scholarly journals A Model for Community-Based Pediatric Oral Heath: Implementation of an Infant Oral Care Program

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Francisco J. Ramos-Gomez
Keyword(s):  
Oral Health ◽  
Head Start ◽  
Low Income ◽  
Interprofessional Education ◽  
Oral Care ◽  
Care Program ◽  
Retention Rates ◽  
Community Based ◽  
Health Maintenance ◽  
Community Based Organizations

The Affordable Care Act (ACA) mandates risk assessments, preventive care, and evaluations based on outcomes. ACA compliance will require easily accessible, cost-effective care models that are flexible and simple to establish. UCLA has developed an Infant Oral Care Program (IOCP) in partnership with community-based organizations that is an intervention model providing culturally competent perinatal and infant oral care for underserved, low-income, and/or minority children aged 0–5 and their caregivers. In collaboration with the Venice Family Clinic's Simms/Mann Health and Wellness Center, UCLA Pediatrics, Women, Infants, and Children (WIC), and Early Head Start and Head Start programs, the IOCP increases family-centered care access and promotes early utilization of dental services in nontraditional, primary care settings. Emphasizing disease prevention, management, and care that is sensitive to cultural, language, and oral health literacy challenges, IOCP patients achieve better oral health maintenance “in health” not in “disease modality”. IOCP uses interprofessional education to promote pediatric oral health across multiple disciplines and highlights the necessity for the “age-one visit”. This innovative clinical model facilitates early intervention and disease management. It sets a new standard of minimally invasive dental care that is widely available and prevention focused, with high retention rates due to strong collaborations with the community-based organizations serving these vulnerable, high-risk children.

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

2011 ◽  
Vol 23 (5) ◽  
pp. 249-257 ◽  
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

Oral Health in Rheumatoid Arthritis: Listening to Patients

2021 ◽  
pp. 238008442110126
Author(s):  
J.L.P. Protudjer ◽  
C. Billedeau ◽  
K. Hurst ◽  
R. Schroth ◽  
C. Stavropoulou ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Oral Health ◽  
Periodontal Disease ◽  
Health Knowledge ◽  
Care Delivery ◽  
Oral Care ◽  
Oral Health Care ◽  
Personal Hygiene ◽  
Health Maintenance

Introduction: Rates of periodontal disease and tooth loss are increased in individuals with rheumatoid arthritis (RA). Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and arthritis outcomes. Objectives: To determine the perceptions held by people with RA relating to their oral health, to identify patient-centered priorities for oral health research, and to inform optimal strategies for delivering oral health knowledge. Methods: Semistructured interviews were conducted with patients with RA. Recorded interview transcripts were iteratively reviewed to reveal surface and latent meaning and to code for themes. Constructs were considered saturated when no new themes were identified in subsequent interviews. We report themes with representative quotes. Results: Interviews were conducted with 11 individuals with RA (10 women [91%]; mean age, 68 y), all of whom were taking RA medication. Interviews averaged 19 min (range, 8 to 31 min) and were mostly conducted face-to-face. Three overall themes were identified: 1) knowledge about arthritis and oral health links; 2) oral health care in RA is complicated, both in personal hygiene practices and in professional oral care; and 3) poor oral health is a source of shame. Participants preferred to receive oral health education from their rheumatologists or dentists. Conclusions: People with RA have unique oral health perceptions and experience significant challenges with oral health care due to their arthritis. Adapting oral hygiene recommendations and professional oral care delivery to the needs of those with arthritis are patient priorities and are required to improve satisfaction regarding their oral health. Knowledge Translation Statement: Patients living with long-standing rheumatoid arthritis described poor oral health–related quality of life and multiple challenges with maintaining optimal oral health. Study findings indicate a need for educational materials addressing oral health maintenance for patients with rheumatic diseases and their providers.

“I Want to Advocate for Our Kids”: How Community-Based Organizations Broker College Enrollment for Underrepresented Students

2021 ◽  
pp. 001312452110045
Author(s):  
Irma Y. Ramirez
Keyword(s):  
High School Students ◽  
Low Income ◽  
Students Of Color ◽  
College Enrollment ◽  
Underrepresented Students ◽  
School Students ◽  
Community Based ◽  
Community Based Organizations ◽  
Student College ◽  
Community Based Organization

This exploratory study examines the role community-based organizations have in bridging low-income students of color to postsecondary institutions. Data came from interviews with organization staff, high school students, and college students associated with three distinct community-based organizations located in a mid-size city. The findings suggest that organization staff are well-positioned in youth, academic, and community social networks. Staff become social brokers across these networks through three steps: cultivating authentic and safe relationships, lessons from students, and becoming advocates. Community-based organization staff strategically advocate for underrepresented student college enrollment and admissions by serving as social brokers between students, schools, and their communities.

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

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.

A Model Protocol for Applying Anthropology in Rapid Health Services Evaluations

2003 ◽  
Vol 25 (2) ◽  
pp. 39-42 ◽  
Author(s):  
Elisa Sobo
Keyword(s):  
Health Services ◽  
Low Income ◽  
San Diego ◽  
Public Awareness ◽  
Culturally Appropriate ◽  
Community Based ◽  
Evaluation Team ◽  
Community Based Organizations ◽  
Low Income Children ◽  
Services Evaluation

In 1998, California launched Healthy Families/Medi-Cal for Children (HF/MCC). HF/MCC provides low- and no-cost insurance to low-income children. Six million dollars was budgeted for culturally appropriate outreach and enrollment activities and 72 community-based organizations (CBOs) were contracted to carry these out. The contracts were performance based and required measurable outcomes, such as successful enrollments, to increase local public awareness and generate enrollment in HF/MCC. Children's Hospital San Diego was hired (through the San Diego State Foundation) to evaluate the CBOs' performance. This article describes the fortuitous incorporation of a qualitative anthropological component. The protocol developed might be applied in other rapid health services evaluation contexts, especially when other members of the evaluation team (or the sponsors) have not yet been convinced of the usefulness of the qualitative approach.

Implementing a Community-based Oral Health Care Program: Lessons Learned

2003 ◽  
Vol 63 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Richard Diamond ◽  
Eugene Litwak ◽  
Stephen Marshall ◽  
Alexis Diamond
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Care Program ◽  
Oral Health Care ◽  
Lessons Learned ◽  
Community Based ◽  
Health Care Program

scholarly journals Empowering Head Start to Improve Access to Good Oral Health for Children from Low Income Families

2008 ◽  
Vol 15 (7) ◽  
pp. 876-882 ◽  
Author(s):  
Peter Milgrom ◽  
Philip Weinstein ◽  
Colleen Huebner ◽  
Janessa Graves ◽  
Ohnmar Tut
Keyword(s):  
Oral Health ◽  
Head Start ◽  
Low Income ◽  
Low Income Families ◽  
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