Domiciliary Care

• who?

  • older
  • phobic
  • additional needs
• example of additional needs requiring domiciliary care?

  • medically compromised
  • learning disability
  • challenging behaviour
• Mobility:

  • hoist
  • bed
  • 24 hour O2
  • zimmer
  • wheelchair
• behaviour:

  • phobic
  • mental health problems
  • dementia
  • challenging behaviour
• where?

  • flat or house
  • supported housing
  • sheltered housing
  • care home
  • residential home
  • nursing home
  • day care
  • hospital
• when?

  • low socioeconomic area - daytime appointments/not dark
  • carer? present or not
  • after lunch - denture
• what?

  • Acclimatisation

  • OHI

  • Diet advice

  • PMPR

  • Fluoride varnish

  • GIC

  • Composite (Prime and Bond Active)

  • PMCs

  • Impressions

  and LA if correct disposal available
• How?

  • make a list
  • mobile appliances
  • planning - risk assessment and OH assessment tool
• CAMPING?

  • communication
  • assert and anticipate
  • manual handling and maps
  • planning and time
  • improvisation
  • networking
  • gerodontology
• pros:

  • own environment more relaxed or intrusion
  • less exhausted - more co operative|
  • meet dental staff - acclimatization - ready for clinic
  • insight into pt home life
• cons:

  • Time = money
  • Satnav
  • car insurance
  • snow, rain, dark
  • cold outside
  • access to building
  • dirty house
  • inconsistent care staff
  • forgetting something
• Personal safety to consider:

  • back care
  • nurse always
  • leave if unsettled
  • clinic knows when expected back
  • 'red folder'
  • dogs
  • smokers
• oral health assessment tool

  
• What is this?

  A) hospital passport

  
• What is this?

  A) this is me