高齡者與住院病患的口腔照護

Daily care of the teeth and mouth is important for a healthy life. Many reports reveal that proper oral health is significantly related to the overall quality of life for older individuals. Recently, oral health care for the elderly has become a topic of increasing interest. However, many dependent elderly patients who need special care have difficulty brushing their own teeth. Moreover, since it is not easy for family members or caregivers to do it for them, the teeth of dependents who cannot brush themselves are often left unclean. The incidence of cerebrovascular and degenerative neurologic diseases increase with aging, and these disorders are associated with dysphagia and an impaired cough reflex with the increased likelihood of oropharyngeal aspiration. Recently, we are coming to a better understanding of how bacteria in the mouth are related to aspiration pneumonia and endocarditis, as well as the effects of mastication on senility and dementia. Aspiration pneumonia, the leading direct cause of death among the elderly, can be prevented by proper oral care. Preventing the development of these diseases through appropriate oral care are primary goals for all of us involved in the health care profession.