Impact of Oral Problems on the Nutritional Status of Geriatric Clients: Basis for Health Education Program

A Thesis Presented to the Faculty of the College of Nursing Lipa City Colleges Lipa City

In Partial Fulfillment of the Requirements for the Degree Bachelor of Science in Nursing

by Purino, John Carlo T. Rosita Princess G. Valencia, Evangeline A.

Date Submitted: October 31, 2013

TABLE OF CONTENTS
CONTENTS PAGE

Title Page Acknowledgement Dedication Table of Contents List of Tables List of Figures

Chapter 1- The Problem and Its Background Introduction Theoretical Framework Conceptual Framework Statement of the Problem Hypothesis Scope and Delimitation of the Study Significance of the Study Definition of Terms Chapter 2- Review of Related Literature and Studies Related Literature Related Studies Chapter 3- Research Methodology Research Design Sampling Method

Research Locale Research Instrument Data Gathering Procedure Statistical Treatment of Data Chapter 4- Presentation, Analysis and Interpretation of Data Chapter5- Summary, Conclusion and Recommendations Summary Findings Conclusions Recommendations Bibliography Letters Questionnaire

APPENDICES Appendix A SAMPLE LETTER

Lipa City Colleges Colleges of Nursing Lipa City August 15, 2013 Francisco F. Fajutagana President Lipa City Federation of Senior Citizen Association Lipa City

Dear Sir: Greetings of Peace! The undersigned are fourth year students of Lipa City Colleges and presently conducting a study entitled Impact of Oral Problems on the Nutritional Status of Geriatric Clients: Basis for Health Education Program. In connection to this we would like to ask from your office to allow us to gather pertinent data from your clients through survey questionnaire on August 16-21, 2013. Attached is the sample questionnaire to be used in this study. Your supports in this endeavour are highly appreciated.Thank you very much. Very truly yours, (Sgd.)John Carlo T. Purino (Sgd.)Princess G. Rosita (Sgd.)Evangeline A. Valencia Noted by: (Sgd.)Allan O. Dimaano, RN, RM, MAN Research Adviser

(Sgd.)Ponciano L. Malabanan, RN, MAN Dean, College of Nursing

Lipa City Colleges Colleges of Nursing Lipa City Agosto15, 2013

Sa aming mga minamahal na respondents/tagapagsagot, PagbatingKapayapaan! Kami po, mga mag-aaralng Nursing sa Lipa City Colleges ay nagsasagawa ng isang research/ pananaliksik na pinamagatang Impact of Oral Problems on the Nutritional Status of Geriatric Clients: Basis for Health Education Program. Kaugnay po nito, ay humihingi kami ng tulong sa pamamagitan ng pagsagot sa palatanungan o questionnaires na amin pong inihanda. Ang impormasyon po na ibinahagi ninyo ay lubos na makakatulong sa amin sa pagkamit ng mga layunin ng aming pananaliksik o research. Ipinangangako po namin na ang lahat ng impormasyon na aming makakalap ay ituturing naming konpidensyal. Kalakip po nito ang questionnaire/ palasagutan. Maraming salamat sa inyo!

Lubos na gumagalang, (Sgd.)John Carlo T. Purino (Sgd.)Princess G. Rosita (Sgd.)Evangeline A. Valencia

Noted by:

(Sgd.)Allan O. Dimaano RN, RM, MAN Research Adviser

(Sgd.)Ponciano L. Malabanan RN, MAN Dean, College of Nursing

Lipa City Colleges Colleges of Nursing Lipa City August 15, 2013 Emma Molano President LICFOSCA-Marawoy Chapter Marawoy, Lipa City

Dear Sir: Greetings of Peace! The undersigned are fourth year students of Lipa City Colleges and presently conducting a study entitled Impact of Oral Problems on the Nutritional Status of Geriatric Clients: Basis for Health Education Program. In connection to this we would like to ask from your office to allow us to gather pertinent data from your clients through survey questionnaire on August 16-21, 2013. Attached is the sample questionnaire to be used in this study. Your supports in this endeavour are highly appreciated.Thank you very much. Very truly yours, (Sgd.)John Carlo T. Purino (Sgd.)Princess G. Rosita (Sgd.)Evangeline A. Valencia Noted by: (Sgd.)Allan O. Dimaano, RN, RM, MAN Research Adviser

(Sgd.)Ponciano L. Malabanan, RN, MAN Dean, College of Nursing

Lipa City Colleges Colleges of Nursing Lipa City August 15, 2013 Melchor Olan Barangay Captain Marawoy, Lipa City

Dear Sir: Greetings of Peace! The undersigned are fourth year students of Lipa City Colleges and presently conducting a study entitled Impact of Oral Problems on the Nutritional Status of Geriatric Clients: Basis for Health Education Program. In connection to this we would like to ask from your office to allow us to gather pertinent data from your clients through survey questionnaire on August 16-21, 2013. Attached is the sample questionnaire to be used in this study. Your supports in this endeavour are highly appreciated.Thank you very much. Very truly yours, (Sgd.)John Carlo T. Purino (Sgd.)Princess G. Rosita (Sgd.)Evangeline A. Valencia Noted by:

(Sgd.)Allan O. Dimaano, RN, RM, MAN Research Adviser

(Sgd.)Ponciano L. Malabanan, RN, MAN Dean, College of Nursing

APPENDICES APPENDIX B SAMPLE QUESTIONNAIRE

DEMOGRAPHIC PROFILE Name(optional):____________________________ Age: __60- 64 years old __65-69 years old __70- 74 years old __>75 years old Height:_______ Weight:______ BMI: _______ (Overweight, Acceptable, Underweight) Sex: ___ F or ___M

Oral Status Categories ____ Natural teeth only ____ Mixed dentition ____ Complete (full) dentures ____ Totally edentulous without prosthesis

THE GERIATRIC ORAL HEALTH ASSESSMENT INDEX Indicate how often you feel the way described in each of the following statements. Put a (/) check in the corresponding answer. 1- Always 2- Often 3- Sometimes 4- Seldom 5- Never

1. I limit the kind or amount of food I eat because of problems with my teeth or dentures. 2. I have trouble biting or chewing in any kinds of food such as firm meat or apples. 3. I am able to swallow uncomfortably. 4. My teeth or dentures prevented me from speaking the way I wanted. 5. I am able to eat anything with feeling of discomfort. 6. I limit contact with people because of the condition of my

teeth or dentures.

