Journal article
How accurate is the assessment of certified nursing assistants on resident's oral self-care function in three North Carolina assisted-living facilities?
Special care in dentistry, Vol.40(6), pp.580-588
11/01/2020
DOI: 10.1111/scd.12521
PMID: 32991747
Abstract
Aims To examine the association between the assessments of certified nursing assistants (CNAs) on resident's oral self-care function and resident's oral hygiene outcomes in three North Carolina assisted-living (AL) facilities.
Methods and results Sixty-five dentate AL residents were included in this secondary analysis. CNAs were asked to rate the AL residents' overall oral self-care function using a 6-point Likert scale. Their assessments were then compared with the objective, performance-based Dental Activities Test and the oral hygiene and gingival health measures. The analysis showed that nearly 90% of the participants presented with at least one untreated decayed or broken tooth. On average, nearly two-thirds of the surfaces were covered by soft deposits (Debris Index = 1.83,SD = 0.60). Generalized mild to moderate inflammation (Gingival Index = 1.51,SD = 0.53) commonly presented on residents' gingiva. CNAs were able to accurately identify the residents with substantial impairment in oral self-care function, yet they tended to overestimate the oral self-care function of residents with mild to moderate impairment. CNAs assessments were also not significantly correlated with residents' oral hygiene measures.
Conclusion CNAs failed to identify and provide assistance to AL residents with impaired oral self-care function, contributing to poor oral oral hygiene in these vulnerable individuals.
Details
- Title: Subtitle
- How accurate is the assessment of certified nursing assistants on resident's oral self-care function in three North Carolina assisted-living facilities?
- Creators
- Xi Chen - University of IowaViolet D'Souza - University of TorontoCarissa L. Comnick - University of IowaXianjin Xie - Univ Iowa, Coll Dent, Dept Prevent & Community Dent, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Special care in dentistry, Vol.40(6), pp.580-588
- Publisher
- Wiley
- DOI
- 10.1111/scd.12521
- PMID
- 32991747
- ISSN
- 0275-1879
- eISSN
- 1754-4505
- Number of pages
- 9
- Grant note
- K23DE022470 / National Institute of Dental and Craniofacial Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Dental & Craniofacial Research (NIDCR)
- Language
- English
- Date published
- 11/01/2020
- Academic Unit
- Preventive and Community Dentistry; Biostatistics; Dental Research
- Record Identifier
- 9984367615902771
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