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Results identified missed opportunities to prioritise oral care and challenges linked to dementia-related decline and care infrastructure, training, role perceptions, allocated time and care consistency.",{"@graph":14,"@context":71},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & 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risk makes oral care important for people living with dementia at home?","Question",{"text":61,"@type":62},"People living with dementia are at higher risk of mouth and dental problems than the general population, even from early stages.","Answer",{"name":64,"@type":59,"acceptedAnswer":65},"How was the study conducted?",{"text":66,"@type":62},"The study used semi-structured interviews with carers, homecare workers, and homecare managers, which were recorded, transcribed, and thematically analysed.",{"name":68,"@type":59,"acceptedAnswer":69},"What were the two main themes from the interview findings?",{"text":70,"@type":62},"The findings showed missed opportunities to address oral care and challenges delivering oral care, driven by factors related to dementia and by care infrastructure and 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homecare staff and carers on oral needs and dental care for people living with dementia: A qualitative study  \nDia Soilemezi1  | Kristina Wanyonyi2 | Valerie Hill | Jill Manthorpe3  \n1University of Portsmouth, Portsmouth, UK 2THIS Institute, University of Cambridge, Cambridge, UK  \n3King's College London, London, UK  \nCorrespondence  \nDia Soilemezi.  \nEmail: [dia.soilemezi@port.ac.uk](dia.soilemezi@port.ac.uk)  \nFunding information  \nNational Institute for Health and Care Research; The NIHR Applied Research Collaboration South London  \nAbstract  \nObjective: People living with dementia are at risk of mouth and dental problems. Many receive help with this aspect of personal care from family carers or homecare workers. We explored the views of homecare providers and carers on how this aspect of personal care is addressed and implemented.  \nMaterials and methods: In this qualitative study we conducted semi‐structured interviews with carers (all family members), homecare workers and managers providing support to people living with dementia in their own homes. Interview questions focused on daily care practices, exploring barriers and facilitators to oral care. Interviews were recorded online or over the telephone, transcribed, and thematically analysed.  \nResults: Carers (n = 8), homecare workers (n = 9) and homecare managers (n = 15) were recruited from across England in 2021–2022. Across interviews, two main themes were identified: (i) Missed opportunities to address oral care, which is not always seen as a priority despite the importance and potential risk of neglect. (ii) Challenges in delivering oral care, including factors related to the person living with dementia (such as cognitive and physical decline) and factors related to the care infrastructure and policies such as training, perception of roles, allocated time, and consistency of care.  \nDiscussion: More emphasis could be given to the training and skills of homecare providers to identify and prevent dental problems and to assist carers. Several strategies and tools (oral care checklists, greater detail around oral care in care assessments and care plans) could be used to enhance this aspect of personal care for people living with dementia.  \nKEYWORDS  \ndementia, home care, oral care, qualitative  \nKey points  \n􀀏 Mouth and teeth care is important for people living with dementia in their own homes because they are at higher risk of dental problems than the general population. However,  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2023 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.  \nInt J Geriatr Psychiatry. 2023;e6039. [https://doi.org/10.1002/gps.6039](https://doi.org/10.1002/gps.6039)  \nwi[leyonlinelibrary.com/journal/gps](leyonlinelibrary.com/journal/gps)  \n1 of 10  \n2 of 10  \nSOILEMEZI  \nET AL.  \nthis aspect of personal care can be overlooked and information may not be shared or recorded.  \n􀀏 Mouth and teeth care and the risks of poor oral hygiene in dementia could be more consistently addressed and more integrated in assessment and care planning.  \n􀀏 There are barriers to addressing oral care. The practitioners could utilise available resources or checklists as reminders to have these assessments in place.  \n􀀏 Oral health care guidelines and skills training in homecare may be timely.  \n1 | INTRODUCTION  \nAs dementia progresses it is hard to maintain personal hygiene so carers and/or homecare workers may help with such tasks.1 Living with dementia becomes a risk for oral (mouth and dental) health deterioration even at early stages.2,3 People living with dementia often have more dental plaque, higher levels of tooth decay and more mouth problems than ol","cbCaikavS2hF3aV9","https://ap.wps.com/l/cbCaikavS2hF3aV9","pdf",234245,"English","# Abstract\n## Objective\n## Materials and methods\n## Results\n## Discussion\n# Introduction\n## Oral health risks in dementia\n## Homecare assessments and care planning\n## Gaps in oral health guidelines","[{\"question\":\"What risk makes oral care important for people living with dementia at home?\",\"answer\":\"People living with dementia are at higher risk of mouth and dental problems than the general population, even from early stages.\"},{\"question\":\"How was the study conducted?\",\"answer\":\"The study used semi-structured interviews with carers, homecare workers, and homecare managers, which were recorded, transcribed, and thematically analysed.\"},{\"question\":\"What were the two main themes from the interview findings?\",\"answer\":\"The findings showed missed opportunities to address oral care and challenges delivering oral care, driven by factors related to dementia and by care infrastructure and policies.\"}]","Views of homecare staff and carers on oral needs and dental care for people living with dementia - A qualitative study | PDF",25]