ABSTRACT NUMBER: ESOC2026A1934 ORAL HEALTH CARE AND STRATEGIES DELIVERED BY NORTH MIDDLESEX UNIVERSITY HOSPITAL STAFF TO STROKE PATIENTS: A MULTIDISCIPLINARY TEAM OVERVIEW

Abstract Background and aims Poor oral hygiene is a common issue among stroke patients in both hospital and nursing home settings. This challenge often arises due to neurological deficits that impair patients’ ability to perform self-care tasks. Additionally, staff shortages and gaps in training can contribute to inadequate oral care. Neglecting oral hygiene can lead to complications such as aspiration pneumonia, dental decay, and overall deterioration in quality of life. Therefore, implementing a structured, evidence-based oral care strategy is essential to improve long-term health outcomes for stroke patients. The aim of this overview was to evaluate the current mouth care strategy on the ward, identify weaknesses in its implementation. Methods Six months observational study on stroke ward we reviewed oral practices and record charts used. Weaknesses in practice and their impact on patient outcomes were documented. To address these gaps, we invited an oral care specialist to provide targeted staff training. Post-training, we repeated observations to assess improvements in practice and patient care. Results Dry mouth and coated patches were the most common findings, with halitosis and odour also noted. Limb weakness limited self-care, and poor technique persisted in 4% post-training. Improved oral hygiene knowledge is key to better patient outcomes. Conclusions The initial gaps in oral care were effectively addressed through staff training, resulting in improved confidence, technique, and compliance. Findings underscore the need for structured education, ongoing professional development, and teamwork. Specialist-led interventions and a culture of accountability are vital for sustaining improvements and achieving optimal patient outcomes through consistent, high-quality oral care practices. Conflict of interest Christian Adugo nothing to disclose Kavulu Sarah Senganda nothing to disclose