This assignmentwill be an individual report, of a search of literature on the topic ofpersonal care .As the topic personal care is to broad I am concentrating onoral hygiene in elderly people admitted in hospital.I selected thistopic as my placement area had a few patient who were struggling and neededsupport with their personal care needs.
I found this topic very interesting andI wanted to increase knowledge and improve my understanding on this topic, asit will benefit me a lot in placement and my nursing career.Firstly thisreport will show why the research is important to the nursing profession andany other health profession. Then I will identify search strategies I used aswell as key words, dates and eliminations. Also this report will define thetools I used, such as databases and indexes and why I indicated them.
In additionthe report will embrace my findings on articles that were suitable to my topicand why I retrieved these articles and an articles I excluded and the why.The Department ofHealth (2010) stated that oral hygiene has a priority in maintaining goodstandards of patient care. Oral care isvital for overall health and well-being, particularly to preform function suchas eating, a hygienic and healthy mouth assists with quality of life,communication with clear speech and it contributes in health and wellbeing(Health and Social Care Information Centre 2011). Hill at.el (2013)in a survey discovered that standards of oral health/hygiene get worse withage.
This survey is vital as hospitalised patient from age 75 and upwards hasgrown by two third within ten years and it continues to grow. This advocatesthat elderly patients may be admitted to hospital with an existing poorstandards of oral hygiene.(Health and Social Care Information Centre 2011). Asa result of this National Institute for Health and Care Excellence (NICE, 2017) released a draft stating that,all patients who admitted in hospital/care home should have their mouth needsassessed. Meanwhile support to be given to maintain oral hygiene daily, and aplaceholder statement for supporting daily mouth hygiene for hospitalisedindividuals (NICE, 2017).
The importance of maintaininggood oral hygiene has been well documented (Hollins, 2013, Poisson et al, 2014and NICE 2016). Nursing workforce need to get involved to maintain good oralhygiene as it is fundamental for people in hospital and it contributes tohealth and wellbeing, and it is linked to negative effect on nutritional, theneed for better food choices for patients and also patients nourishing needs, (Poisson et al, 2014). Oral hygiene /health is anessential part of overall health affecting generally quality of life (Hollins,2013), and poor oral health has an impact on an individual’s ability to eatspeak and socialise normally (Rabbo et al, 2012).Patients should beencouraged and supported to be independent and maintain their own oral hygiene.According to DH (2010) maintaining patient’s oral hygiene /care for thosepatients who are unable to do this themselves it is essential nursing duty andis considered as fundamental aspect of health care.
According to Clarke (2009) oralhygiene have a fundamental impact on individual’s health and wellbeing and inthis context is often unrecognised by nurses, therefore the quality of personscare is likely to be effected (Carter et.al, 2009)Therefore, it is important that nurses and social careprofessionals keep up to date with their knowledge and skills in relation tooral health assessment and daily mouth hygiene (NICE,2016); to support patientswith brushing their teeth twice daily with correct / prescribed mouth care products and to havea choice of tooth brush (PHE,2014 :NICE,2016).