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Updated: Nov 27, 2025

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

An Age-Friendly Health System.

Janice Lundy¹, Deborah Hayden², Stephanie Pyland¹

¹Department of Social Work and Geriatric Care Management, Perry County Memorial Hospital, Perryville, Missouri, USA.

Journal of the American Geriatrics Society

|December 4, 2020

Summary

A rural health program successfully screened older adults for geriatric syndromes. Exercise and cognitive therapies significantly improved physical function and cognitive health in participants.

Keywords:

cognitive dysfunction cognitive stimulation therapy exercise frailty geriatric syndromes nutrition older adults primary care rural healthcare sarcopenia

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Area of Science:

Geriatric Medicine
Public Health
Rural Health

Background:

Geriatric syndromes pose significant challenges in rural healthcare settings.
Age-friendly health systems aim to optimize care for older adults.
A comprehensive screening and intervention program is needed to address these challenges.

Purpose of the Study:

To describe a screening and intervention program for geriatric syndromes in a rural healthcare system.
To implement exercise and cognitive stimulation therapy (CST) within an age-friendly health framework.
To evaluate the feasibility and effectiveness of the program.

Main Methods:

Retrospective evaluation of clinical data from a rural primary healthcare system.
Screening using the Rapid Geriatric Assessment (RGA), including FRAIL, SARC-F, SNAQ, and RCS.
Intervention with exercise therapy and CST, with outcomes measured by FTSS, TUG, CSDD, SLUMS, and QoL-AD.

Main Results:

The RGA identified high prevalence of frailty (36.5%), sarcopenia (42.1%), anorexia risk (26.1%), and dementia (20.8%).
Exercise therapy improved physical function (FTSS, TUG) at 3 months and 12-24 months.
CST improved cognitive function (SLUMS), depression (CSDD), and quality of life (QoL-AD) at 7 weeks and 6-12 months.

Conclusions:

A screening program for geriatric syndromes is feasible in rural primary care.
Exercise and cognitive stimulation therapies are effective interventions for improving outcomes in older adults.
The 4Ms of an age-friendly health system can guide effective geriatric care programs.