Development of a systematic oral care program for frail elderly persons

BACKGROUND Wearable devices have been developed and implemented to improve data collection in remote health care and smart care. Wearable devices have the advantage of always being with individuals, enabling easy detection of their movements. In this study, we developed and implemented a smart-care system using smart clothing for persons with dementia and with hip fracture. We conducted a preliminary study to understand family caregivers’ and care receivers’ experiences of receiving a smart technology-assisted (STA) home-nursing care program. OBJECTIVE This paper reports the difficulties we encountered and strategies we developed during the feasibility phase of studies on the effectiveness of our STA home-nursing care program for persons with dementia and hip fracture. METHODS Our care model, a STA home-nursing care program for persons with dementia and those with hip fracture included a remote-monitoring system for elderly persons wearing smart clothing was used to facilitate family caregivers’ detection of elderly persons’ movements. These movements included getting up at night, staying in the bathroom for more than 30 minutes, not moving more than 2 hours during the day, leaving the house, and daily activities. Participants included 13 families with 5 patients with hip fracture and 7 with dementia. Research nurses documented the difficulties they encountered during the process. RESULTS Difficulties encountered in this smart-care study were categorized into problems setting up the smart-care environment, problems running the system, and problems with participant acceptance/adherence. These difficulties caused participants to drop out, the system to not function or delayed function, inability to collect data, extra costs of manpower, and financial burden. Strategies to deal with these problems are also reported. CONCLUSIONS During the implementation of smart care at home for persons with dementia or hip fracture, different aspects of difficulties were found and strategies were taken. The findings of this study can provide a reference for future implementation of similar smart-home devices.

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Relationship between Aging and Dysphagia in Frail Elderly Persons by Frequency of Choking

Rigakuryoho Kagaku ◽

10.1589/rika.19.347 ◽

2004 ◽

Vol 19 (4) ◽

pp. 347-350

Author(s):

Teruo YOKOI ◽

Miki KATO ◽

Mamiko NAGAI ◽

Miki HAYASHI ◽

Ryoma NAKAGOSHI

Keyword(s):

Frail Elderly ◽

Elderly Persons

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Improving oral health in low-income pregnant women with a nurse practitioner-directed oral care program

Journal of the American Academy of Nurse Practitioners ◽

10.1111/j.1745-7599.2011.00606.x ◽

2011 ◽

Vol 23 (5) ◽

pp. 249-257 ◽

Cited By ~ 15

Author(s):

Nancy J. Cibulka ◽

Sandra Forney ◽

Kathy Goodwin ◽

Patricia Lazaroff ◽

Rebecca Sarabia

Keyword(s):

Oral Health ◽

Pregnant Women ◽

Nurse Practitioner ◽

Low Income ◽

Oral Care ◽

Care Program

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Development of the Foot Care Program for Health Promotion and Disease Prevention for Elderly Persons Living at Home: Second Report: Effect of Foot Care Performed by Elderly Persons

Journal of Japan Academy of Nursing Science ◽

10.5630/jans.34.160 ◽

2014 ◽

Vol 34 (1) ◽

pp. 160-169 ◽

Cited By ~ 2

Author(s):

Toshiko Himeno ◽

Mitsu Ono ◽

Chie Magota

Keyword(s):

Health Promotion ◽

Disease Prevention ◽

Care Program ◽

Elderly Persons ◽

Foot Care ◽

At Home

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Does Fear of Falling Relate to Low Physical Function in Frail Elderly Persons?: Associations of Fear of Falling, Balance, and Gait

Journal of the Japanese Physical Therapy Association ◽

10.1298/jjpta.7.41 ◽

2004 ◽

Vol 7 (1) ◽

pp. 41-47 ◽

Cited By ~ 5

Author(s):

Yumi Higuchi ◽

Hiroaki Sudo ◽

Noriko Tanaka ◽

Satoshi Fuchioka ◽

Yoshitaka Hayashi

Keyword(s):

Physical Function ◽

Frail Elderly ◽

Fear Of Falling ◽

Elderly Persons

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Effectiveness of Standard Oral Care Plan During Hospital Stay in Individuals With Brain Injury

Frontiers in Neurology ◽

10.3389/fneur.2021.714167 ◽

2021 ◽

Vol 12 ◽

Author(s):

Simple F. Kothari ◽

Gustavo G. Nascimento ◽

Mille B. Jakobsen ◽

Jørgen F. Nielsen ◽

Mohit Kothari

Keyword(s):

