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Biomedical subjects

W E Kerschbaum

Publications and source records attributed to W E Kerschbaum.

11 recordsLinked to original sources

Report of the ADEA president's task force on the Surgeon General's report on oral health. American Dental Education Association.

In response to the first-ever Surgeon General's report on oral health, released on May 25, 2000, ADEA President Rowland A. Hutchinson, D.D.S., M.S., appointed a task force to study the report from the perspective of dental education. The task force was charged with making recommendations to the ADEA Board of Directors as to the Association's message to members and the general public, the Association's role in addressing oral health disparities, the legislative and policy implications of the report, and areas of collaboration between ADEA and others in the dental and health professions. The task force reviewed the report and made five recommendations, including increasing public awareness of the report's messages, promoting collaborative activities with a goal of improving America's oral health, and providing leadership in the drive to promote the incorporation of new science in dental education. The task force also identified numerous ADEA initiatives that address issues related to the Surgeon General's report.

Community-Institutional Relations↗

Cumulative trauma disorders: an ergonomic approach for prevention.

Clinical practice can place the dental hygienist at risk of acquiring cumulative trauma disorders (CTD). This article describes causative factors of CTD and suggests implementation of ergonomic intervention--by way of clinical and environmental factors--as a method of preventing and/or reducing CTD in the workplace. Included is a chronology of the rehabilitation process of a dental hygienist who has been disabled by CTD. Observing this clinician's re-training process, which included utilizing an ergonomically designed operator chair, arm and wrist supports, and modification of operator positioning, prompted an investigation into strategies to prevent CTD. Ergonomic design and protective operator techniques in dental hygiene practice may be key to preventing and/or reducing CTD occurrence.

Cumulative Trauma Disorders↗

A community-based dental program for older adults.

The planning and implementation of a community-based outreach program for older adults is described. Objectives of the program were to provide dental health education to older persons at their place of residence, to improve access to dental care for that population, and to increase the number of older adults treated at a dental facility administered by the Department of Community Dentistry, University of Michigan. Data collected during encounters with participants are reported to supplement the description of the program. In the first year, 98 older adults (mean age 71.3 years) participated in the outreach program which was directed by a dental hygienist. Of those persons whose initial encounter was with the outreach program, 47 percent eventually contacted the dental care facility and 36 percent completed treatment. Persons who elected to seek treatment average 3.9 encounters with the hygienist during the program; persons who did not seek treatment averaged 2.2 encounters. Strengths and weaknesses of the program are discussed.

Aged↗

Dental hygiene students' future orientation and perceptions of old age and of older persons.

The future orientation that health care providers have toward old age has been proposed as one factor that contributes to unfavorable perceptions of older patients. Two samples of students from a dental hygiene program (n1 = 145; n2 = 100) were questioned about their general attitudes toward older people, older people as patients, their own future, the future for older adults, and about their social/familial contact with the elderly. Discriminant function analysis supported the importance of both views of the future and social/familial background for general attitudes and perceptions of patients.

Adult↗

Michigan hospice oral healthcare needs survey.

PURPOSE: Very little research has been conducted about the state of oral healthcare for the terminally ill in Michigan hospice programs. The purpose of this study was to assess the oral healthcare services currently being provided by caregivers in Michigan hospice programs and to determine the needs for oral healthcare in-service training for nurses, home health aides, and volunteers who may provide basic oral care. METHODS: In October 1991, a four-page questionnaire was mailed to the patient care coordinators of the 90 hospice programs listed in the 1990/1991 Michigan Hospice Organization Directory. Frequency data were compiled for each question. RESULTS: Coordinators from 50 programs responded for a 56% response rate. Results showed that 100% of nurses and aides and 88% of volunteers were providing oral healthcare for clients. Some services, such as oral cleansing and denture care, were more likely to be provided by aides or volunteers. Referrals to dental professionals, and palliative measures for relief of pain or other oral symptoms, were more likely to be provided by nurses. Sixty percent of patient care coordinators reported that the amount of oral healthcare in-service information being received by caregivers was less than sufficient. Only 6% of hospice programs reported using a dentist or dental hygienist as in-service presenters. Eighty-seven percent of hospice programs surveyed had no written oral healthcare protocol. Eighty percent of patient care coordinators stated that clients or their families express concerns about oral health needs at least occasionally. Eighty-three percent stated that hospice staff assess client oral conditions at least occasionally and 92% agree that oral care is important to clients. CONCLUSIONS: Although a wide range of oral healthcare services are being provided for terminally ill clients in Michigan hospice programs by nurses, aides, and volunteers, the majority of providers may not receive adequate information to provide complete and effective services. Based on these results, it is recommended that the dental hygienist take a leadership role in providing oral health information to hospice caregivers.

Chi-Square Distribution↗