Based on current literature, oral health in long-term care (LTC) facilities is frequently of low priority and does not follow evidence-based best practices. Poor oral health reduces the quality of life of older adult residents and patients and can lead to systemic diseases, such as cardiovascular disease, stroke, and pneumonia, the leading cause of death in LTC. Occupational therapists can play an instrumental role as oral care consultants, and educators, and can act as resource guides to raise the standards of oral care in LTC facilities.
This capstone project explored ways in which occupational therapy, a profession traditionally designated for interventions targeting activities of daily living (ADL), can improve oral care in LTC facilities. The proposed solution was a comprehensive toolkit to equip occupational therapists to assist LTC facilities in the implementation of an evidence-based oral care delivery system. The toolkit contained information and forms to establish necessary support structures for oral care, such as evidence-based policy and practices, documentation, educational in-service materials, and a list of specialized skills unique to occupational therapy. During the implementation phase, the project was modified to meet the needs of the project facility. The project became a site-specific educational in-service to improve the daily oral-care delivery of the certified nurse assistants, which was measured for its short and long-term effects. Results indicated that educational in-services may help improve oral care delivery in LTC facilities. The project team recommends that future projects include the complete oral care toolkit, including the educational in-services, and a tracking tool to further promote evidence-based oral care delivery in LTC facilities.
","abstract_html":"<p>Based on current literature, oral health in long-term care (LTC) facilities is frequently of low priority and does not follow evidence-based best practices. Poor oral health reduces the quality of life of older adult residents and patients and can lead to systemic diseases, such as cardiovascular disease, stroke, and pneumonia, the leading cause of death in LTC. Occupational therapists can play an instrumental role as oral care consultants, and educators, and can act as resource guides to raise the standards of oral care in LTC facilities.</p> <p>This capstone project explored ways in which occupational therapy, a profession traditionally designated for interventions targeting activities of daily living (ADL), can improve oral care in LTC facilities. The proposed solution was a comprehensive toolkit to equip occupational therapists to assist LTC facilities in the implementation of an evidence-based oral care delivery system. The toolkit contained information and forms to establish necessary support structures for oral care, such as evidence-based policy and practices, documentation, educational in-service materials, and a list of specialized skills unique to occupational therapy. During the implementation phase, the project was modified to meet the needs of the project facility. The project became a site-specific educational in-service to improve the daily oral-care delivery of the certified nurse assistants, which was measured for its short and long-term effects. Results indicated that educational in-services may help improve oral care delivery in LTC facilities. The project team recommends that future projects include the complete oral care toolkit, including the educational in-services, and a tracking tool to further promote evidence-based oral care delivery in LTC facilities.</p>","abstract_has_math":false,"creators":["Banovitz, Lauryn J.","Bellah, Liberty","Lion, Rosemarie"],"institution":null,"degree_name":"Master of Science in Occupational Therapy","degree_level":"Master's Thesis","degree_discipline":"Occupational Therapy","degree_department":null,"school":null,"contributors":["Eira Klich-Heartt, DNP, RN, CNS, CNL","Julia Wilbarger, PhD, OTR/L","Ruth Ramsey, EdD, OTR/L"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2015,"date_issued":"2015-05-01T07:00:00Z","date_published":"2015-05-01T07:00:00Z","updated_at":"2026-07-24T02:04:35Z","subjects":["oral wellness","oral wellness in long-term care","oral hygiene delivery in long-term care","oral health in long-term care","occupational therapy and oral hygiene","occupational therapy and oral care","Analytical, Diagnostic and Therapeutic Techniques and Equipment","Dental Materials","Dental Public Health and Education","Dentistry","Dietetics and Clinical Nutrition","Equipment and Supplies","Geriatric Nursing","Medical Education","Medicine and Health Sciences","Nursing","Nutrition","Occupational and Environmental Health Nursing","Oral Biology and Oral Pathology","Other Dentistry"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholar.dominican.edu/masters-theses/142","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Eira Klich-Heartt, DNP, RN, CNS, CNL","Julia Wilbarger, PhD, OTR/L","Ruth Ramsey, EdD, OTR/L"]},{"key":"dc:creator","label":"Author","values":["Banovitz, Lauryn J.","Bellah, Liberty","Lion, Rosemarie"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["1970-01-01T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Occupational Therapy"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Master's Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Occupational Therapy"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["oral wellness","oral wellness in long-term care","oral hygiene delivery in long-term care","oral health in long-term care","occupational therapy and oral hygiene","occupational therapy and oral care","Analytical, Diagnostic and Therapeutic Techniques and Equipment","Dental Materials","Dental Public Health and Education","Dentistry","Dietetics and Clinical Nutrition","Equipment and Supplies","Geriatric Nursing","Medical Education","Medicine and Health Sciences","Nursing","Nutrition","Occupational and Environmental Health Nursing","Oral Biology and Oral Pathology","Other Dentistry"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholar.dominican.edu/masters-theses/142"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Based on current literature, oral health in long-term care (LTC) facilities is frequently of low priority and does not follow evidence-based best practices. Poor oral health reduces the quality of life of older adult residents and patients and can lead to systemic diseases, such as cardiovascular disease, stroke, and pneumonia, the leading cause of death in LTC. Occupational therapists can play an instrumental role as oral care consultants, and educators, and can act as resource guides to raise the standards of oral care in LTC facilities.
