title: Oral health of institutionalised elderly: a qualitative study of health caregivers' perceptions in Brazil.
abstract: OBJECTIVE
  The aim of this study was to qualitatively explore caregivers' perceptions of oral health care and factors influencing their work in a public long-term care institution for the elderly in Goiania, Brazil.
  
  
  METHODS
  Data were collected from a sample of 10 caregivers using personal in-depth interviews and observation.
  
  
  RESULTS
  Caregivers were mainly nurses' aides without training in oral health care. Oral health was associated with access to dental treatment, oral hygiene and use of dentures. Edentulousness, use of inappropriate dentures and appetite loss were perceived as negative images. Procedures used for oral hygiene were toothbrushing, mouth cleaning with a gauze and using a mouthwash. Conflicting priorities in routine care, lack of caregivers' knowledge and the co-operation of the elderly were the main obstacles to satisfactory oral care.
  
  
  CONCLUSIONS
  Oral health care of the elderly was perceived as a burden by caregivers, and did not follow a standard protocol. Caregivers' knowledge and perceptions reinforce the need for education and training in oral health issues.
authors.affiliation: Department of Stomatological Sciences, School of Dentistry, Federal University of Goias, Goiania, Goias, Brazil.
authors.forename: Sandra Cristina Guimarães Bahia
authors.initials: SC
authors.lastname: Reis
authors.forename: Vânia Cristina
authors.initials: VC
authors.lastname: Marcelo
authors.forename: Erica Tatiane
authors.initials: ET
authors.lastname: da Silva
authors.forename: Cláudio Rodrigues
authors.initials: CR
authors.lastname: Leles
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001938:Brazil; D017028:Caregivers / Q000193:education / Q000523:psychology*; D003299:Cooperative Behavior; D003729:Dental Care / Q000523:psychology; D003778:Dentures / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000523:psychology; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007326:Institutionalization; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000523:psychology; D009067:Mouthwashes / Q000627:therapeutic use; D009909:Oral Health; D009910:Oral Hygiene / Q000523:psychology; D011369:Professional-Patient Relations; D014099:Toothbrushing / Q000295:instrumentation; D055815:Young Adult
chemical_list: D009067:Mouthwashes