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the primary care visit what else could be happening初级保健访问什么可能发生
Hindawi Publishing Corporation
Nursing Research and Practice
Volume 2012, Article ID 720506, 4 pages
doi:10.1155/2012/720506
Research Article
The Primary Care Visit: What Else Could Be Happening?
Terry Fulmer and Patricia Cabrera
Bouve College of Health Sciences, Northeastern University, 360 Huntington Avenue, Boston, MA 02115, USA
Correspondence should be addressed to Terry Fulmer, t.fulmer@
Received 1 April 2012; Accepted 19 April 2012
Academic Editor: Rita Jablonski
Copyright © 2012 T. Fulmer and P. Cabrera. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
The Institute of Medicine Report called for a greater role for nurses within the context of oral health in two recent publications,
Advancing Oral Health in America (2011) and Improving Access to Oral Health Care for Vulnerable and Underserved Populations
(2011). Nurses provide care for many vulnerable persons, including frail and functionally dependent older adults, persons with
disabilities, and persons with intellectual and developmental disabilities. These persons are the least likely to receive necessary,
health-sustaining dental care (which is distinct from mouth care). The mouth, or more accurately, plaque, serves as a reservoir
for bacteria and pathogens. The link between mouth care, oral health, and systemic health is well-documented; infections such
as pneumonia have been linked to poor oral health. Nurses, therefore, need to reframe mouth care as oral infection control
and infection control more broadly. The can provide the preventive measure that are crucial to minimizing systemic infections.
Nurses in all settings can potentiall
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