Assessment of dentally related functional competency for older adults with cognitive impairment--a survey for special-care dental professionals

Spec Care Dentist. 2013 Mar-Apr;33(2):48-55. doi: 10.1111/scd.12005. Epub 2012 Dec 26.

Abstract

This survey was to study whether and how dental professional assess dental-related function in older adults with cognitive impairment (OACI). An invitation was sent to 525 special-care dental professionals, followed by a reminder in 2 weeks. Thirteen percent of the targeted participants completed the survey. Among them, 88% completed a hospital dentistry, geriatric dentistry, or other postgraduate training program. Nearly 70% of the respondents considered somewhat to very difficult to assess dentally related function; 45% did not ever or did not regularly assess dental-related function for OACI. Dental-related functional assessments were often based on a subjective, unstructured approach. Only 6% of the respondents routinely used standard instruments to assess the patients' function. These results indicate that an objective functional assessment based on a standardized instrument has not been routinely incorporated into dental care for OACI, raising concerns for quality of care in this vulnerable population.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Cognition Disorders / physiopathology*
  • Cognition Disorders / psychology
  • Communication
  • Comprehension / physiology
  • Dental Devices, Home Care
  • Dental Service, Hospital
  • Dentist-Patient Relations
  • Dentures
  • Diet
  • Drug Therapy
  • Female
  • Geriatric Assessment*
  • Geriatric Dentistry
  • Humans
  • Male
  • Mental Competency / psychology
  • Needs Assessment
  • Oral Hygiene*
  • Patient Education as Topic
  • Self Care*
  • Specialties, Dental
  • Surveys and Questionnaires
  • Toothbrushing