$ 10 million per year to the teeth of seniors in NURSING homes [VIDEO]
Quebec will invest $ 10 million per year for a programme of oral care which will be deployed in all NURSING homes of the province. The dental hygienists will be put to contribution, within the limits of the current regulation, but greater autonomy could possibly be recognized, a-t-on hinted on Tuesday at a press conference.
The investment announced by the minister responsible for Seniors, Marguerite Blais, following a pilot project set up by the previous government in three NURSING homes, including the Home Charlesbourg, in the capital.
Currently, dental care services are uneven in NURSING homes, which are often insufficient, or even non-existent, was explained in a press conference. Gold a bad dental health can cause pain, discomfort and other health problems, has recalled. “During the pilot project in a ltc facility, there was a person with dementia who screamed, and it was believed that this was due to his illness, but it was finally due to a toothache”, was illustrated by the minister Marguerite Blais.
“We don’t take care of the mouth in NURSING homes. Examines the ears, the eyes, the body, but we do not care of the mouth”, she stressed. Ms. Blais recalled that the medication could sometimes cause a dry mouth, and poor oral health could lead to illnesses such as aspiration pneumonia or an infection in the heart.
The program provides for an offer of dental care, preventive and curative, but also care hygiene daily to seniors living in CHSLDS, public and private institutes. Each resident will be entitled to his arrival to an assessment of its mouth, and a plan of care tailored to her needs will be provided, has been provided. According to the national director of public health, Dr. Horacio Arruda, the program should have been deployed in all NURSING homes by march 31, 2020.
Nurses (clinicians and assistants), orderlies, dental hygienists, dentists and denturists will be put to contribution in a spirit of interdisciplinary collaboration.
Questioned as to how the orderlies and nurses, already overburdened, were going to find the time to provide oral health care for residents of NURSING homes, the minister Blais responded that “the hiring of personnel, it is coming, there has a budget that is coming”. According to her, this is not “because there is a lack of staff we cannot begin to take care of the mouth of our elders”.
According to Dr. Arruda, the pilot project has tested the organization and the integration of oral health care in a continuum of care. “When one detects at the entrance [to NURSING] a dental problem and refer the problem promptly to the dentist is less patients who have or who will scream because they have a dental abscess, for example,” said the national director of public health, adding that 42 dental hygienists would also be hired to carry out the program.
Hygienists more independent?
Except that the dental hygienists will not have all the autonomy they could and would like to have, agreed in the margins of the press conference the president of their professional order, Diane Duval.
“If the officer had more autonomy, it would allow the nurse to do other tasks. In the framework of the programme, it is the nurse who will be responsible for the reference to the dentist, then the hygienist is trained to make these assessments-there,” she said Duval, adding that “if we want to act upstream, it should also allow that there is care before, at home”.
According to the College of dental hygienists of Quebec, over 40% of the population has not the means of defraying the costs of the annual consultation in dental practice. Dental hygienists could provide services at a lower cost at home. “But currently, the regulations do not allow us to do it,” said Ms. Duval.
As the minister Marguerite Blais, Dr. Horacio Arruda have assured the Sun that the record of the autonomy of dental hygienists was the subject of discussions between the cabinet of the minister of Health, Danielle McCann, and the professional orders concerned. “We are working on the autonomy of hygienists as we worked on the autonomy of nurses [nurse specialist] with the College of physicians,” said minister Blais, adding that an announcement in this regard will be made soon.
According to Dr. Arruda, “when you look at the philosophy that has been put forward, that of having the right professional in the right place, I doubt that the position [of the government Legault] in the case of the hygienists will be contrary” to this philosophy. “The matter is in progress for a few years and it evolves,” he assured.