Integrating Oral Health in Total Health

Integrating Oral Health intoTotal HealthAlzheimers Care FacilitiesAnd other opportunities Alzheimer Care FacilityBeauty Shop / Hygiene Clinic

Facility Set Up

On site and a familiar setting for clients3Set Up

Make use of area available 4Benefits 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 treatmentChart notes updatedSimilar to an in office hygiene visit Have a cordless hand piece, most do not have a dentist on file.6Education-Provides hands on education for staff and CNAs who provide daily care-Gives family education of oral health needs -Verifies quality of staff careBenefit for facility to provide client oral care

LAST SLIDE FOR ALZHEIMERS CARE Many families have questioned quality of care their loved ones are receiving when they are not present. Few facilities provide this care currently. 7Oral Healths Relationship toWhole Body HealthHospital ReadmitsVentilator pneumonia Cardiac relationshipStrokeDiabetesOral CancerRheumatoid Arthritis

Pancreatic CancerKidney CancerAlzheimers DiseaseHigh Blood PressurePregnancy OutcomesHead and Neck CancerCosts associated with all of these is huge. Through preventive hygiene care risks of these can be reduced, also saving dollars from insurance and Medicaid and Medicare, and benefiting the whole body health for the patients quality of life. 8FACTSDiabetes and bleeding gums increases risk of premature death by 400-700 % *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 ClinicGum disease increases Pancreatic & Kidney cancer risk by 62% *HarvardTooth loss & gum disease increase the risk of Alzheimers Disease * Mayo ClinicPregnant women with gum disease have a 1 in 7 chance of giving birth to a healthy child of normal size*AAOSHGum disease increases in lower socio-economic groups especially Hispanic and non-Hispanic black * CDCBenefits from Healthy MouthComfortNutritionConfidenceIncreases Quality of LifeWhole Body WellnessSpeechSocial Acceptance Proper Sleep relates to work and school performance

Preventive Care Saves Health Care DollarsMoney 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 overNATIONAL$520 Million spent on dental related emergency room visits in 2012

Some of these dollars are for preventive care but the largest portion is for restorative care that could be prevented. Example; One hospital visit for restorative on a young child is over $6,000 dollars. Surgical centers often have 8 surgeries a day. And often are repeat patients 11MEDICAIDOnly about one third of dentists accept MedicaidDental benefits are available to all childrenDental benefits in only 15 states are available to adults (NE does provide dental benefits to adults)Few dental offices accept new Medicaid patientsHaving dental benefits does not ensure access to quality dental careYearly 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 AccessFluoride Varnish Program Four Corners Health Dept. & WIC

Recommended fluoride varnish 4 times a year for high risk populations, low economic, previous decay in family member14Education is KeyAs is Help for Paperwork

Infants, Children & Adults

Fluoride Varnish Set-up

Simple set up and minimal supplies17Team Work!

Public Health Hygienists At a Senior Center

Oral Cancer screening and education19At a Community Center

Oral Cancer Screening and education for all ages20Oral CancerEffects non-tobacco users 1 out of 4 casesHPV-16Found in younger ages of 20s and 30s125 daily diagnosed oral cancersMajority are found as late-stage cancers with mortality rate of 43% at five yearswww.oralcancer.org At a School

Working with School nurses 22After School Programs

Senior and Middle school is an often neglected group where nutrition education is important23At a Community Health Fair

School Fluoride Varnish Program

School Class Rooms

National Events

Dental Clinic for Special Olympics

Portable equipment 28Head Start/ Early Head StartHead 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 toserve 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 agencies that are already in place to reach common goals.29Working with localschool administrators

This was sharing fun book markers with dental education and jokes to 5th graders30Charity Groups

This was a church group. Many other Charity associations have similar health goals. 31Zoo Event

Nutrition event and dental awareness can often be in cooperated with seemingly unrelated events.32Shriners CHIP event

Providing bite registrations for ID and DNA samples, this was in a school but often at County and State fairs.33State eventsNE-Mission of Mercy

NE mission of mercy is an annual event utilizing RDHs, DDS, DA and suppliers along with other volunteers 34Peoples City Mission

Lincoln has an established free clinic that includes dental along with other health services. 35Local Established Clinic

Local Community Mediaand OpportunitiesNewspaper ArticlesRadioSocial MediaTVBusinesses employers of low incomeCharity Events- Back to School, Food Banks etcMedical clinics Other simple ways to share dental health/ whole body health education is to Highlight monthly events like Oral health awareness month Aug, Dental hygiene month Oct, Childrens Dental health month Feb. I am sure there are other health months that dental could be combined with especially Heart and Diabetes37KEY DATESAugust 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 alsoResourcesNational Maternal and Child Oral Health Resource Centerhttp://www.mchoralhealth.org

Assoc. of State and Territorial Dental Directorswww.astdd.org

Health Resources and Services Administrationwww.hrsa.gov

National Institute of Dental and Craniofacial Researchwww.nidcr.nih.gov

NE DHHS Oral Health and Dentistrywww.dhhs.ne.gov/dental

There is a vast amount of resources free, here are some web sites.39RESOURCESCenter for Disease Controlwww.cdc.gov/Oralhealth/index.htm

National Library of Medicinewww.nlm.nih.org

American Assoc. of Public Health Dentistrywww.aaphd.org

Pew Charitable Trustswww.pewtrusts.org ResourcesNebraska Dental Hygienists Assoc.www.nedha.org

American Dental Hygienists Assoc.www.adha.org

American Dental Assoc.www.ada.org Cynthia R. Carlson PH-RDH BS402-890-2598crcdh@msn.comwww.preventivedentalhygienecare.com

I added my contact and web site41