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Global health
CASE REPORT
Global health challenges in treating an elderly institutionalised patient: an oral medicine perspective
  1. Dalal Alhajji1,
  2. Rui Amaral Mendes2,3
  1. 1Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, USA
  2. 2Adjunct Professor, Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, Case Western Reserve University School of Dental Medicine, Cleveland, Ohio, USA
  3. 3Centre for Research in Higher Education Policies, University of Porto, Porto, Portugal
  1. Correspondence to Dr Dalal Alhajji, dja57{at}case.edu and Professor Rui Amaral Mendes, rui.amaralmendes{at}case.edu

Summary

A 64-year-old institutionalised woman presented to our clinic for the management of black hairy tongue. Despite the predictable outcome in treating this disease, this case presents multiple challenges such as the patients’ cognitive impairment, her family dynamics, social factors and the health system as a whole, that makes it difficult to treat.

  • dentistry and oral medicine
  • long term care
  • global health
  • mouth
  • social determinants

https://doi.org/10.1136/bcr-2017-221539

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    Footnotes

    • Contributors DA reviewed the literature and wrote the manuscript. RAM supervised the literature review and co-wrote the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.