Part 4: Regular Barriers to Care
OHCP Assessment – Regular Barriers to Care
Check any of the barriers listed below that are relevant for the older person.
|
Assessment of Regular Barriers to Care |
|---|
| ___ forgets to do oral hygiene care |
| ___ refuses oral hygiene care |
| ___ won't open mouth |
| ___ no compliance with directions |
| ___ is aggressive / kicks / hits |
| ___ bites toothbrush and/or staff |
| ___ can't swallow properly |
| ___ can't rinse or spit |
| ___ constantly grinding / chewing |
| ___ head faces downward/moves |
| ___ won't take dentures out at night |
| ___ dexterity or hand problems/arthritis |
| ___ refuses assistance from caregiver |
| ___ other __________________ |
OHCP Practice Quiz
Practice using the Oral Health Care Plan (OHCP) by viewing the barriers part of the form for Mrs. Rose East, who is being admitted to your nursing home.
Mrs. East has Alzheimer's disease and forgets to clean her teeth and her dentures, so she needs others to help her do this. She has a complete upper denture and a partial lower denture, which she insists on wearing day and night. Several of her bottom front teeth remain, but one of these teeth has broken off. She has a very dry mouth. She last saw a dentist on March 11 of last year, but the dentist she saw has since moved away.
OHCP Practice Answer
|
Assessment of Regular Barriers to Care |
|
|---|---|
| We said: | |
| forgets to do oral hygiene care | Yes |
| refuses oral hygiene care | No |
| won't open mouth | No |
| no compliance with directions | No |
| is aggressive / kicks / hits | No |
| bites toothbrush and/or staff | No |
| can't swallow properly | No |
| can't rinse or spit | No |
| constantly grinding / chewing | No |
| head faces downward/moves | No |
| won't take dentures out at night | Yes |
| dexterity or hand problems/arthritis | No |
| refuses assistance from caregiver | No |
| other | No |
Oral Hygiene Care Plan (Chalmers, 2004 for use by the Iowa Geriatric Education Center; reviewed by Marchini, 2016; Review 2023)