Target outcomes for long-term oral health care in dementia: a Delphi approach

This study developed a list of target outcomes for long-term oral health ca re in persons with dementia. A three-round Delphi study was used to develop a list of target outcomes. Participants included 99 staff and 171 family m embers associated with the Dementia Special Care Unit in Bedford, MA. In Ro und 1 participants were asked to list five outcomes for long-term oral heal th care. Items were grouped, redundancies removed, and fed back in Round 2, when participants scored the items from 1 (least important) to 10 (most im portant). Round 2 responses were tabulated and the top 20 were fed back for scoring in Round 3. The top 10 target outcomes in decreasing order of impo rtance were: patient will be free from oral pain, patient will not be at ri sk for aspiration, emergency dental treatment will be available when needed , prevent mouth infections, daily mouth care is as much a part of daily car e as shaving or brushing hair, prevent discomfort from loose teeth or sore gums, teeth will be brushed thoroughly once a day, staff will be able to pr ovide oral hygiene care as needed, provide dental care to prevent problems eating, and recognize oral problems early. Family and professional caregive rs were remarkably consistent in their identification of the top 10 outcome s. Further work is needed to ensure broad international and interdisciplina ry acceptance (including families and the long-term care residents themselv es) of target outcomes for long-term oral health care in persons with demen tia.