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                                                  Innovation in Patient
                                                  Education  After more than a year of
                                              planning, grant writing
                                              and development, two
                                              patient education stations
                                              are now in operation on
                                              the second and third floor
                                              clinic waiting areas.
                                              Funded by a grant from the
                                              National Library of
                                              Medicine, the project is
                                              the result of initiative
                                              taken by librarian Julie
                                              Schiavo.  She observed that last
                                              year more than 7,700
                                              patients, including 1,271
                                              low-income patients, were
                                              treated at the clinics in
                                              New Orleans. Often the
                                              patients brought family,
                                              friends, and even their
                                              children with them. That
                                              meant a lot of people were
                                              waiting. Ms. Schiavo saw
                                              this time as an
                                              opportunity to help the
                                              patients.  "I believe it's important
                                              to educate our patients so
                                              they become an active part
                                              of the health care
                                              process," she said. There
                                              is much work to be done
                                              because of significant
                                              public health issues with
                                              major implication for
                                              dental health. For
                                              example, 21.8 percent of
                                              the population of New
                                              Orleans lives below the
                                              poverty level. Statewide,
                                              80 percent of children
                                              have cavities, the most
                                              common chronic disease of
                                              childhood in America.
                                              About one-fourth of
                                              Louisiana adults age 65
                                              and older have lost all of
                                              their teeth. With ten
                                              percent of the state
                                              population affected by
                                              diabetes, Louisiana has
                                              the sixth highest rate
                                              among states. On a global
                                              basis, more and more
                                              research has proven that
                                              control of oral disease is
                                              essential to the
                                              prevention and management
                                              of systemic conditions
                                              such as heart disease,
                                              rheumatoid arthritis and
                                              diabetes.  
                                              
                                                
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                                                  | Julie
                                                      Schiavo, Reference
                                                      Librarian |    The centerpiece of the
                                              learning stations are
                                              dedicated computers that
                                              are easy to use and
                                              limited to websites with
                                              high-quality patient
                                              material. The websites
                                              include MEDLINE,
                                              ClinicalTrials.gov,
                                              KidsHealth.org, NIH
                                              SeniorHealth, the American
                                              Dental Association, the
                                              American Dental
                                              Hygienist's Association,
                                              the American Academy of
                                              Periodontology and the
                                              American Academy of
                                              Craniofacial Pain. "All
                                              the information is
                                              trustworthy," Ms. Schiavo
                                              said. Printed brochures
                                              will be available soon.
                                              Patients are reminded that
                                              the information is not a
                                              substitute for
                                              professional advice and
                                              that they should talk to
                                              their dentists or
                                              physicians about the
                                              information they find.  Preliminary reports show
                                              that the patients at LSUSD
                                              are looking for
                                              information on proper
                                              toothbrushing technique,
                                              dry mouth, root canals,
                                              tooth decalcification,
                                              diabetic clinical trials
                                              in Louisiana, age-related
                                              macular degeneration,
                                              caring for someone with
                                              Alzheimer's disease,
                                              depression in the older
                                              adult, and even
                                              ophthalmologists in St.
                                              Tammany Parish. "I am thrilled with the
                                              results so far," Ms.
                                              Schiavo said. "What I find
                                              exciting is that the
                                              patients are using the
                                              terminals for both their
                                              dental and medical
                                              questions. This is what I
                                              had hoped would occur."  |