Biomedical subjects
Publications and source records attributed to P Ford.
This article reports on a study which explored what older people as patients in continuing care value in nursing. The rationale for the study is considered alongside current health and social policy and available literature relating to the provision of continuing care for older people. Some of the key findings from this small study are described.
The ideal denture adhesive demonstrates a neutral or slightly basic pH, minimal toxicity to the oral mucosa, and satisfactory adhesive bond strength for 12 to 16 hours. Three brands of commercially available denture adhesives (Fixodent Fresh, Procter and Gamble, Cincinnati, OH; Super Poli Grip, Block Drug, Jersey City, NJ; and Super Wernet's, Block Drug, Jersey City, NJ), and a complex mannose carbohydrate (Acemannan, Carrington Laboratories, Irving, TX) were evaluated in vitro to determine significant differences in pH, cytotoxicity, and adhesive bond strength. Super Poli Grip and Super Wernet's remained above the critical pH for hydroxyapatite (pH 6.5) throughout the study, while Acemannan and Fixodent Fresh did not. Fixodent Fresh exhibited significant cytotoxicity to human gingival fibroblasts. Acemannan demonstrated significantly greater overall mean adhesive bond strength in both dry and simulated oral conditions. The generally favorable in vitro performance of the Acemannan material compared to commercially available denture adhesive formulations indicates that complex carbohydrates may be efficacious denture adhesives.
This report discusses the provision of care for people living in nursing and residential homes. It presents the RCN's (1997a) proposals for single registration care homes. In the first of two articles, on page 35 in this week's issue, the authors also examine the statutory framework that currently regulates residential and nursing home provision.
As we await the government White Paper on social services, the authors examine; in the first of two articles, the current two-tier service which means that elderly people are often moved unnecessarily between residential and nursing homes when their health needs change. The Royal College of Nursing's proposals for single registration care homes is explained on pages 32 and 33 in this issue. The second article will appear next week.
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