Oral care and stroke units

Ana Talbot*, Marian Brady*, Denise L.C. Furlanetto, Heather Frenkel, Brian O. Williams

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

48 Citations (Scopus)

Abstract

OBJECTIVE: To investigate oral care provision reported by senior nurses in stroke care settings in Scotland. 

BACKGROUND: Stroke can have adverse effects on oral care and health. Little is known about current oral care practices in stroke care settings. 

MATERIALS AND METHODS: We designed a postal survey to be completed by ward managers or senior nurses. After piloting, the survey was distributed to all 71 units in Scotland, identified as providing specialist care for patients in the acute or rehabilitation stages following stroke. Pre-notification and reminder letters were circulated. Responses were anonymous. 

RESULTS: All but one survey was completed and returned. Help from dental professionals was available to most units (64/70) mostly on request. Only a third of units received oral care training in the last year (23/ 70). The majority of this training was ward based (20/23). The use of oral care assessment tools and protocols was limited (16/70 and 15/70 units respectively). Not all units had access to toothbrushes, toothpaste or chlorhexidine. For patients unable to perform oral care independently, senior nurses expected the patients' teeth or dentures to be cleaned at least twice a day in 59 of 70 and 49 of 70 units respectively. 

CONCLUSION: The response rate was excellent and has provided a national overview of oral care provision for patients in stroke care settings. Access to staff training, assessments, protocols and oral hygiene material varied considerably. This information provides a valuable baseline from which to develop and evaluate the effectiveness of ward-based oral care interventions for stroke patients.

Original languageEnglish
Pages (from-to)77-83
Number of pages7
JournalGerodontology
Volume22
Issue number2
Early online date9 May 2005
DOIs
Publication statusPublished - Jun 2005

ASJC Scopus subject areas

  • Dentistry(all)
  • Geriatrics and Gerontology

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