Designing clinical networks to manage the oral health of older people

2011 ◽  
Vol 2 (3) ◽  
pp. 118-122
Author(s):  
Vanita Brookes

The UK has an ageing population. The population of older people is increasing in both absolute and relative terms, with older people forming a larger proportion of the population. In 1984, 15% of the population was over 65. By 2034 this will increase to 23%. Between 2009 and 2034 the number of people over the age of 85 is projected to more than double, accounting for 5% of the total population by that time.1 Dental clinical networks can, and no doubt will, play a major role in caring for our older citizens.

2021 ◽  
pp. 1-1
Author(s):  
Eftychia Kotronia ◽  
Heather Brown ◽  
A. Olia Papacosta ◽  
Lucy T. Lennon ◽  
Robert J. Weyant ◽  
...  
Keyword(s):  

Author(s):  
Tom Dening ◽  
Alisoun Milne

Although only 5% of the total over 65 population in developed countries lives in a care home, the lifetime risk of needing residential care is considerable. In the UK, 418 000 older people occupy nearly 12 000 care homes; the sector has a total value of around £14 billion. Care home residents tend to be very old, most are women, and most have complex co-morbid needs. Most people enter a care home because they can no longer live independently due to ill health, notably dementia. Dementia affects over two thirds of all residents; physical disability and functional impairment are also common. Behavioural disturbance is common as is depression. There are concerns about excessive reliance on medication, and more emphasis recently has been placed on improving standards of care. Evidence suggests that training and good leadership is effective. With the ageing population, the provision and the funding of care home places will come under increasing pressure. The solutions to this are yet to be determined.


2019 ◽  
Vol 12 (5) ◽  
pp. 239-242
Author(s):  
Zein Toukan

The UK is undergoing a significant demographic change, due to a steadily ageing population. By 2040 nearly one-in-four people will be aged 65 years or over. This will have several implications for the individual, society, the healthcare system and the economy. This article aims to highlight some of the risk factors that contribute to increased morbidity and mortality in older people and to outline strategies aimed at reducing ill health and disability.


2019 ◽  
Vol 30 (6) ◽  
pp. 282-286
Author(s):  
Jill Hill

The UK has an ageing population more and more elderly people are living with diabetes. Jill Hill explores the condition as well as other healthcare challenges that comes with caring for this particular patient group With the increasingly ageing population worldwide, more older people are living with diabetes. The conditions that often accompany older age, such as dementia, renal impairment, visual impairment and manual dexterity difficulties, can make diabetes management complex and self-care challenging. However, the status of older people varies considerably, and so choice of glucose-lowering agents and clinical targets should be individualised to maximise safety and ensure that the risks of treatments do not outweigh the benefits. For many patients, there will be an increasing dependence on others to manage their diabetes care, therefore an appropriate skill mix among health professionals and carers, adequate training and regular competency assessment are crucial to support patients to remain safe and symptom free from diabetes.


2002 ◽  
Vol 8 (2) ◽  
pp. 98 ◽  
Author(s):  
Beth Kingsley

Elder abuse is a taboo topic that older people talk about in hushed whispers and community workers are hesitant to raise. Nevertheless the abuse of older people is a social issue and a tragedy of an ageing population. To promote the safety of older citizens health professionals cannot stand by and allow clients to be abused where they experience harm at the hands of someone they know and from whom they should be able to expect safe care. The harmful and damaging nature of elder abuse compels practitioners to work with the community to address and resolve this social problem. Evolving from focus group discussions with older people in Perth, Western Australia, a series of community education and empowerment forums were held under the auspice of The Council on the Ageing (WA) Inc. The forums used an innovative drama format to illustrate the issues of elder abuse and demonstrate potential solutions. Forum evaluation indicated that this format was successful in raising awareness of elder abuse, what it is, why it happens and what resources are available to deal with it. From the forums caregivers and older people learned new strategies on how to minimise their risk of abusing or to resist becoming a victim of abuse.


