Reference no: EM133482201

Assignment: OHN Regarding Oral Health and Nutrition Case Study

Case Study: Oral Health/Nutrition

Directions:

Read the assigned chapters in the course textbooks. Read the following information (statement and scenario). Answer the questions at the end of the Scenario for O.H.N. using your textbooks, the supplemental readings and other sources that you find to support your statements.

Older Adults often have multiple chronic conditions for which special diets are recommended (McCullough et al., 2000). Coupled with side-effects from multiple medications, Older Adults may have oral health concerns that affect their ability to taste, smell and produce enough saliva for proper digestion (Mayo Clinic Staff, 2015, August 25). Unless they have a supplement plan or a rider many Older Adults do not have insurance that covers them for oral health care services (Centers for Medicare and Medicaid Services, 2013, November 19; Meininger, 2015, October 25).Multiple chronic diseases may increase with levels of obesity (Hand, 2013, October 21).

Scenario

A. O.H.N. is a 85 year old male who has been diagnosed with the following health conditions:

a. Diabetes (diagnosed since 68 years old)
b. Hypertension (diagnosed since 50 years old)
c. High Cholesterol (diagnosed since 65 years old)
d. Obesity (diagnosed since 65 years old)
e. Gum Disease (diagnosed since 55 years old)

B. The following medications have been prescribed:

a. Tanzieum - taken once weekly
b. Crestor
c. HCTZ
d. Lasix
e. Lisinopril

C. O.H.N. often has dry mouth which affects the way food tastes and his bridge fits his mouth.

D. O.H.N. is living in a low-income seniors' apartment in the community.

E. O.H.N. has Medicare and Medicaid for his insurances.

F. O.H.N. has meals delivered through Meals on Wheels, based upon recommendations from the registered dietitian.

G. O.H.N. has three children who take him out to dinner occasionally (birthdays/holidays).

H. O.H.N. has mints in his pocket which he takes often when his mouth is too dry and also often drinks carbonated beverages to keep his mouth moist.

Task

Question A. What concerns do you have for O.H.N. regarding oral health and nutrition? (Note: Explain what conditions may lead to adverse effectssuch as gum disease as well as methods to address his chronic health concerns.)

Question B. What individuals/agencies should be involved in addressing these concerns? (Note: Which health care providers/organizations should be included in the discussion or be consulted regarding oral health and nutrition concerns?)

Question C. How would you develop an intervention/care strategy of reducing the potential risks for O.H.N. experiencing adverse reactions for each of his chronic diseases? (Note: What steps should be taken to address his oral health and nutrition needs given his multiple chronic health conditions).

Question D. What can O.H.N. do to reduce the potential for adverse effects related to his oral health and nutrition? (Note: What changes may be necessary to reduce preventable adverse events?)

Question E. What other agencies can assist with improving O.H.N.'s oral health and nutrition needs to minimize adverse effects? (Note: Think about methods for treating each of the chronic diseases and how changes to oral health and nutrition can be improved. How can this care be coordinated?)

Question F. What processes or procedures are necessary to safeguard O.H.N. from experiencing an adverse effects related to his oral health and nutrition? (Note: Think Interagency - Team-based approach).

References

1) Centers for Medicare and Medicaid Services. (2013, November 19). Medicare Dental Coverage.

2) Hand, L. (2013, October 21). Obesity: As BMI levels increase, so does risk for Multimorbidity.

3) Mayo Clinic Staff. (2015, August 25). Diseases and Conditions: Dry Mouth.

4) McCullouh et al. (2000). Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance.American Journal of Clinical Nutrition, 76:1261-71.

5) Meininger, K. (2015, October 25). How Does the Salivary Gland Help to Digest Food?