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Biomedical subjects

G Hoad-Reddick

Publications and source records attributed to G Hoad-Reddick.

13 recordsLinked to original sources

Assessment of elderly people on entry to residential homes and continuing care arrangements.

Increasing numbers of elderly people are entering private residential homes in the UK. Results of surveys show poor oral health in this group. A survey was therefore conducted of 50 residential homes (housing 1337 residents) to determine assessment on entry and continuing care provision. In 38 per cent of homes no written notes were made of the initial assessment. Topics of dental interests were infrequently assessed on entry (only 16 per cent of carers examined the oral cavity, 52 per cent assessed the subject's ability to care for their dentures). Medical topics (mobility, incontinence, eyesight, etc) were all assessed in more than 80 per cent of subjects. Suggestions are made for utilization of an easy assessment questionnaire and improved denture naming arrangements. The importance of regular check-ups, education and publicity for this group is stressed.

Activities of Daily Living

A study to determine oral health needs of institutionalised elderly patients by non dental health care workers.

In this survey normative need as assessed by an examining dentist and the subject's own perceived need are compared with need assessed by untrained care workers. A method for simple assessment of elderly people on admission to day centres or elderly peoples' residential homes is described and its efficiency in use assessed during a survey of 41 subjects. Results suggest that use of a simple questionnaire can alert carers to problems requiring dental care--oral hygiene regimens can then be improved, dentures named and dentists called to provide treatment. Too often this type of initial assessment is neglected.

Aged

Investigation into the cleanliness of dentures in an elderly population.

During a survey of 233 elderly people of whom 89.9% were edentulous, attitudes toward denture cleaning were investigated. Questioning revealed the frequency of cleaning and methods used. Examination showed which dentures were clean, types and amounts of stain present, and comparison of clean dentures directly with dirty ones. Comparison of different residential groups highlighted problems particular to a group, so that recommendations for improvements could be made. Only 40% of dentures were properly clean. Subjects resident in the long-stay hospitals had the cleanest dentures and those in the elderly persons' homes the dirtiest. One quarter of the dentures examined were over 30 years old. They tended to be dirtier than the newer ones and related to a higher incidence of denture stomatitis. Wearers of cleaner dentures were more satisfied with their cleansing methods and more likely to use a proprietary cleanser regularly than those with dirty dentures.

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Oral pathology and prostheses--are they related? Investigations in an elderly population.

A survey of 233 elderly subjects living in the district served by the Halton Health Authority (Cheshire, England) investigated the relationship between the age of dentures, their need for replacement and the presence of any oral pathological lesions. The retention, stability, occlusion and cleanliness of the dentures were all found to be worse in the older appliances; perceived need for denture replacement was found to increase from 40% in 5-year-old dentures to 84% in dentures over 31 years old. While 41% of the sample had an oral pathological lesion, no significant relationship was found between denture age and pathology or place of residence. People resident in the community with no assistance had the highest incidence of oral pathology and those living in long-stay hospitals the least. The absence of a relationship between denture age and oral pathology is considered to be a powerful indicator of the need for regular oral examination of the edentulous population.

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Knowledge of dental services provided: investigations in an elderly population.

During a survey into the dental health of 233 elderly people in the Halton Health Authority, subjects' knowledge of the services provided was investigated. Only 5.7% of the sample were found to be regular attenders and assessed need was found to be far greater than perceived need. Questions were set out to discover attitudes to the service, investigated reasons for non-attendance, knowledge of domiciliary visiting arrangements, where a dental surgery was situated, how subjects could find out about N.H.S. dental charges, costs of dentures and if subjects had a problem in their mouth, who they would turn to for help. Results were analysed by computer using the Survey-Plus programme, which allowed differences between residential groups to be compared. Suggestions are made for improvements in care provision for the elderly and education of those in contact with them.

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