Development of palliative medicine in the United Kingdom and Ireland
Eduardo Bruera, Irene Higginson, Charles F von Gunten, Tatsuya Morita in Textbook of Palliative Medicine and Supportive Care, 2015
Avoid using sheepskin as it does not relieve pressure. Â 6*** Monitoring nutritional statusAssess current and usual weight.Assess history of involuntary weight loss or gain.Assess nutritional intake versus protein, calorie, and fluid needs.Assess appetite.Assess dental health.Assess oral and gastrointestinal history, chewing or swallowing difficulty, and ability to feed him/herself.Assess drug/nutrient interactions.Assess for prior medical/surgical interventions affecting intake or absorption of nutrients.Assessing laboratory parameters for nutritional status.
Introduction: The changing face of dental practice
Philip Newsome, Chris Barrow, Trevor W Ferguson in Profitable Dental Practice, 2019
Fundamental advances in oral healthcare have resulted in a far greater emphasis on scientific, evidence-based treatments. Take, for example, the recently adopted National Institute for Health and Care Excellence guidelines on the use of antibiotic cover in dentistry. These turned conventional wisdom on its head and have seen the almost total elimination of the once ubiquitous prophylactic antibiotic cover in UK dental practice.1 Research has done much to clarify the biological and behavioural mechanisms involved in oral health and the prevention of disease – primarily dental caries and periodontal disease. Successive Adult Dental Health Surveys have shown that the oral health of UK adults has improved significantly over recent decades. For example, the proportion of adults in England with visible coronal caries has fallen from 46% in 1998 to 28% in 2009 while the proportion of edentulous adults in England has fallen from 28% in 1978 to 6% in 2009.2 Nowadays, people are rendered edentulous at a rate that is almost too small to measure. Many millions have been converted from recurring emergency extractions to regular check-ups. In short, a massive number of people now enjoy the benefits of good dental health.
Information on level of drugs into breastmilk
Wendy Jones in Breastfeeding and Medication, 2018
Use of local anaesthetics or replacement of fillings should not be discouraged just because a mother is breastfeeding. Treatment can continue as normal (Lebedevs et al. 1993). However, there are occasions when a new mother may need a filling inserted or replaced. When mercury is removed some will be vaporised by the high-speed drill and a very small amount may be swallowed or inhaled. These amounts are minute and passage into breastmilk is insignificant compared with the background levels of mercury in the environment. The limitation of the consumption of tuna in line with Food Standards Agency guidance is more important in limiting the body burden of mercury and it is very difficult to prove any link between mercury fillings and long-term health problems (Food Standard Agency 2004; Lawson 2006). Preventative dental health to minimise the risk of decay is perhaps the message that is of paramount importance.
Oral hygiene habits in Portugal: results from the first Health Examination Survey (INSEF 2015)
Published in Acta Odontologica Scandinavica, 2019
Joana Santos, Liliana Antunes, Sónia Namorado, Irina Kislaya, Ana João Santos, Ana Paula Rodrigues, Paula Braz, Vânia Gaio, Marta Barreto, Heidi Lyshol, Baltazar Nunes, Carlos Manuel Matias Dias
One of the limitations of this study is the response rate. Nevertheless, it is in line with response rates obtained in similar surveys. Although this study is a health examination survey, dental examination was not performed and data used was collected through questionnaire. Dental examination could allow an objective assessment of the participants’ oral health and associations between oral hygiene practices and actual dental health status. Another limitation was recall bias, as information was collected using a questionnaire and participants may not remember their practices accurately or omit details. On the other hand, participants may have reported preventive practices due to social desirability and thus biased the results to some extent. Still, INSEF tried to minimize this bias by asking questions in a privacy setting and by the conduction of the interview by a health professional.
Association between oral and general health related quality of life among Norwegian patients with substance use disorders in opioid agonist therapy
Published in Acta Odontologica Scandinavica, 2023
Anne Nordrehaug Åstrøm, Jørn Henrik Vold, Christer Frode Aas, Kjell Arne Johansson, Lars Thore Fadnes
The oral cavity has been described as a window to general health. Thus, the relationship between oral health and general health is of considerable interest to the health- and dental health community [17,18]. Improving health by intervening in oral problems might be a practical goal of dental professionals. From the point of view of patients’ perceptions, the interaction between oral and general health is of increasing importance. Previous cross-sectional and longitudinal studies have indicated that poor oral health compromises general health and quality of life [17–20]. Also, a review of HRQoL and OHRQoL has shown positive associations between these measures, for instance, in a German general population, in patients treated for head and neck cancer, and in a Spanish study of patients treated for oral cancer [17,21,22]. However, findings are inconclusive, and there is a general lack of studies investigating the association of oral- and general health-related quality of life among patients with specific diseases. It is also uncertain whether findings based on general populations and patients with some specific diseases can be generalised to patients with SUD who receive opioid agonist therapy.
Implementation of oral hygiene practices in nursing homes – the view of supervisor nurses
Published in Acta Odontologica Scandinavica, 2022
Hannaleena Jämsä, Marja-Liisa Laitala, Hannu Vähänikkilä, Anna-Maija Syrjälä
The main theme, “Client’s daily practices” comprised basic daily factors affecting oral health among clients. Our results showed that according to Oral hygiene practice the daily cleaning of the client’s own teeth is insufficient. Our results are in line with previous results where residents’ own teeth were brushed for too short a time [10]. Furthermore, in our study, Favourable diet for oral health was not attained, as sugary snacks were given in 80% of care units. Impaired oral hygiene resulting in the accumulation of dental plaque, sugary snacks, and hyposalivation increase the risk for dental caries among older people [19,20]. Dental plaque is also a risk factor for periodontal disease, which has been shown to relate to many systemic inflammatories or infectious conditions, such as cardiovascular diseases and diabetes [21]. Improving oral hygiene and diet would improve both dental health and general health among clients.
Related Knowledge Centers
- Acid
- Dentistry
- Diabetes
- Obesity
- Oral Hygiene
- Tooth Decay
- Cardiovascular Disease
- Public Health
- Health
- Water Fluoridation