In 2023, there are a number of changes occurring in dental services including the start of a new Senate inquiry and new registered nurses in residential aged care. Yet in the meantime there are gaps and delays in dental and oral health interventions for elderly Australians, unless training is more widely deployed.
Dental and oral health are important for the elderly for a number of important reasons:
- Maintaining overall health: Good dental and oral health are important for maintaining overall health in the elderly. Poor oral health can contribute to a range of health issues, including cardiovascular disease, diabetes, and respiratory problems.
- Nutrition: Maintaining good oral health is essential for proper nutrition, particularly for the elderly who may have difficulty eating due to tooth decay or missing teeth. Poor oral health can lead to malnutrition, which can exacerbate existing health problems.
- Pain management: Dental problems such as cavities, gum disease, and tooth infections can cause pain and discomfort, which can be particularly challenging for the elderly. Treating dental problems promptly can help manage pain and improve quality of life.
- Socialisation: Maintaining good oral health is important for socialisation and maintaining a positive self-image. Missing teeth or other dental problems can cause embarrassment and social isolation, which can negatively impact mental health and well-being.
- Preventing infection: Good oral hygiene is essential for preventing infection, particularly for the elderly who may be more susceptible to infections due to a weakened immune system. Poor oral health can contribute to infections such as pneumonia, which can be particularly dangerous for the elderly.
Overall, maintaining good dental and oral health is important for the elderly to maintain overall health, manage pain, improve nutrition, socialise, and prevent infections. Regular dental check-ups and good oral hygiene practices are essential for achieving and maintaining good oral health.
Re Aged Care spoke to Leonie Short, a dental therapist working for Seniors Dental Care Australia on what she considers are dental and oral health priorities for the elderly, based on her work in the aged, home and disability sectors.
She passes her thoughts on the repetitive findings likely identified by the new Senate Select Committee into the Provision of and Access to Dental Services in Australia. She sees the need for funding a Seniors dental benefit scheme as the higher priority instead.
Leonie also speaks to the upcoming requirement for residential aged care having a registered nurse on site. There is a gap in the knowledge and evidenced based oral health care in residential aged care, for even cleaning of teeth or dentures. This training is provided by her organisation to nurses, support workers and carers.
Leonie recognises in Australian society, more elderly people are retaining their natural teeth, with crowns, implants and partial dentures and can be very complex to manage. However in her 9 years working in aged care settings, she clearly sees a lack of oral health care training.
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Applying creativity in wellness and reablement in residential aged care
Real World Games are a series of events that mimic typical obstacles older adults may face in the community. Each event incorporates a different environment, skill and challenge. Over 4 weeks, each competitor will receive the support and training of their allied health team to conquer challenges. These challenges have been designed for varying mobility and functional levels, as well as some challenges for the trainers, for all involved to compete.
The games will culminate in a live-streamed event where competitors from across Australia will compete against each residential aged care centre.
The aim is to make as many older adults as possible, community ambulant, whilst using creativity to give older Australians a sense of fun in the activity.
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Overview of End of Life Directions for Aged Care (ELDAC)
ELDAC stands for End of Life Directions for Aged Care. It is an Australian national project that aims to improve the quality of end-of-life care provided to older people in residential aged care facilities. The project was funded by the Australian Government Department of Health and began in 2015.
Re Aged Care spoke with Dr Priyanka Vandersman, an End of Life Directions for Aged Care Research Fellow, at the Research Centre for Palliative Care, Death and Dying, Flinders University about ELDAC and its importance for the aged care workers and residents. Timed to coincide with Palliative Care Week 2023, the interview was captured at the ARIIA Facing the Future: Aged Care 2030 and Beyond Conference in Adelaide in May.
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Leaders in residential palliative care
In 2022, VMCH won the Future of Ageing Awards Palliative Care Category Award, for their specialist end-of-life care and respite home, O’Neill House in Prahran, Victoria. Timed to coincide with Palliative Care Week 2023, Re Aged Care spoke with the VMCH CEO Sonya Smart about O’Neill House, the training to staff and the level of palliative support given to residents.
