Professional Documents
Culture Documents
Janelle.Urata@ucsf.edu
The
Oral-
Systemic
Link6
The
Myths
of
Aging5
1.
2.
3.
A
Growing
Population
-The
US
population
of
people
aged
6 5
and
older
is
the
fastest
growing
population,
growing
quicker
than
the
rate
of
our
total
population.1
-By
2030,
older
adults
will
comprise
over
19%
of
the
total
population,
due
to
baby
boomers
w ho
are
turning
65.1-3
-Currently
43
million
elderly
live
in
US
and
by
2050
this
number
w ill
double.2,
3
References:
1.
2.
3.
4.
5.
6.
Oral
Health
in
America:
A
Report
of
the
Surgeon
General
(Executive
Summary)
Retrieved,
8/16/2014,
2014,
Retrieved
from
http://www.nidcr.nih.gov/datastatistics/surgeongeneral/report/executivesummary.htm
Profile
of
Older
Americans
Retrieved,
8/16/2014,
2014,
Retrieved
from
http://www.aoa.gov/aoaroot/aging_statistics/Profile/2010/16.aspx
Minority
Aging
Retrieved,
8/16/2014,
2014,
Retrieved
from
http://www.aoa.gov/aoaroot/aging_statistics/minority_aging/
Educational
Objectives
Retrieved,
8/16/2014,
2014,
Retrieved
from
http://www.smilesforlifeoralhealth.org/buildcontent.aspx?pagekey=80326&lastpagekey=80461&userkey=11603539&sessionkey=2318711&tut=66
7&customerkey=84&custsitegroupkey=0
Darby,
Michele
Leonardi,
and
Margaret
M.
Walsh.
"Chapter
55:
The
Older
Adult."
Dental
Hygiene:
Theory
and
Practice.
4th
ed.
St.
Louis,
MO:
Saunders/Elsevier,
2015.
986-1005.
Print.
Dharamsi,
S.,
Jivani,
K.,
Dean,
C.,
&
Wyatt,
C.
(2009).
Oral
care
for
frail
elders:
knowledge,
attitudes,
and
practices
of
long-term
care
staff.
Journal
of
Dental
Education,
73(5),
581-588.
doi:73/5/581
[pii]
Atrophic
Glossitis
Ill-fitting
Dentures
or
Poor
Hygiene
Results
in
mucosal
irritation
&
infection
Including:
-Denture
Stomatitis
or
Candidiasis
-Denture-induced
Fibrous
Hyperplasia
-Denture
sore
mouth
aka
Chronic
Atrophic
Candidiasis
-Occurs
in
65%
wearing
dentures
Causes:
-Poor
fitting
prosthesis
-Wearing
prosthesis
overnight
Angular
Cheilitis
Clinically
appears
as:
-Fissuring
at
the
angels
of
the
mouth
-Cracks
-Erythema
-Ulcerations
Causative
Factors:
-Moistness
from
drooling
-Deficiency
of
vitamin
B12
(riboflavin)
-Infection
w ith
Candida
albicans
MNA
Last name:
First name:
Sex:
Age:
Weight, kg:
Height, cm:
Date:
Complete the screen by filling in the boxes with the appropriate numbers. Total the numbers for the final screening score.
Screening
A Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or
swallowing difficulties?
0 = severe decrease in food intake
1 = moderate decrease in food intake
2 = no decrease in food intake
B Weight loss during the last 3 months
0 = weight loss greater than 3 kg (6.6 lbs)
1 = does not know
2 = weight loss between 1 and 3 kg (2.2 and 6.6 lbs)
3 = no weight loss
C Mobility
0 = bed or chair bound
1 = able to get out of bed / chair but does not go out
2 = goes out
D Has suffered psychological stress or acute disease in the past 3 months?
0 = yes
2 = no
E Neuropsychological problems
0 = severe dementia or depression
1 = mild dementia
2 = no psychological problems
2
Screening score
(max. 14 points)
12-14 points:
8-11 points:
0-7 points:
Ref.
Vellas B, Villars H, Abellan G, et al. Overview of the MNA - Its History and Challenges. J Nutr Health Aging 2006;10:456-465.
Rubenstein LZ, Harker JO, Salva A, Guigoz Y, Vellas B. Screening for Undernutrition in Geriatric Practice: Developing the Short-Form Mini
Nutritional Assessment (MNA-SF). J. Geront 2001;56A: M366-377.
Guigoz Y. The Mini-Nutritional Assessment (MNA) Review of the Literature - What does it tell us? J Nutr Health Aging 2006; 10:466-487.
Kaiser MJ, Bauer JM, Ramsch C, et al. Validation of the Mini Nutritional Assessment Short-Form (MNA-SF): A practical tool for identification
of nutritional status. J Nutr Health Aging 2009; 13:782-788.