Cultura

A Comprehensive Review Of Integrating Oral Health Into Nursing Protocols: Bridging Dentistry And General Patient Care

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Abdulaziz Mohammed Bushnaq, Mohammed Aqeel Alshammari, Majed Abdulhafeez Nawwab, Ayedh Bakhit Al Ghamdi, Mohammed Zaben Bas Alshammari
Abdulla Hameed Alshammari, Nawal Alsaddi Alenazi, Abdulwhahab Omar Ayadh Alosaimi, Suliman Muqhim Almuqhim, Mashael Marzooq Mohammed Alali

Abstract

Incorporating oral health into nursing practices is a crucial approach in bridging dentistry with the rest of the patients in terms of the two-way relationships between oral diseases and systemic diseases such as pneumonia, diabetes, and cardiovascular disease. This is a systematic review that summarizes findings on the effectiveness, advantages, challenges, and implementation of oral health integration at nursing in the past 2020-2024. Based on the 35 studies, the primary results show enhanced nurse knowledge (20-33% after the training) and attitudes, as well as practices, and the decrease in ventilator-associated pneumonia (as high as 62) with standardized protocols. Nevertheless, obstacles like poor training (reported by 50-78% of nurses), lack of time, and resource are still present. Changes in policies and interprofessional education (IPE) are enlisted as facilitators. Illustrations are made to depict adoption patterns and improvement of outcomes. The debate is critical of curriculum weaknesses, and suggestions support the compulsory IPE, standardized instruments, and systemic changes. This integration also promotes holism, which is a key objective of the public health of fewer disparities.

Keywords : Oral health integration, nursing protocols, interprofessional education, oral care barriers, ventilator-associated pneumonia, health literacy, multidisciplinary care, systemic health links.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty