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Abstract

Purpose:

Palliative care is constructed by various kinds of professionals. This study aimed to identify the challenges that dental hygienists (DHs) encountered when working with other professionals in a multidisciplinary team approach in palliative care for advanced cancer patients.

Methods:

We conducted the following two studies: (1) a questionnaire-based survey for DHs who belong to Japanese Society for Oral Care (JSOC) on oral care in palliative care settings (n = 1,290), and (2) surveys on education for DHs in universities. Items in this study included the following: 1) a cross-sectional analysis of the curriculum on palliative care at 10 universities and 2) a questionnaire-based survey on palliative care education at 1 of the 10 universities (n = 75).

Results:

(1) Seventy-three percent had experience in oral care in palliative care settings. The number of DHs with ≥20 years’ experience was significantly higher than those with <10 years’ experience (76% vs 66%, p = 0.042). Further, 92% received no formal palliative care education, and 94% perceived a lack of knowledge on palliative care. These data did not differ based on the years of experience. (2) (a) There was no specific curriculum on the subject of palliative care in 10 universities. Lectures on palliative care were provided at 3 universities. (b) Fifty-five percent of students attended lectures on palliative care. However, 88% of them experienced anxiety, and 78% perceived few classes on palliative care.

Conclusions:

For DHs, to positively contribute to multidisciplinary palliative care team approach, it is important to establish pregraduate and postgraduate education systems.

Keywords

palliative care supportive care end-of-life care dental hygienists multidisciplinary team pregraduate and postgraduate education

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References

Center for cancer control information services, National cancer center. Published October 4, 2019. Accessed November 1, 2019. http://ganjoho.jp

Ferrell

Sun

Hurria

, et al. Interdisciplinary palliative care for patients with lung cancer. J Pain Symptom Manage. 2015;50(6):758–767.

Sun

Grant

Koczwas

, et al. Effectiveness of an interdisciplinary palliative care intervention for family caregivers in lung cancer. Cancer. 2015;121(20):3737–3745.

Koczwas

Cristea

Thomas

, et al. Interdisciplinary palliative care intervention in metastatic non-small-cell lung cancer. Clin Lung Cancer. 2013;14(6):736–744.

Smith

Phillips

Smith

. Using the new ASCO clinical practice guideline for palliative care concurrent with oncology care using the TEAM approach. Am Soc Clin Oncol Educ Book. 2017;37:714–723.

Wilberg

Hjermstad

Ottesen

Herlofson

. Oral health is an important issue in end-of-life cancer care. Support Care Cancer. 2012;20(12):3115–3122.

Davies

Brailsford

Beighton

Shorthose

Stevens

. Oral candidosis in community-based patients with advanced cancer. J Pain Symptom Manage. 2008;35(5):508–514.

Davis

. Oral care. In: Cherny

Christakis

Kaasa

(eds). Oxford Textbook of Palliative Medicine. 5th ed. Oxford University Press; 2015:447–456.

Matsuo

Watanabe

Kanamori

, et al. Associations between oral complications and days to death in palliative care patients. Support Care Cancer. 2016;24(1):157–161.

10.

Nakajima

. Characteristics of oral problems and efforts of oral care in terminally ill patients with cancer. Am J Hosp Palliat Care. 2017;34(5):430–434.

11.

Lavigne

. Dental hygienists in multidisciplinary healthcare. Probe. 1999;33(3):11–14.

12.

Swanson Jaecks

. Current perceptions of the role of dental hygienists in interdisciplinary collaboration. J Dent Hyg. 2009;83(2):84–91.

13.

Jones

Boyd

. Interdisciplinary approach to care: the role of the dental hygienist on a pediatric feeding team. J Allied Health. 2012;41(4):190–197.

14.

Lawrence

Aleid

McKechinie

. Access to dental services for head and neck cancer patients. Br J Oral Maxillofac Surg. 2013;51(5):404–407.

15.

Brown

Hoffman

. The dental hygienist as a hospice care provider. Am J Hosp Palliat Care. 1990;7(2):31–35.

16.

Wyche

Kerschbaum

. Michigan hospice oral healthcare needs survey. J Dent Hyg. 1994;68(1):35–41.

17.

Practical guideline for palliative care team ver.2. Japanese Society for Palliative Medicine Committee on specialized & cross-sectional palliative care promotion. Publication June, 2013. Accessed November 1, 2019. https://www.jspm.ne.jp/jspm_eng/guidance.pdf

18.

Yamamoto

Kizawa

Nakazawa

Ohde

Tetsumi

Miyashita

. Outcome evaluation of the palliative care emphasis program on symptom management and assessment for continuous medical education: nationwide physician education project for primary palliative care in Japan. J Palliat Med. 2015;18(1):45–49.

19.

Nakazawa

Yamamoto

Kato

Miyashita

Kizawa

Morita

. Improved knowledge of and difficulties in palliative care among physicians during 2008 and 2015 in Japan: association with a nationwide palliative care education program. Cancer. 2018;124(3):626–635.

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