How accurate is the assessment of certified nursing assistants on resident's oral self-care function in three North Carolina assisted-living facilities?
assisted-living
long-term care
nursing aide assessment
oral health
oral self-care function
Journal
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
ISSN: 1754-4505
Titre abrégé: Spec Care Dentist
Pays: United States
ID NLM: 8103755
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
13
04
2020
revised:
25
07
2020
accepted:
24
08
2020
pubmed:
30
9
2020
medline:
13
11
2020
entrez:
29
9
2020
Statut:
ppublish
Résumé
To examine the association between the assessments of certified nursing assistants (CNAs) on resident's oral self-care function and resident's oral hygiene outcomes in three North Carolina assisted-living (AL) facilities. Sixty-five dentate AL residents were included in this secondary analysis. CNAs were asked to rate the AL residents' overall oral self-care function using a 6-point Likert scale. Their assessments were then compared with the objective, performance-based Dental Activities Test and the oral hygiene and gingival health measures. The analysis showed that nearly 90% of the participants presented with at least one untreated decayed or broken tooth. On average, nearly two-thirds of the surfaces were covered by soft deposits (Debris Index = 1.83, SD = 0.60). Generalized mild to moderate inflammation (Gingival Index = 1.51, SD = 0.53) commonly presented on residents' gingiva. CNAs were able to accurately identify the residents with substantial impairment in oral self-care function, yet they tended to overestimate the oral self-care function of residents with mild to moderate impairment. CNAs assessments were also not significantly correlated with residents' oral hygiene measures. CNAs failed to identify and provide assistance to AL residents with impaired oral self-care function, contributing to poor oral oral hygiene in these vulnerable individuals.
Types de publication
Journal Article
Langues
eng
Pagination
580-588Subventions
Organisme : NIDCR NIH HHS
ID : K23DE022470
Pays : United States
Organisme : NIDCR NIH HHS
ID : K23DE022470
Pays : United States
Informations de copyright
© 2020 Special Care Dentistry Association and Wiley Periodicals, Inc.
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