Abstract
This study aimed to map evidence-based guidelines for oral care of the dependent elders and perform the cross-cultural adaptation to Brazilian Portuguese. Initially, a systematized review was conducted in Medline, Scielo, Scopus, Web of Science, and Google Scholar databases without restrictions in search period or type of study. Articles in English, Spanish, and Brazilian Portuguese describing evidence-based guidelines for oral care, including oral hygiene recommendations, of institutionalized dependent elders were included as long as they presented an evaluation of evident quality. The guideline that met inclusion criteria was submitted to cross-cultural adaptation after obtaining permission from the original authors. Two hundred and nineteen references were found. Three selected articles described evidence-based guidelines for oral care, but the Oral Health Care Guideline for Older People in Long-term Care Institutions (OGOLI), originally developed and implemented in the Netherlands, was selected. It was based on evidence level A2 and consensus of experts and met the quality requirements of the Appraisal of Guidelines for Research & Evaluation (AGREE). This guideline presents oral care recommendations for elders with different levels of dependence in activities of daily living to be performed by caregivers and nursing staff. The adaptation of the OGOLI was mainly on the attributions of care providers, given the differences in professional regulations between Brazil and the Netherlands. The cross-cultural equivalence between OGOLI and its Brazilian Portuguese version was verified.
Highlights
Submitted: January 20, 2020 Accepted for publication: April 8, 2020 Last revision: July 17, 2020Population aging is a worldwide phenomenon
The research question was: “Which guidelines for oral health care of dependent elderly people, including oral hygiene procedures, are being used?” The inclusion criteria were mainly based on guideline features: a) guidelines for oral care including oral hygiene recommendations; b) guidelines for institutionalized dependent elders; c) evidence-based guidelines; d) guidelines including a description of quality evaluation of chosen scientific evidence
We found 283 articles: 95 in Medline, 99 in Scopus, 26 in Web of Science, and 63 in Scielo (Figure 2)
Summary
Submitted: January 20, 2020 Accepted for publication: April 8, 2020 Last revision: July 17, 2020. In Brazil, about 11% of the population was ≥ 60 years[1] in 2010. In 2025, Brazil is projected to have the sixth largest population of older adults worldwide.[2] Population aging is accompanied by an increased occurrence of morbidity, functional decline, and risk of dependence for basic Activities of Daily Living (ADL).[3]
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