This capstone project explored ways in which occupational therapy, a profession traditionally designated for interventions targeting activities of daily living (ADL), can improve oral care in LTC facilities. The proposed solution was a comprehensive toolkit to equip occupational therapists to assist LTC facilities in the implementation of an evidence-based oral care delivery system. The toolkit contained information and forms to establish necessary support structures for oral care, such as evidence-based policy and practices, documentation, educational in-service materials, and a list of specialized skills unique to occupational therapy. During the implementation phase, the project was modified to meet the needs of the project facility. The project became a site-specific educational in-service to improve the daily oral-care delivery of the certified nurse assistants, which was measured for its short and long-term effects. Results indicated that educational in-services may help improve oral care delivery in LTC facilities. The project team recommends that future projects include the complete oral care toolkit, including the educational in-services, and a tracking tool to further promote evidence-based oral care delivery in LTC facilities.
"]},{"key":"dc:title","label":"Title","values":["Oral Wellness: Using Occupational Therapy to Enhance Oral Hygiene Delivery in Long-Term Care"]}]}],"canonical_facts":{"dc:contributor":["Eira Klich-Heartt, DNP, RN, CNS, CNL","Julia Wilbarger, PhD, OTR/L","Ruth Ramsey, EdD, OTR/L"],"dc:creator":["Banovitz, Lauryn J.","Bellah, Liberty","Lion, Rosemarie"],"dc:date.available":["1970-01-01T08:00:00Z"],"dc:description.abstract":["Based on current literature, oral health in long-term care (LTC) facilities is frequently of low priority and does not follow evidence-based best practices. Poor oral health reduces the quality of life of older adult residents and patients and can lead to systemic diseases, such as cardiovascular disease, stroke, and pneumonia, the leading cause of death in LTC. Occupational therapists can play an instrumental role as oral care consultants, and educators, and can act as resource guides to raise the standards of oral care in LTC facilities.
This capstone project explored ways in which occupational therapy, a profession traditionally designated for interventions targeting activities of daily living (ADL), can improve oral care in LTC facilities. The proposed solution was a comprehensive toolkit to equip occupational therapists to assist LTC facilities in the implementation of an evidence-based oral care delivery system. The toolkit contained information and forms to establish necessary support structures for oral care, such as evidence-based policy and practices, documentation, educational in-service materials, and a list of specialized skills unique to occupational therapy. During the implementation phase, the project was modified to meet the needs of the project facility. The project became a site-specific educational in-service to improve the daily oral-care delivery of the certified nurse assistants, which was measured for its short and long-term effects. Results indicated that educational in-services may help improve oral care delivery in LTC facilities. The project team recommends that future projects include the complete oral care toolkit, including the educational in-services, and a tracking tool to further promote evidence-based oral care delivery in LTC facilities.
"],"dc:identifier":["https://scholar.dominican.edu/masters-theses/142"],"dc:subject":["oral wellness","oral wellness in long-term care","oral hygiene delivery in long-term care","oral health in long-term care","occupational therapy and oral hygiene","occupational therapy and oral care","Analytical, Diagnostic and Therapeutic Techniques and Equipment","Dental Materials","Dental Public Health and Education","Dentistry","Dietetics and Clinical Nutrition","Equipment and Supplies","Geriatric Nursing","Medical Education","Medicine and Health Sciences","Nursing","Nutrition","Occupational and Environmental Health Nursing","Oral Biology and Oral Pathology","Other Dentistry"],"dc:title":["Oral Wellness: Using Occupational Therapy to Enhance Oral Hygiene Delivery in Long-Term Care"],"thesis:degree_discipline":["Occupational Therapy"],"thesis:degree_level":["Master's Thesis"],"thesis:degree_name":["Master of Science in Occupational Therapy"]},"updated_at":"2026-07-24T02:04:35Z"}