Many older people with dementia resist receiving oral care. Care provided despite resistance is considered involuntary care. The Dutch Care and Coercion Act requires care to stop when a person resists, unless there is a risk of serious harm.
A study examined healthcare professionals’ attitudes towards involuntary oral care for older people with dementia. An online questionnaire covering general questions, specific cases and knowledge of the Act was completed by 392 healthcare professionals.
In every case, there was a discrepancy between judging the oral health problem to constitute serious harm and the willingness to provide involuntary oral care. Many professionals recognised the health risks of withholding oral care but remained reluctant to provide care against a person’s wishes. A large proportion also had limited knowledge of the Care and Coercion Act.