Exploring Barriers to Implementing an Oral Care Regimen for Hospitalized Elderly Dysphagia Patients : A Review

Abstract

Elderly patients hospitalized with dysphagia have an increased risk of respiratory complications, including aspiration pneumonia. Evidence suggests that oral hygiene regimens may reduce this risk. Despite this, the provision of oral care in acute care hospitals is variable and particularly limited in care settings for the elderly. This literature review explores barriers to the implementation of oral care, including lack of evidence-based protocols and inadequate accountability structures within organizations, low staff knowledge, staff attitudes and beliefs, and patient-related factors such as non-compliance. Organizational factors appear to be an important issue and require further research to improve the outcomes of this vulnerable population.