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Ethical Issues01:27

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Continuing Care01:25

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Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
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Oral Health Assessment by Lay Personnel for Older Adults
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Exploring Oral Health Promotion Among Palliative Care Providers: An Integrative Review.

Vipin Kailasmal Jain1,2,3, Paula Sanchez1,2, Bradley Christian1,4,5

  • 1Australian Centre for Integration of Oral Health (ACIOH), Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.

Journal of Advanced Nursing
|October 5, 2025
PubMed
Summary

Palliative care providers show inconsistent knowledge and practices in oral healthcare, highlighting a significant gap. Enhanced education and support strategies are crucial for improving patient quality of life.

Keywords:
attitudesbarriers and facilitatorsclinical guidelineshealth promotioninterdisciplinary careoral healthpalliative carepalliative care providerspracticesscreening tools

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Area of Science:

  • Palliative Care
  • Oral Health
  • Healthcare Provider Education

Background:

  • Poor oral health significantly impacts quality of life in palliative care.
  • Limited understanding exists regarding palliative care providers' (PCPs) approach to oral health promotion.
  • This review addresses the knowledge, attitudes, and practices of PCPs concerning oral healthcare.

Purpose of the Study:

  • To synthesize evidence on PCPs' knowledge, attitudes, and practices in oral healthcare.
  • To identify barriers faced by PCPs in providing oral healthcare.
  • To explore supportive strategies for integrating oral health into palliative care.

Main Methods:

  • Integrative review following Whittemore and Knafl's framework.
  • Systematic literature search across multiple databases and grey literature until January 2025.
  • Hybrid thematic synthesis approach for data analysis, with quality assessment of included studies.

Main Results:

  • Twenty-five studies (moderate to high quality) were included, primarily involving nurses and medical professionals.
  • Findings indicate inconsistent PCP knowledge, varied practices, and low prioritization of oral health care.
  • Identified barriers include system constraints, inadequate training, and patient-related challenges; supportive strategies were also noted.

Conclusions:

  • A significant gap exists in PCP knowledge and practices regarding oral healthcare, influenced by various barriers.
  • Few supportive strategies for oral healthcare integration in palliative care are documented.
  • Urgent need for enhanced education, evidence-based guidelines, and tailored training for PCPs.