Bijeenkomst 5. De bewoner met dementie en ethiek.
Voorbereidingsopdracht(en)
Lees de bijbehorende artikelen:
- Rita A. Jablonski, PhD, CRNP,Barbara
TherrienAnn Kolanowski. No More Fighting and Biting During Mouth Care: Applying
theTheoretical Constructs of Threat Perception to Clinical Practice .
Abstract: The purpose of this article is to describe how the neurobiological principles of threat perception and
fear response can support clinical approaches to prevent and reduce care-resistant behaviors during mouth
care. Nursing home residents who exhibit care-resistant behavior are at risk for poor oral health because daily
oral hygiene may not be consistently provided. Poor oral health predisposes these older people to systemic
problems such as pneumonia, cerebral vascular accidents, and hyperglycemia. Care-resistant behavior is a fear-
evoked response to nurses’ unintentionally threatening behavior during mouth care. Nurses can safely and
effectively provide mouth care to persons with dementia who resist care by using personalized combinations of
15 threat reduction strategies.
- Vries, Visscher, Lobbezoo. Orofacial Pain
Scale for Non-verbal Individuals OPS-NVI. BMC Oral Health. 2011 Nov 19;11:30. doi:
10.1186/1472-6831-11-30.
Abstract: Objectives. The aim of this study was to establish the reliability of the “chewing” subscale of the OPS-
NVI, a novel tool designed to estimate presence and severity of orofacial pain in nonverbal patients. Methods.
The OPS-NVI consists of 16 items for observed behavior, classified into four categories and a subjective
estimate of pain. Two observers used the OPS-NVI for 237 video clips of people with dementia in Dutch nursing
homes during their meal to observe their behavior and to estimate the intensity of orofacial pain. Six weeks
later, the same observers rated the video clips a second time. Results. Bottom and ceiling effects for some
items were found. This resulted in exclusion of these items from the statistical analyses. The categories which
included the remaining items (n = 6) showed reliability varying between fair-to-good and excellent
(interobserver reliability, ICC: 0.40–0.47; intraobserver reliability, ICC: 0.40–0.92). Conclusions. The “chewing”
subscale of the OPS-NVI showed a fair-to-good to excellent interobserver and intraobserver reliability in this
dementia population. This study contributes to the validation process of the OPS-NVI as a whole and stresses
the need for further assessment of the reliability of the OPS-NVI with subjects that might already show signs of
orofacial pain.
Inhoud
Wat betekent dementie? Op welke wijze kun je omgaan met iemand met dementie? Op welke wijze zorg je
voor de juiste mondzorg voor een demente bewoner? Op welke wijze geef je mondverzorging aan een
demente bewoner? Op welke wijze kun je verzorgenden ondersteunen in het geven van mondverzorging aan
een dementerende?
College
De demente mens en Ethiek
Meenemen voor ADL practicum:
Tandenborstel en tandpasta
Practicum opdrachten (op BB) meenemen!
Geriatrische Tandheelkunde: stof op college is voldoende
De demente mens en Ethiek
Leerdoel
De student:
construeert en verklaart tandheelkundig en mondzorgkundig handelen voor de oudere, geriatrische –
palliatieve- , en dementerende mens met als doel het verbeteren van kwaliteit van leven en van de
mondgezondheid van de zorgvrager binnen een zorginstelling.
Het spectrum van dementie
Voorbereidingsopdracht(en)
Lees de bijbehorende artikelen:
- Rita A. Jablonski, PhD, CRNP,Barbara
TherrienAnn Kolanowski. No More Fighting and Biting During Mouth Care: Applying
theTheoretical Constructs of Threat Perception to Clinical Practice .
Abstract: The purpose of this article is to describe how the neurobiological principles of threat perception and
fear response can support clinical approaches to prevent and reduce care-resistant behaviors during mouth
care. Nursing home residents who exhibit care-resistant behavior are at risk for poor oral health because daily
oral hygiene may not be consistently provided. Poor oral health predisposes these older people to systemic
problems such as pneumonia, cerebral vascular accidents, and hyperglycemia. Care-resistant behavior is a fear-
evoked response to nurses’ unintentionally threatening behavior during mouth care. Nurses can safely and
effectively provide mouth care to persons with dementia who resist care by using personalized combinations of
15 threat reduction strategies.
- Vries, Visscher, Lobbezoo. Orofacial Pain
Scale for Non-verbal Individuals OPS-NVI. BMC Oral Health. 2011 Nov 19;11:30. doi:
10.1186/1472-6831-11-30.
Abstract: Objectives. The aim of this study was to establish the reliability of the “chewing” subscale of the OPS-
NVI, a novel tool designed to estimate presence and severity of orofacial pain in nonverbal patients. Methods.
The OPS-NVI consists of 16 items for observed behavior, classified into four categories and a subjective
estimate of pain. Two observers used the OPS-NVI for 237 video clips of people with dementia in Dutch nursing
homes during their meal to observe their behavior and to estimate the intensity of orofacial pain. Six weeks
later, the same observers rated the video clips a second time. Results. Bottom and ceiling effects for some
items were found. This resulted in exclusion of these items from the statistical analyses. The categories which
included the remaining items (n = 6) showed reliability varying between fair-to-good and excellent
(interobserver reliability, ICC: 0.40–0.47; intraobserver reliability, ICC: 0.40–0.92). Conclusions. The “chewing”
subscale of the OPS-NVI showed a fair-to-good to excellent interobserver and intraobserver reliability in this
dementia population. This study contributes to the validation process of the OPS-NVI as a whole and stresses
the need for further assessment of the reliability of the OPS-NVI with subjects that might already show signs of
orofacial pain.
Inhoud
Wat betekent dementie? Op welke wijze kun je omgaan met iemand met dementie? Op welke wijze zorg je
voor de juiste mondzorg voor een demente bewoner? Op welke wijze geef je mondverzorging aan een
demente bewoner? Op welke wijze kun je verzorgenden ondersteunen in het geven van mondverzorging aan
een dementerende?
College
De demente mens en Ethiek
Meenemen voor ADL practicum:
Tandenborstel en tandpasta
Practicum opdrachten (op BB) meenemen!
Geriatrische Tandheelkunde: stof op college is voldoende
De demente mens en Ethiek
Leerdoel
De student:
construeert en verklaart tandheelkundig en mondzorgkundig handelen voor de oudere, geriatrische –
palliatieve- , en dementerende mens met als doel het verbeteren van kwaliteit van leven en van de
mondgezondheid van de zorgvrager binnen een zorginstelling.
Het spectrum van dementie
