Care-resistant behaviour during oral examination in Dutch nursing home residents with dementia

Malou S. Willems*, Vanessa R.Y. Hollaar, Claar D. van der Maarel-Wierink, Gert Jan van der Putten, Ton Satink

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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Abstract

Objective: To assess the occurrence and associations of verbal and non-verbal care-resistant behaviour (CRB) during oral examination by a dental hygienist in nursing home residents with dementia. Background: CRB is a barrier to providing professional oral care and daily oral hygiene care. Understanding the predictors of CRB might help care professionals in learning to anticipate this behaviour. Methods: In this multicentre cross-sectional study signs of verbal and non-verbal CRB were reported during the oral examination. Data collection occurred in the psychogeriatrics wards of 14 different nursing homes in the Netherlands (N = 367). Results: A total of 367 residents were included. CRB was evident in 82 residents (22.3%), of whom 45 (55%) showed verbal and 37 (45%) non-verbal CRB. Associated with CRB were age >85 years, duration of residential stay longer than 2 years, and having Korsakov dementia. Other factors associated with CRB were duration of residential stay (categories “>2 and ≤4 years” or “>4 years”) and having a natural dentition (P =.043-.005, OR = 1.20-1.33, 95% CI = 1.00-8.48). Significant associations for verbal and non-verbal CRB were age between 76 and 85 years, vascular dementia and Korsakov dementia (P =.031-.006, OR =.020-1.49, 95% CI = 0.43-2.15). Conclusion: The occurrence of CRB was 22.3% and was associated with older age and longer duration of residential stay, Vascular and Korsakov dementia and natural dentition.

Original languageEnglish
Pages (from-to)299-307
Number of pages9
JournalGerodontology
Volume40
Issue number3
Early online date24 Aug 2022
DOIs
Publication statusPublished - Sept 2023

Bibliographical note

Publisher Copyright:
© 2022 Gerodontology Association and John Wiley & Sons Ltd.

Funding

We like to thank BrabantZorg and all participants for their time. We would also like to acknowledge Sander de Wolf and Christiaan Thijssen for supporting this study, and Jo Frencken and Mrs Hazel for checking the English grammar and syntax.

FundersFunder number
Jo Frencken and Mrs Hazel
Sander de Wolf and Christiaan Thijssen

    Keywords

    • care-resistant behaviour
    • dementia
    • nursing home
    • oral examination

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