2020 ◽  
Vol 25 (4) ◽  
pp. 644-660
Author(s):  
Anne Chappell ◽  
Elaine Welsh

In this article, we examine the concept of resilience. Debates range from defining it as an individualised attribute to understanding it as a relational social process. Concerns about an ageing population alongside a growing interest in well-being have led to an increase in the use of the term ‘resilience’ in UK policy and political rhetoric. Developing strategies for ‘bouncing back’ from difficult circumstances has been at the heart of much discussion of resilience. Drawing on qualitative data from interviews and focus groups with older people in the UK, we explore their perspectives on resilience. We found that relationships, including intergenerational ones, are crucial to older people’s understandings of resilience. Our data showed that narratives from the past were used to sustain resilience in the present and that negotiation and exchange between generations, as well as intergenerational connections in the community, fostered resilience among our participants. We found that relationality was at the heart of older people’s perspectives on resilience and that the social process of resilience was acted out in their everyday interactions with others as well as through their memories of past interactions. This article argues that recognising the significance of these daily practices contributes to a more nuanced understanding of resilience.


2012 ◽  
Vol 5 (10) ◽  
pp. 614-619
Author(s):  
Arijit Ray-Chaudhuri ◽  
Ryan C. Olley ◽  
Rupert S. Austin ◽  
Jennifer E. Gallagher

As the UK population ages and older people retain their natural teeth for longer, the complexity of the oral health needs in older people is becoming more challenging. Older patients are often registered with a GP and will increasingly be likely to require dental care. Older people in particular may benefit from dental care but may not have a dentist or perceive any risk of oral disease. This article therefore provides practical insight into the oral health management of older people to assist in addressing their oral health needs.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Kotronia ◽  
S G Wannamethee ◽  
O A Papacosta ◽  
P H Whincup ◽  
L T Lennon ◽  
...  

Abstract Background To examine the association between oral health markers and disability 4 years later in two population-based studies of older people in the UK and USA. Methods Analyses were conducted in the British Regional Heart Study (BRHS) comprising older men (n = 2147) and the Health, Aging and Body Composition (HABC) Study comprising American older men and women (n = 3075). Data from a 4-year follow up period were used. Oral health measures included tooth loss, periodontal disease, dry mouth, and self-rated oral health. Mobility limitations and Activities of Daily Living (ADL) were markers of disability. Logistic regression was performed and analyses were adjusted for confounders (age, socioeconomic position, lifestyle factors, and chronic diseases). Results Over a 4-year follow-up, 15% of subjects in the BRHS and 19% in the HABC Study developed mobility limitations. In both studies, 12% of participants developed ADL problems. In the BRHS, tooth loss (complete and partial), periodontal disease, dry mouth and accumulation of oral health problems were associated with an increased risk of developing mobility limitations after adjustment for confounders (partial tooth loss, OR = 1.86, 95% CI 1.18-2.94, ≥3 dry mouth symptoms, OR = 1.97, 95%CI 1.25-3.09). Similar results were observed for the risk of developing ADL problems. In the HABC Study, complete tooth loss and accumulation of oral health problems were associated with greater risk of incident mobility limitations (OR = 1.77, 95%CI 1.13-2.76; OR = 1.18, 95% CI 1.02-1.37, respectively). Moreover, self-rated oral health was associated with increased risk of ADL problems, after adjustment for confounders. Conclusions Poor oral health was associated with increased risk of developing disability in community-dwelling older people. Screening tools of oral health may be helpful in identifying oral health problems, improving oral health status and promoting health and good quality of life. Key messages Poor oral health is associated with a higher risk of developing disability in later life. This highlights the importance of oral health on maintaining independence in older people.


2011 ◽  
Vol 2 (3) ◽  
pp. 100-103
Author(s):  
Eric Rooney

Older people are living longer, keeping their teeth for longer but increasingly facing diseases associated with ageing, including dementia. The ability of older people to maintain good oral health, and the ability of dental professionals to maintain their heavily restored dentitions, presents a challenge in planning services for the future. There needs to be a focus on personal prevention for those who will move into old age over the next 20 years. We must also develop services which address the complexity of delivering professional prevention and treatment to those who need to be supported in their later years.


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