7. I am unhappy with the looks of my teeth and gums or dentures. 8. I use medication to relieve pain or discomfort from around my mouth. 9. I am worried or concerned about the problems with my teeth, gums or denture. 10. I feel nervous or self- conscious because of problems with my teeth or dentures. 11. I feel uncomfortable eating in front of people because of problems with my teeth or dentures.

12. My teeth or gums are sensitive to hot, cold or sweets.

*Adopted and edited from the Hartford for Geriatric Nursing, Division of Nursing, New York University

Read the statements below. Circle the number in the yes column for those that apply to you. For each YES answer, encircle the corresponding score.

YES I have an illness or condition that made me change the kind and /or amount of food I eat I eat fewer than two meals per day. I eat few fruits or vegetables, or milk products. 3 3 2

I have three or more drinks of beer, liquor or wine almost every day. I have tooth or mouth problems that make it hard for me to eat. I don't always have enough money to buy the food I need. I eat alone most of the time.

3 2 4 1

I take three or more different prescribed or over-the-counter drugs a day. Without wanting to, I have lost or gained 10 pounds in the last six months. I am not always physically able to shop, cook and/or feed myself. TOTAL

1 2 2

*Adopted from Health Assessment Book Third Edition by Janet Weber & Jane Kelley

*Translated DEMOGRAPIKONG PAGKAKAKILANLAN Pangalan (opsyonal):_______________________ Edad: __60- 64 taong gulang __65-69 taong gulang __70- 74 taong gulang __>75 taong gulang Haba:_______ Timbang:______ BMI: _______ (Sobra sa Timbang, Normal, Kulang sa Timbang) Kasarian: ___ B o ___L

Kategorya ng Estado ng Oral ____ Pawang natural na ngipin ____ May natural at di natural (pustiso) na ngipin ____ Pawang di natural (pustiso) na ngipin ____ Walang ngipin at pustiso

GERIATRIC ORAL HEALTH ASSESSMENT INDEX Basahin ang mga pangungusap. Lagyan ng tsek (/) kung gaano kadalas mo nararanasan o nararamdaman ang mga sumusunod. 1- Palagi 2- Madalas 3- Paminsan- minsan 4- Bihira 5- Hindi Kailanman

Nililimita ko ang uri at dami ng aking pagkain dahil sa problema ko sa ngipin o pustiso. Nakararanas ako ng hirap sa pagkagat at pagnguya ng matitigas na uri ng pagkain gaya halimbawa ng ulam at mansanas. Nakararanas ako ng hirap sa paglulon o paglunok.

Nahihirapan akong magsalita dahil sa aking ngipin o pustiso. Nakararanas ako ng hirap sa pagkain. Nililimita ko ang pakikitungo ko sa ibang tao dahil sa kondisyon

ng aking ngipin o pustiso.

Nalulungkot ako sa itsura/kalagayan ng aking ngipin, gilagid at pustiso. Umiinom ako ng gamot upang mawala ang sakit, hapdi at pagkailang sa aking bibig. Nag-aalala ako ukol sa problema ko sa aking ngipin. gilagid at pustiso. Natatakot o naiilang ako dahil sa problema ko sa aking ngipin at pustiso. Nakararanas ako ng pagkailang sa harap ng iba/maraming tao dahil sa problema ko sa aking ngipin at pustiso.

Nakararanas ako ng pangingilo sa ngipin at gilagid dahil sa mainit, malamig at matatamis na pagkain.

*Adopted and edited from the Hartford for Geriatric Nursing, Division of Nursing, New York University

Basahin ang mga pangungusap. Sa bawat OO o pagsang-ayon, bilugan ang katapat na numero o iskor. Kung Hindi naman sumasang-ayon, iwanang blangko ang nasabing bilang.

OO Meron akong karamdaman na nagpabago sa uri ng aking pagkain o diyeta Mas kaunti sa dalawang beses sa isang araw ang aking pagkain 2 3

Bihira lamang akong kumain ng prutas, gulay, gatas at produktong gawa rito. May tatlo o higit pang bote ng alak, beer o wine ang aking naiinom sa loob ng isang araw. Mayroon akong problema sa ngipin o bibig na nagpapahirap sa aking pagnguya at pagkain.

3 3

Hindi sapat ang aking salapi o pera upang mabili ko ang pagkaing aking kailangan. Madalas ako kumaing magisa. Umiinom ako ng tatlo o higit pang uri ng gamut, nireseta man o hindi. Hindi ko man ninanais, nababawasan o nadadagdagan ako ng apat at kalahating kilo sa loob ng anim na buwan. Nakararanas ako ng hirap sa pamimili, pagluluto at pagkain. TOTAL
*Adopted from Health Assessment Book Third Edition by Janet Weber & Jane Kelley

1 1 2

BIBLIOGRAPHY

REPUBLIC OF THE PHILIPPINES SECTION INDEX MAP BRGY. MARAWOY, LIPA CITY, BATANGAS