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Keeping oral hygiene while taking complex care of seniors
ŠTĚCHOVÁ, Pavla
The topic of this bachelor thesis is Keeping oral hygiene while taking complex care of seniors. Count of seniors that have dental problems or don't have teeth at all increases according to specialized literature (Pacovský, 1994). The most frequent causes of that are growing motoric and cognitive issues at the old age but also increasing dependency of the hospitalized seniors on the nursing staff. Oral hygiene is also often done incorrectly (Kubíčková, 2012), or in a minimal scale only. Having poor oral hygiene can lead to a variety of problems, e.g. tooth decay, tooth plaque or tartar (Preclíková, 2015). This bachelor thesis has two targets. The first one is finding differences in oral hygiene practising at mobile, partly immobile and completely immobile seniors and the second one is finding reasons for poor oral hygiene at seniors. Based on these two targets, three research questions were established. The first one is: What differences are there in good oral hygiene practising at mobile, partly immobile and completely immobile seniors? The second research question: What are the reasons for these differences in good oral hygiene practising at seniors? The last, third question: How is oral hygiene practised by nurses at mobile, partly immobile and completely immobile seniors? The research part of this thesis uses qualitative research method. To get necessary data for further processing of the research part of this thesis, the participant observation method was used. The observation was done in various wards of medical institutions in the South Bohemia Region. The observed data is recorded in recording sheet (Appendix 1). It is processed by coding method and divided into seven categories and several subcategories. The second part of the research uses method of unstructured and semi-structured interviews with patients seniors, to complete and verify collected data. Each interview is recorded with agreement of patients and its transcript is documented (Appendix 2). Collected data is encrypted according to internal similarity of particular codes that are marked in colours in the transcripts (Appendix 3). Results of this research show that the lowest quality of oral hygiene is provided to immobile patients seniors. The results also show differences in provided care in each of the observed wards. Regarding the fact that this thesis is based on my experience with poor oral hygiene, I found out that the conclusion indicates oral hygiene practising at patients seniors, but the quality, level and scope are lower than they should be. The thesis reveals also other lacks that should have higher importance and should not be ignored.
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