At the beginning of the year 2020, people were busy preparing for the Chinese New Year as usual, when the media reported that the COVID-19 epidemic was spreading. In just a few weeks, the outbreak of the epidemic spread rapidly throughout the world, impacting human society and affecting daily life and economic activities. However, social interactions and daily life have inevitably been curtailed due to the epidemic prevention. In order to protect the health of patients and the elderly from the COVID-19 outbreak, all long-term care facilities and medical institutions in China have fully cooperated with the government's epidemic prevention measures and implemented strict access control.
The Department of Oral Hygiene and Health Care at Cardinal Tien Junior College of Healthcare and Management cooperated with the Guan En Nursing Home to implement the University Social Responsibility (USR) program, with Guan En Nursing Home as the main service area for students. However, due to the impact of the epidemic, there is a high demand for the monitoring of personal contact history, especially in long-term care facilities where the elderly are faced with the challenge of controlling their own chronic diseases as well as the risk of additional viral infections. It appears to be extremely important.
After understanding the concerns of the director of Guan En Nursing Home, the USR project team facilitators and the nursing director of Guan En Nursing Home thoroughly evaluated the environmental factors and feasible strategies, and after several meetings and discussions, they decided to conduct a series of hygiene and health promotion activities using distance learning mode. Under the planning of the team and the students, we try to use video to demonstrate the teaching by distance learning and use the most concise mode of contact to achieve the purpose of oral care and oral health promotion activities, so that the elderly can maintain oral care during the control of the neo-coronary pneumonia epidemic and continue the health promotion activities, to reduce the inhalation of pneumonia caused by poor oral hygiene, which caused the administrative management of the organization. After assessing the needs of the students, the USR team began to formulate a strategy and simulate various feasible solutions to serve the elderly in the institution.
In the student training phase, the instructors plan three levels of care for three stages and five levels of care. During the training, students were given case assessments to understand the level of care needs of each case, and with the different levels of care plans, students learned the oral care procedures, and the functional characteristics and clinical application of oral care tools.
In the second stage, the students conducted a distance learning demonstration exercise. The USR team teachers and students worked together to draw up the shooting scripts, and after many revision exercises, they finally completed the shooting of Level 1 oral health education, Level 2 oral healthcare and Level 3 oral healthcare.
In the third stage, the USR team instructs students to collect relevant video communication software and hardware devices. After many tests, they adopt the relatively stable google meet video communication software, and pair it with android mobile phones, laptops, and webcam devices to complete the installation of remote video demonstration teaching.
In the final stage, a practical demonstration of oral hygiene teaching and a streamlined contact model of oral care is carried out with a video link between the school and the agency. Guiding agency elders to interact with students at the school and provide timely oral care assistance.
During the actual interaction, we found that the seniors of the organization were surprised by the video screen of the students, as it was different from the usual television images. Especially during the tooth brushing demonstration, the seniors could learn how to clean their teeth with toothbrushes and toothpaste, and some seniors, who have limited movement of their fingers, could use the toothbrushes with special aids to make brushing their teeth easier. In the simple contact health education, caregivers were taught how to use oral hygiene care methods and tools through health education demonstrations and on-site teaching, and how to use desensitization techniques to help the elderly relax and increase their trust.
Throughout the process, the elders frequently expressed that no one had ever taught them how to maintain clean teeth before, and it's good to have you here. A highly dependent nasogastric tube irrigation grandmother, Xiaoling, had a happy smile on her face after several sessions of desensitization. The nursing director of the organization said that after these health education interactions, the elders will follow the cleaning of teeth, especially brushing teeth before going to bed, and the caregivers will make good use of the special care tools to help the elders' oral hygiene.