Sleep disorders are common Sleep disorders are serious Sleep disorders are treatable
THE SHADW OF YOUR SMILE - Home - CMSNE · Modified Food Pyramid for 70 + Adults Sleep disorders and...
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10/10/18 1 THE SHADOW OF YOUR SMILE AGE DOES NOT MEAN TOOTH LOSS SOMETHING TO SMILE ABOUT
Transcript of THE SHADW OF YOUR SMILE - Home - CMSNE · Modified Food Pyramid for 70 + Adults Sleep disorders and...
10/10/18
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THE SHADOW OF YOUR SMILE
AGE DOES NOT MEAN TOOTH LOSS
SOMETHING TO SMILE ABOUT
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WHAT’S CHANGED
30 YEARS SINCE OBRA
RESIDENTS-EXPECATIONS
DENTAL MANPOWER
CMS STANDARDS
DENTAL HEALTH AND ACUTE INFECTION
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L INFECTIONS AND PNEUMON
ACUTE DENTAL ABCESS
ACUTE ENDOCARDITIS
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BRAIN ABCESS
THRUSH
ON THE TIP OF MY TONGUE
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AL HEALTH & CHRONIC DIS
STEMIC INFLAMMATORY DISEA
•Cardiovascular- Atherosclerosis
•
•Diabetes
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•Rheumatoid Arthritis
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•Periodontal disease
PERIODONTAL DISEASE SYSTEMIC INFLAMMATION
P. GINGIVALIS –VIRULENCE- TRIGGERS RELEASE OF PRO-INFLAMMATORY CYTOKINES
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CHANISM OF ATHEROSCLERO
ECHANISM OF ATHEROSCLER
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Modified Food Pyramid for 70 + Adults
Sleep disorders and edentulous
85 CLASSIFICATIONS OF SLEEP DISORDERSNUMBER 1- CHRONIC OBSTRUCTIVE APNEA
CPAP-BiPAP -TREATMENT OPTION OF CHOICE
THERAPEUTIC SUCCESS DEPENDENT ON PROPER MASK FIT
KEY- 6-10 HEALTHY TEETH
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Guidelines for dental care in S
COMPLIANCE CHALLENGES
•PROMPT REFERRAL- 3 BUSINESS DAYS –Standard Dental eme
PPORT RESIDENT NUTRITION & HYDRATION- 4-10 WEEK SP
ENSIVE DENTAL ASSESMENT – At the time of preadmission a
Massachusetts Dental Demographics
DENTAL MANPOWER AVAILABILITY
LONG TERM CARE FACILITIES
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G RESIDENT NUTRITION AND
> PATIENT TOLERANCE-
> INCREASED RISK OF CHOKING
TITE- CHALLENGES IN REASONABLE SUPPORTING
AL ASSESSMENT – At the time of pr
PATIENT COOPERATION
TIME RESTRICTIONS
S NOT TRAINED TO COMPREHENSIVE DENTAL ASS
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•State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care
Facilities, CMS pg. 545-574 ; November 22 2017
•https;//dentalgraphis.com/Massachusetts-infographic ; page 1
•“In Nursing Homes, an Epidemic of Poor Dental Hygiene”, The New York Times,
Catherine Saint Louis: August 4 2013 @2:30pm
• From: Modified Food Guide Pyramid for People over Seventy Years of Age J Nutr.
1999;129(3):751-753. doi:10.1093/jn/129.3.751
J Nutr | © 1999 The American Society for Nutritional Sciences
•
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015
– 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. Available
at https://health.gov/dietaryguidelines/2015/guidelines
Margaret Terpenning; Geriatric Oral Health and Pneumonia Risk, Clinical Infectious
Diseases, Volume 40, Issue 12, 15 June 2005, Pages 1807–1810, https://doi.
FERENCES :
REFERENCES :
umonia in Frail Elders ,Volume: 94 issue: 3_suppl, page(s): 14S-16S Article first published onlinehttps://doi.org/10.1177/0022034514552494 F. Müller1
ramework for Understanding Clinical Outcomes, PennWell Publications OCT 2012 EXPIRATION
W OF YOUR SMILE, LOVE THEME OF SANDPIPER; PAUL FRANCIS WEBSTER, JOHNNY MA
