Improving the Oral Health
of Older Persons Initiative
Prof. Stephen Lambert-Humble MBE
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Overview
• An initiative to improve oral health and healthcare for older
persons within the counties of Kent, Surrey and Sussex.
• Interdisciplinary and multi-sectorial involvement of many
stakeholders and third sector parties
• HEKSS led training and education package plus parallel
project assessment and evaluation in association with the
University of Kent
• Beginning with care home residents and assuring outcomes
using oral health care tools:
– The Oral Health Needs Assessment
– The Daily Mouth Care Plan
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Overview
Training
Resources
Training
Delivery
Work
Strands
Communications
Research /
Evaluation
Sustainability
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Resources
The Training Package:
 A series of presentations – scalable according to event
 Demonstration of Oral Health Assessment and Recording
 Demonstration, or video, of oral cleaning procedures
 A resource pack
The Resource Pack:
 Poster of oral and denture cleaning procedures
 Poster of oral health guidance
 Leaflet of key messages
 DVD containing all materials and resource links
Web-based Resource:
 A web page with all training and educational resources, and links to
other information.
 An e-learning package on Domiciliary Care
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The Oral Health Needs
Assessment
* A risk assessment to identify
problems and risk factors
* Individual assessment of need
* Facilitates appropriate
response
* Reflects good practice
* Based on guidance
* Contributes to planning and
delivery of daily care
* On admission, as a matter of
routine OR
* As soon as this practice is adopted
AND
* At specified intervals to monitor
changing needs
Who should do it?
* Any member of the team
OR
* Self assessment by able residents
(2) Guidelines for Oral Health Care for Long-stay Patients and Residents. British
Society of Disability and Oral Health. Guidelines 2000
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Daily Mouth Care Plans
A care plan which:
* Ensures appropriate care is provided
* Records planning and delivery
* Is specific to the individual concerned
* Promotes a tailored daily routine
* Demonstrates good practice
* Provides daily documented evidence of care
* Should be used by all members of the care team
and reviewed regularly.
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Research / Evaluation
Quantitative and
Qualitative Assessment
Knowledge
Dissemination
Research
Strategy
Evidence
Base
Effectiveness
Cost
Effectiveness
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