Research Article

Infusing Oral Health Care into Nursing Curriculum: Addressing Preventive Health in Aging and Disability

Table 3

Curricular outline of lecture content on oral health of elders and persons with intellectual and developmental disabilities.
(a)

Elders a

 Oral health screening
 Oral health screening procedures
 Age-associated changes
 Non-age related conditions
  Oral cancer
  Xerostomia
  Tooth decay/loss
  Periodontal disease
  Immune-related disease
 Recognizing common oral health conditions for elders
  (with photos and descriptions)
  (e.g., candida, keratosis, “hairy leukoplasia” squamous cell carcinoma, ulcers, nicotine stomatitis)
 Oral health prevention
 Need for immediate dental treatment
Oral hygiene
Denture fit and denture care

aThe lecture content outline on elders is from the lecture presented by S. Spackman to gerontological nurse practitioner students. The lecture has elements from curricular content developed by J. Bauer and S. Spackman for the program in Geriatric Dentistry at UCLA School of Dentistry, Los Angeles, USA.
(b)

Persons with intellectual and developmental disabilities b

Definitions of disability
Demographics and oral health disparities among persons with I/DD
Conditions associated with developmental disabilities
 (e.g., intellectual disability, Down syndrome, cerebral palsy, Fragile X syndrome)
Common oral health conditions
 (e.g., cheilitis, xerostomia, malocclusion)
Other oral health concerns
  (e.g., bruxism, pica, GERD, pocketing food)
Review of oral health assessment and preventive oral health education and practice
Urgent, emergent, routine follow-up
Positioning, accommodations, and adaptive equipment
Consideration of fears or anxiety related to oral care
Roles and teaching of caregivers

bThe lecture content outline about oral health and persons with intellectual and developmental disabilities was developed from a number of resources including Developmental Disabilities and Oral Health: Strategies for Providing Oral Care to People With Developmental Disabilities—Practical Oral Care for People with Developmental Disabilities Series For Health Professionals—available at http://www.nidcr.nih.gov/OralHealth/Topics/DevelopmentalDisabilities/.