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Abstract

Four types of self-standards (ideal, ought, undesired, and forbidden selves) were analyzed in the context of self-assessed health of older adults. We focused on the relationships between self-discrepancies (perceived actualization of self-standards) and affect, as well as the content of self-descriptions of standards. Participants (116 Polish older adults) completed: Self Standards’ Measure (SSM), PANAS-X and 7 items from the WHOQOL-BREF. First, we found that self-assessed health moderates the effects of self-discrepancies on affect. The ideal and ought self-discrepancies predicted affect when health was assessed as good. Conversely, the undesired and forbidden self-discrepancies predicted affect when health was assessed as poor. Second, health-related content was more typical for the ideal than for the ought standards. Third, older adults who assessed their health better had fewer health-related standards. The results are discussed with reference to control theory of approach and avoidance.

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Authors and Affiliations

Wacław Bąk
Donat N. Dutkiewicz
Jan Kutnik
ORCID: ORCID
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Abstract

Purpose: Oral health and diseases are significant components of general health. However, oral health-care remains at the lowest of older patients’ priorities. The inability to obtain dental care can result in progression of dental disease, leading to a diminished quality of life and overall health. Teledentistry (TD) provides an opportunity to improve the quality of oral health services. The aim of our narrative review was to analyze the usefulness of teledentistry as a part of telemedicine to improve oral health in the elderly.
Materials/Methods: The PubMed database search was done for: teledentistry, oral health, oral- health related diseases, elderly, older adults.
Results: The applicability of TD has been demonstrated from children to older adults. Older adults have many obstacles in getting oral health care, including low income, lack health insurance, frailty, anxiety, depression, mobility problems or other handicaps. Available data suggests that the usefulness of TD in the provision of oral care in elderly people living in residential aged care facilities. Moreover, TD procedures were found to be as accurate as traditional face-to-face dental examinations, they was cost-effective and well accepted among patients and caregivers.
Conclusions: TD might be a very useful tool for professional education, improving access and patient satisfaction of dental care. However, such TD modes would be difficult to widely implementation in community-dwelling older people who cannot access dental care. The ongoing “Patient centric solution for smart and sustainable healthcare (ACESO)” project will add to the intelligent oral health solutions.
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Authors and Affiliations

Barbara Gryglewska
1 2
Ian Perera
2
Ewa Klimek
1 2
Małgorzata Fedyk-Łukasik
1 2
Karolina Piotrowicz
1 2
Irina Mocanu
3
Ligia Muntianu
4
Jerzy Gąsowski
1 2

  1. Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, Kraków, Poland
  2. University Hospital, Kraków, Poland
  3. Centrul IT Pentru Stiinta si Tehnologie, and Computer Science Department, University Politehnica of Bucharest, Romania
  4. UMF Carol Davila Bucharest Faculty of Dental Medicine, Department of Removable Prosthodontics, Bucharest, Romania

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