edinburgh:SIGN;2011. Disponible en:https://www.sign.ac.uk/assets/sign50_2011.pdf
Yi Mohammadi J, Franks K, Hines S. Effectiveness of professional oral health care intervention on the oral health of residents with dementia in residential aged care facilities:a systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports. 2015;13(10):110-122
Seleskog B, Lindqvist L, Wårdh I, Engström A, von Bültzingslöwen I. Theoretical and hands-on guidance from dental hygienists promotes good oral health in elderly people living in nursing homes, a pilot study. International Journal of Dental Hygiene. 2018;16(4):476-83
Forsell M, Sjögren P, Kullberg E, Johansson O, Wedel P, Herbst B. Attitudes and perceptions towards oral hygiene tasks among geriatric nursing home staff:attitudes towards oral hygiene tasks. International Journal of Dental Hygiene. 2011;9(3):199-03
Janssens B, de Visschere L, van der Putten GC, de Lugt-Lustig K, Jos M. Effect of an oral healthcare protocol in nursing homes on care staffs'knowledge and attitude towards oral health care:a cluster-randomised controlled trial. Gerodontology. 2016;33(2):275-86
Lindqvist L, Seleskog B, Wårdh I, von Bültzingslöwen I. Oral care perspectives of professionals in nursing homes for the elderly. International Journal of Dental Hygiene. 2013;11(4):298-305
Daly B, Smith K. Promoting good dental health in older people:role of the community nurse. British Journal of Community Nursing. 2015;20(9):431-36
Catteau C, Piaton S, Nicolas E, Hennequin M, -Lassauzay C. Assessment of the oral health knowledge of healthcare providers in geriatric nursing homes:additional training needs required. Gerodontology. 2016;33(1):11-19
Clemmens D, Rodriguez K, Leef B. Knowledge, attitudes, and practices of baccalaureate nursing students regarding oral health assessment. Journal of Nursing Education. 2012;51(9):532-35
Van der Putten GJ, Mulder J, de Baat C, De -Visschere LM, Vanobbergen J. Effectiveness of supervised implementation of an oral health care guideline in care homes;a single-blinded cluster randomized controlled trial. Clinical Oral Investigations. 2013;17(4):1143-1153
Gómez E, Ceres R, Palazón L, Mas M, Avendaño A, Oliver JL. Higiene oral en el anciano. Serie de Documentos Técnicos SEEGG Nº6. Córdoba, España:Sociedad Española de Enfermería Geriátrica y Gerontológica;2016
Muñoz-Hernández O. Programas Integrados de Salud (PREVENIMSS). Rev Med Inst Mex Seguro Soc. 2006;44(1):S1-S2