Background and Problem statement:
Patients in the final stages of life often suffer from conditions that impair their ability to manage their own health. These patients typically receive care at home or in healthcare facilities. Despite this, they do not always receive the oral care they need. This study aims to describe the factors that hinder good oral care at the end of life.
Aim:
The aim is to describe factors that hinder good oral care for patients at the end of life from the nurse’s perspective.
Method:
A general literature review in which five qualitative articles, one quantitative study, and two mixed-method articles were analyzed.
Results:
1. Lack of knowledge: Lack of education and competence in oral care; insufficient awareness of the importance of oral care; difficulties in applying knowledge in practice.
2. Lack of time and resources: High workload and prioritization of other tasks; insufficient awareness of the importance of oral care; uncertainty about the use of aids and products; need for organizational support.
3. Patient autonomy: Respect for the patient’s wishes and integrity; challenges when patients refuse oral care; balancing autonomy and care needs.
4. Unclear responsibility allocation: Uncertainties about who is responsible for oral care; poor communication within the care team; absence of or unclear routines and guidelines.
Conclusions:
The study emphasizes the importance of oral care in promoting dignity and well-being for patients at the end of life, which is central to the field of caring science. Good oral care alleviates suffering and is an ethical act that expresses respect for the individual. To improve oral care, education for healthcare staff, clear guidelines, sufficient resources, and increased awareness of person-centered care are required. By addressing these deficiencies and promoting a holistic care perspective, both quality of life and patient safety can be improved.