FORMAL NETWORKS TO GET HELP: DENTIST AND CHIROPODIST
Dentist
Many elderly people have poor dental health. In one large community survey 74 per cent had no natural teeth and many were wearing unsatisfactory dentures. There were numerous reports of mouth and gum disease as well as pain, and many elderly people felt embarrassed by their appearance, with dentures dropping out during conversation and eating. Most elderly people have very low expectations of their dental health, but carers who recognize a problem may find it very hard to get treatment, especially if the elderly person is additionally handicapped with confusion.
Most dental treatment is carried out by general dental practitioners. Some have a special interest in the elderly and may even be prepared to visit the person at home. If a person is in hospital with some other complaint a hospital dentist may be Royal London Dental Hospital there is a postgraduate course dealing specifically with the elderly. In cases of difficulty the local Family Health Services Agency (FHSA) may be able to help and give the names of dentists willing to do home visits or who have a special expertise in treating the old and those with special needs (confused, people with Parkinson's, etc.) The community dental service will treat handicapped adults if they cannot arrange treatment from another source.
Chiropodist
This is a vital service for those elderly people who cannot perform their own foot care. This service is free for men and women of retirement age, but it is so overwhelmed that in many areas there are very long waiting lists. Clinics may be held in hospitals (often with an emergency day if you can get there and are prepared to wait), health centers, GPs' surgeries and in many other places. There is a community service but it is even more oversubscribed. Many people resort to going privately because they get so desperate. GPs can be asked to make the appointment or the chiropodist can be contacted directly. Transport should be provided for those that need it.
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GENERAL HEALTH
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