2. Providing Oral care for dependent elders
Angie Stone, RDH, BS
Founder
HyLife, LLC

3. What are YOUR Biggest challenges?

4. The Clenching Resident
Cleaning only the fronts is better than nothing and is… almost as good as cleaning the entire tooth!!

5. A Useful Tool
DEX T BRUSH

6. The Resistive Resident
Do Not Approach the resident from the front
Approach from the side or behind

7. The Spitting Resident
Fluoride in the mouth will help teeth, a lot.

8. The State of Oral Health in Nursing Homes
Elderly nursing home residents have extensive oral disease and poor oral hygiene and suffer the
WORST
oral health of any population.
Journal American Geriatrics Society, 2006
(U.S.Department of Health and Human Services. Oral Health in America:
A report from the Sugeon General. 2000)

9. xylitol
Xylitol is the greatest assest we have with this group. Because the benefits of xylitol last years it’s worthwhile to start all our elders on xylitol even though they’re still independent.

12. Implications of Poor Oral Health
Poor Oral Health is Associated With:
Poor Nutrition
Pain
Weight Loss
Diminished Quality of Life
Serious Illness in Old Age
Journal American Geriatrics Society, 2006

13. Implications of Poor Oral Health
Serious Diseases Include:
Lung Disease (COPD)
Cardiovascular/Cerebrovascular Disease
Diabetes Mellitus
Systemic Infection
Journal American Geriatrics Society, 2006

14. Systemic Infection… Aspiration Pneumonia
“Aspiration pneumonia is probably the most common sequelae of poor oral health in aged persons.”
Clinical Infectious Diseases 2005:40

15. Benefits of Good Oral Health
Decreased Oral Malodor
Decreased Costs
Enriched Quality of Life
Reduced Infection/Inflammation
Improved Overall Health

16. Your Role Is Critical CNA decide how to approach
CNA work it out with the resident
CNA get it done
CNA decide which way is best

17. My Role… To Support You in Keeping Your Residents Healthy
Oral Care Services
Brushing, Between the Teeth Cleaning, Xylitol, Toothbrushes, Toothpaste
Oral Health Advocacy
Resident and Family Camaraderie
Family Group Presentations
Care Team Support
Care Team Training

19. December 4, 2010
October 20, 2012

20. Who do YOU know that could benefit from improved oral care?
The only mission of HyLife is to improve the oral and overall health of our elders…and I would love to partner with you and your clients so we can all help each other

21. Thank You! HyLife, LLC Angie Stone, RDH, BS Founder