Brain Injury ◽

Oral Health ◽

Dental Plaque ◽

Oral Care ◽

Care Program ◽

Care Plan ◽

Multilevel Regression ◽

Early Introduction ◽

Brain Injured ◽

Over Time

Objective: To investigate the effectiveness of an existing standard oral care program (SOCP) and factors associated with it during hospitalization in individuals with acquired brain injury (ABI).Material and Methods: A total of 61 individuals underwent a SOCP for 4 weeks in a longitudinal observational study. Rapidly noticeable changes in oral health were evaluated by performing plaque, calculus, bleeding on probing (BOP) and bedside oral examination (BOE) at weeks 1 and 5. Individuals' brushing habits, eating difficulties, and the onset of pneumonia were retrieved from their medical records. Association between oral-health outcomes to systemic variables were investigated through multilevel regression models.Results: Dental plaque (P = 0.01) and total BOE score (P < 0.05) decreased over time but not the proportion of dental calculus (P = 0.30), BOP (P = 0.06), and tooth brushing frequency (P = 0.06). Reduction in plaque and BOE over time were negatively associated with higher periodontitis scores at baseline (coef. −6.8; −1.0), respectively, which in turn were associated with an increased proportion of BOP (coef. ≈ 15.0). An increased proportion of calculus was associated with eating difficulties (coef. 2.3) and the onset of pneumonia (coef. 6.2).Conclusions: Nursing care has been fundamental in improving oral health, especially reducing dental plaque and BOE scores. However, our findings indicate a need for improving the existing SOCP through academic-clinical partnerships.Clinical Relevance: Early introduction of oral care program to brain-injured individuals is beneficial in reducing plaque accumulation and improving oral health.

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Differences in Trunk Kinematic between Frail and Nonfrail Elderly Persons during Turn Transition Based on a Smartphone Inertial Sensor

BioMed Research International ◽

10.1155/2013/279197 ◽

2013 ◽

Vol 2013 ◽

pp. 1-6 ◽

Cited By ~ 8

Author(s):

Alejandro Galán-Mercant ◽

Antonio I. Cuesta-Vargas

Keyword(s):

Frail Elderly ◽

Inertial Sensor ◽

Angular Displacement ◽

Population Group ◽

Study Groups ◽

Cross Sectional Study ◽

Control Group ◽

Elderly Persons ◽

Cross Sectional ◽

Physically Active

Objective. Firstly, to, through instrumentation with theiPhone4smartphone, measure and describe variability of tridimensional acceleration, angular velocity, and displacement of the trunk in the turn transition during the ten-meter Extended Timed-Get-up-and-Go test in two groups of frail and physically active elderly persons. Secondly, to analyse the differences and performance of the variance between the study groups during turn transition (frail and healthy).Design. This is a cross-sectional study of 30 subjects over 65 years, 14 frail subjects, and 16 healthy subjects.Results. Significant differences were found between the groups of elderly persons in the accelerometry (P<0.01) and angular displacement variables (P<0.05), obtained in the kinematic readings of the trunk during the turning transitions. The results obtained in this study show a series of deficits in the frail elderly population group.Conclusions. The inertial sensor found in theiPhone4is able to study and analyse the kinematics of the turning transitions in frail and physically active elderly persons. The accelerometry values for the frail elderly are lower than the physically active elderly, whilst variability in the readings for the frail elderly is also lower than the control group.

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Which factors are associated with sarcopenia and frailty in elderly persons residing in the community?

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.180165 ◽

2018 ◽

Vol 21 (6) ◽

pp. 755-766

Author(s):

Ana Paula Pillatt ◽

Rutiana Silva Patias ◽

Evelise Moraes Berlezi ◽

Rodolfo Herberto Schneider

Keyword(s):

Systematic Review ◽

Vitamin D ◽

Frail Elderly ◽

Serum Vitamin ◽

Serum Levels ◽

Elderly Persons ◽

Risk Of Death ◽

Increased Risk ◽

Vitamin D Levels ◽

Low Serum

Abstract Objective: to broaden knowledge about the factors associated with sarcopenia and frailty in elderly persons residing in the community. Method: an integrative systematic review based on the PRISMA recommendations was carried out, using articles published from 2012 to March 2017 in the PubMED, SciELO, Virtual Health Library, CINAHL and Springer electronic databases with the following descriptors: frail elderly, sarcopenia and etiology and their synonyms. The articles identified by the initial search strategy were independently assessed by two researchers, according to the eligibility criteria, and the articles selected were evaluated for methodological quality. Results: the results of this survey show that frailty may be associated with sarcopenia, low serum vitamin D levels, anemia, subclinical hyperthyroidism in men, while the greatest evolution in women was for osteoporosis. An association between sarcopenia and advanced age was also observed, with worsening quality of life, physical-functional capacity, nutritional status and comorbidities, as well as an increased risk of death in sarcopenic elderly persons. Conclusion: this systematic review showed that low serum levels of vitamin D are associated with frailty and factors that predispose this condition. It is therefore important to monitor the serum levels of this vitamin in the elderly population, and it is suggested that new studies are carried out related to supplements of this vitamin in frail elderly persons.

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