Alzheimer’s Care Facilities And other opportunities

Alzheimer Care Facility Beauty Shop / Hygiene Clinic

Facility Set Up

Set Up

Benefits to In-Facility Care -Eliminates Travel Costs and Concerns -Convenient for Patient Schedules -Records are updated on site -Professional help available to move patient -Can review care with caregivers on site -Family can become involved with needs -Costs may be less than traditional office

Components of a Hygiene Care Visit -Review chart and medical conditions -Blood pressure screening -Oral Cancer screening -Oral health evaluation -Prophylaxis (cleaning) -Polishing and Flossing -Fluoride Varnish application -Recommendations for needed care and treatment Chart notes updated

Education -Provides hands on education for staff and CNA’s who provide daily care -Gives family education of oral health needs -Verifies quality of staff care Benefit for facility to provide client oral care

Oral Health’s Relationship to Whole Body Health Hospital Readmits Ventilator pneumonia Cardiac relationship Stroke Diabetes Oral Cancer Rheumatoid Arthritis Pancreatic Cancer Kidney Cancer Alzheimer’s Disease High Blood Pressure Pregnancy Outcomes Head and Neck Cancer

FACTS Diabetes and bleeding gums increases risk of premature death by % *AAOSH ( American Assoc. for Oral Systemic Health) People with gum disease are twice as likely to die from Heart Disease and three times as likely to die from Stroke * Mayo Clinic Gum disease increases Pancreatic & Kidney cancer risk by 62% *Harvard Tooth loss & gum disease increase the risk of Alzheimer’s Disease * Mayo Clinic Pregnant women with gum disease have a 1 in 7 chance of giving birth to a healthy child of normal size*AAOSH Gum disease increases in lower socio-economic groups especially Hispanic and non-Hispanic black * CDC

Benefits from Healthy Mouth Comfort Nutrition Confidence Increases Quality of Life Whole Body Wellness Speech Social Acceptance Proper Sleep – relates to work and school performance

Preventive Care Saves Health Care Dollars Money spent on Medicaid Dental Services in NEBRASKA 2008 NE spent over 35 Million dollars $23 Million plus for children under 21 $12 Million plus for adults 21 and over NATIONAL $520 Million spent on dental related emergency room visits in 2012

MEDICAID Only about one third of dentists accept Medicaid Dental benefits are available to all children Dental benefits in only 15 states are available to adults (NE does provide dental benefits to adults) Few dental offices accept new Medicaid patients Having dental benefits does not ensure access to quality dental care Yearly cost of emergency room visits increased by 68% in 2009 when CA eliminated dental coverage for adults

Creative Options for Providing Preventive Dental Care to Those without Access

Fluoride Varnish Program Four Corners Health Dept. & WIC

Education is Key As is Help for Paperwork

Infants, Children & Adults

Fluoride Varnish Set-up

Team Work!

Public Health Hygienists At a Senior Center

At a Community Center

Oral Cancer Effects non-tobacco users 1 out of 4 cases HPV-16 Found in younger ages of 20’s and 30’s 125 daily diagnosed oral cancers Majority are found as late-stage cancers with mortality rate of 43% at five years

At a School

After School Programs

At a Community Health Fair

School Fluoride Varnish Program

School Class Rooms

National Events

Dental Clinic for Special Olympics

Head Start/ Early Head Start Head Start was established in 1965 to improve the school readiness of children ages 3 to 5 from families with low incomes. In 1994, Early Head Start was established to serve pregnant women and infants and children from birth to age 3 from families with low incomes. The program focuses on positive birth outcomes and promoting healthy physical and cognitive development. Both Early Head Start and Head Start provide education and health services in the context of family and community. Head Start is a federal program administered by the Office of Head Start (OHS), Administration for Children and Families (ACF), through grants to approximately 1,600 community-based organizations located in all 50 states, the District of Columbia, and most U.S. territories. Head Start serves approximately 900,000 participants nationwide. Despite improvements in oral health status nationally, profound oral health disparities remain in certain population groups, including children enrolled in Head Start. ******************************************** Head Start staff and parents report that the number one health issue affecting children enrolled in Head Start is lack of access to oral health services.  *

Working with local school administrators

Charity Groups

Zoo Event

Shriner’s CHIP event

State events NE-Mission of Mercy

People’s City Mission

Local Established Clinic

Local Community Media and Opportunities Newspaper Articles Radio Social Media TV Businesses – employers of low income Charity Events- Back to School, Food Banks etc Medical clinics

KEY DATES August is ORAL HEALTH AWARENESS MONTH October is NATIONAL DENTAL HYGIENISTS MONTH February is CHILDRENS DENTAL HEALTH MONTH April is ORAL CANCER AWARENESS MONTH Many other health related months would tie in also

Resources National Maternal and Child Oral Health Resource Center Assoc. of State and Territorial Dental Directors Health Resources and Services Administration National Institute of Dental and Craniofacial Research NE DHHS Oral Health and Dentistry

RESOURCES Center for Disease Control National Library of Medicine American Assoc. of Public Health Dentistry Pew Charitable Trusts

Resources Nebraska Dental Hygienists’ Assoc. American Dental Hygienists’ Assoc. American Dental Assoc. Cynthia R. Carlson PH-RDH BS