Self Directed Learning Package - University of Queensland

93 • Self Directed Learning Package - Advanced Registered & Enrolled NurseOral careThe ageing process, even when uncomplicated by illness, createschanges in the body which may combine to decrease oral health.As a resident approaches the end of their life, especially whennot eating or drinking, oral care becomes even more important.ActivityLocate a copy of the Better Oral Care in Residential Careresource 17 in your facility.The professional portfolio was written to assist GPs andRNs to undertake oral health assessment and careplanning for people in residential aged care. While nottargeted specifically at palliative care, the principles arethe same.Case Study – AlfredAlfred is nearing the end of his life. His main problems arehis airways disease, mild dementia and general decline infunctional status. He requires continuous oxygen, prescribedat 2litres/minute via nasal specs.Four weeks ago he was commenced on amitryptiline 25mgnocte for depressive symptoms. Last week this was increasedto 50mg. He is using a fluticasone inhaler after a recentexacerbation of his airways disease.Careworkers report that Alfred, who normally has a goodappetite, is not eating as much as normal. He seems to havelost interest in his food and is ‘withdrawn’.You note that he has a full bottom denture and a partial topplate.ActivityList all the risk factors you can think of that may impacton Alfred’s oral health.