Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

DYING FROM DIRTY TEETH YES…IT CAN BE THAT SERIOUS Angie Stone, RDH, BS Founder HyLife, LLC

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12.3.10

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 1 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

Today’s Focus

• Not here to sell anything today • Will be letting you know about my book

• Empower YOU with knowledge as you care for residents by: • Impacting Quality of Life of residents • Add Value (we teach skills)…for oral care services they provide • Enhancing the Experience of the families, staff, residents

• Enhance your confidence, skills and the services you provide to meet needs of your residents

• At HyLife we’re here to help you serve those in need

The State of Oral Health Shame on

Elderly…residents have extensive oral disease and poor 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)

Dry Mouth (Xerostomia)

• Causes • Medications • Radiation

• Outcomes • Inability to chew • High rate of decay

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 2 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

Periodontal Disease 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

Periodontal Disease

Implications of Poor Oral Health Systemic Infection…Aspiration Pneumonia Serious Diseases Include: Aspiration pneumonia is probably the most common Hear t Att ack and St roke sequelae of poor oral health in aged persons

Lung Al zhe imer 's D isease

Ar thr iti s D iabe tes

Improperly Fitting Partial and Full Prosthetics Research • Research has shown …may prevent death from pneumonia, especially aspiration pneumonia. Oral Pneumonia hygiene reduces the chronic inflammation that periodontal (gum) disease causes, which increases the risk of • Denture fit coronary heart disease and stroke. Journal of the • Cleaning American Geriatrics Society. and partial dentures • Dentures and • Approximately one in 10 cases of death from pneumonia partials should in elderly nursing home residents may be prevented by include patients improving oral hygiene. Journal of the American Geriatrics name Society.

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 3 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

Infection Inflammation Infection is INFECTION

Better Oral Health Improves Quality of Life Residents With Good Oral Health

• Residents eat • Have less trouble with COPD • Residents do not loose weight • Experience fewer heart attacks and strokes • Residents can smile • Have an easier time controlling diabetes • Residents smell better • Develop less systemic illnesses • All of these things make their families happy too! • Require fewer hospital stays

Helping a resident maintain good oral health

• Is Infection Control • Not Grooming WHAT ARE YOUR BIGGEST CHALLENGES?

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 4 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

The Clenching Resident A Useful Tool

Cleaning only the fronts is better than nothing and is… almost as good as cleaning the entire tooth!! DEX T BRUSH

Toothettes Brushing

• Better than nothing • Put one hand on the residents face • Not just to lubricate the oral tissues • Put the brush into their mouth and move it around • Use vigorously • Uncoated

The Resistive Resident The Spitting Resident

After greeting the resident, approach from the side or behind to provide oral care Do not provide oral care from the front of the resident Fluoride in the mouth will help teeth, a lot.

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 5 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

What The Books Say… The Good News!

• Preforming quality oral care ONCE per day is adequate! • Giving good oral hygiene is an essential part of daily patient care. • Plaque approximately every 24 hours Teeth should be brushed every morning, every evening, and after eating. Flossing teeth once a day is desirable to promote healthy .

Resident Centered Care Approach to Oral Care EMPOWERMENT

• When do they prefer to have oral care provided? • YOU know how to approach • What shift is that time in? • That shift assists the resident with oral care • YOU know how to work it out with the resident • Does the resident have a denture or partial? • How is that appliance cared for? • YOU can get it done • What kind of a , toothpaste does the resident prefer? • Does the resident like mouthwash after Oral Care? • Based upon what you heard what may you do differently? • Do they prefer to be in the bathroom or in a chair or in their bed?

• Take residents needs into consideration and do what you can to honor their wishes

HyLife can help you in the future If That Isn’t Enough…HyLife Oral Care Services

• We’re on your side! • Oral Care Services • Care Team Oral Health Training • Brushing • Care Team Support • Between the Teeth Cleaning • Dental Health Products • Resident and Family Camaraderie • Xylitol • Family Group Presentations • • Oral Health Advocacy • Toothpaste

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 6 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

Research XYLITOL

• Weekly professional mechanical cleaning of the oral cavity, rather than a daily chemical disinfection of the mouth, can be an important strategy to prevent aspiration pneumonia in the dependent elderly. Journal of Dental Residency • Results showed that oral hygienic condition could be improved by performing professional oral care at intervals of 1 week for 12 consecutive weeks, and the improved condition could be maintained when professional oral care was continued at intervals of 1 week thereafter. Gerodontology

XYLITOL

• Bacteria cannot digest it • They die, leaving room for friendlier bacteria • Bacterial balance • Stimulates saliva flow • More saliva means more tooth protection

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 7 Dying From Dirty Teeth. Yes…it can be that 6/30/2016 serious

Our Mission Is Enhancing Lives For More Education

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Next Steps Thank You! • How can HyLife be of service to your community? Angie Stone, RDH, BS • Do YOU know someone who could benefit from improved oral Founder care? HyLife, LLC

[email protected] 608-884-0038 www.hylifellc.com

Angie Stone, RDH, BS Founder and CEO, HyLife Oral Care Services 8