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Updated: Aug 28, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Patient Interaction Involving Older Adults: Provider vs. Caregiver Expectations.

Pooja Shah1, Kaitlin Donovan1, Robert Hubal2

  • 1Eshelman School of Pharmacy, University of North Carolina Chapel Hill, Chapel Hill, NC 27599, USA.

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|September 22, 2022
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Summary

Healthcare providers (HCPs) and caregivers share similar expectations for older adult encounters, though differences in specific situations offer insights. Understanding these expectations can improve communication and training for healthcare professionals.

Keywords:
caregiver expectationshealthcare conversationinteraction best practicesolder patients

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Area of Science:

  • Gerontology
  • Healthcare Communication
  • Medical Education

Background:

  • Interactions between healthcare providers (HCPs), older patients, and their caregivers are crucial for effective care.
  • Existing research highlights potential misalignments in expectations during these encounters.
  • Older adults often have complex needs requiring nuanced communication strategies.

Purpose of the Study:

  • To investigate and compare the expectations of HCPs and caregivers regarding interactions with older adult patients.
  • To identify specific scenarios where expectations align or diverge between HCPs and caregivers.
  • To inform improvements in healthcare communication and training for professionals interacting with older populations.

Main Methods:

  • A rapid review and narrative synthesis of existing literature from PubMed and Google Scholar.
  • Development and administration of a survey to HCPs and caregivers, presenting various scenarios.
  • Analysis of scenario-based ratings to compare HCP and caregiver expectations and response appropriateness.

Main Results:

  • HCPs and caregivers generally exhibit similar expectations for older adult encounters.
  • HCPs demonstrate a stronger ability to recognize and respond with empathy in emotionally charged situations.
  • Differences emerge in engagement strategies, with HCPs prioritizing patient engagement and simplified explanations for hesitancy, while aligning with caregivers on engaging caregivers.

Conclusions:

  • Understanding the distinct expectations of HCPs and caregivers can enhance communication and prevent potential misunderstandings.
  • Insights gained can guide the development of improved training programs for healthcare students, preparing them for effective interactions with older patients and their caregivers.
  • Addressing these nuanced expectations can lead to more patient-centered and effective healthcare delivery for older adults.