ADHA Members/Subscribers: Free | Nonmembers $45 Oral health is a key indicator of overall health, well-being, and quality of life; however, resident oral health in long term care (LTC) homes remains poor despite many years of research and intervention. Institutional ethnography (IE), a new lens from which to explore the LTC oral health problem, suggests the institutional organization of LTC homes could be a contributing factor to resident’s poor oral health. Results show that health care aides (HCAs), in the absence of textual guidance from regulation and standards, relied on their personal experiences and used their discretion to provide oral care for residents. This presentation will provide insight as to why HCAs are relying on their own devices to provide oral care and offer suggestions for policy and practice changes.
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