Proposal of Dental Hygiene Diagnosis for Cancer Patients Based on Dental Hygiene Process of Care in Acute Care Hospitals: A Narrative Review.

Yuhei Matsuda,Mayu Takeda,Satoe Okuma,Takahiro Kanno,Kumi Ikebuchi,Masaaki Karino

doi:10.3390/healthcare8030217

Abstract

A narrative review was conducted to propose dental hygiene diagnoses for cancer patients based on dental hygiene process of care in acute care hospitals. Six researchers, including three dental hygienists, all with expertise in oral healthcare for patients with cancer, decided the review outline. All researchers reviewed the literature and developed terminology for dental hygiene diagnoses. The team then modified the terminology and discussed its clarity and acceptability to develop an initial list of dental hygiene diagnosis names according to the dental hygiene human needs conceptual model subscales. In wholesome facial image, one new diagnosis was developed. In protection from health risks, 15 new diagnoses were developed. In biologically sound and functional dentition, 10 new diagnoses were developed. In skin and mucous membrane integrity of the head and neck, 10 new diagnoses were developed. In freedom from head and neck pain, two new diagnoses were developed. In freedom from anxiety and stress, eight new diagnoses were developed. In responsibility for oral health, five new diagnoses were developed. In conceptualization and understanding, three new diagnoses were developed. Based on this study, it is necessary for the academic community to develop a better taxonomy of dental hygiene diagnoses pertaining to dental hygienist clinical practice.

Highlights

In 1993, the Dental Hygiene Human Needs Conceptual Model (DH HNCM) was theorized as a framework for advancing dental hygiene practice, education, and research [1]
The DH HNCM plays an important role in dental hygiene assessment and dental hygiene diagnosis in the dental hygiene process of care [5]
The nursing process has so far developed based on the so-called NANDA-I, which is the creation and classification of nursing diagnosis names

Summary

Introduction

In 1993, the Dental Hygiene Human Needs Conceptual Model (DH HNCM) was theorized as a framework for advancing dental hygiene practice, education, and research [1]. The mental condition of cancer patients may affect the behavior of oral health; there is no obvious evidence, but this diagnosis should be used if the patients complain about problems such as anxiety. The condition in which diagnosis of oral mucositis has been made by a dentist or medical doctor. The condition in which diagnosis of oral burn has been made by a dentist or medical doctor. The condition in which diagnosis of oral trauma has been made by a dentist or medical doctor. The condition in which a patient is able to regulate and integrate a therapeutic regimen into their daily living for the treatment of illness and its sequelae in a way that is sufficient for meeting health-related goals and that can be strengthened. The condition in which the ability to experience and integrate meaning and purpose in life through connectedness with self, others, art, music, literature, nature, and/or a power greater than oneself is impaired

Limitations

Scope for Further Research

Clinical Relevance