Today our topic of discussion is Procedure for Oral Hygiene.
Procedure for Oral Hygiene
Procedure
- Bring patient to edge of bed Position pillow according to comfort of patient
- Place small mackintosh with face towel on patient’s chest Place K-basin close to chin of patient
- Raise head end of the bed to 45°
- Pour antiseptic solution into cup
- Soak gauze piece in solution and squeeze out excess solution by using artery clamp
- Use same clamp to clean patient’s mouth. (Avoid mixing of clamps)
- Clean using up and down movements from gums to crown, clean oral cavity from proximal to distal, outer to inner aspect
- Discard used cotton balls into K-basin
- Provide tumbler of water and instruct the patient to gargle mouth, Position K-basin so that spillage is avoided
- Clean tongue from inner to outer aspect Provide water to rinse mouth and dry face with towel
- Lubricate lips using swab stick Rinse the used articles and replace equipment
- Document time, solution used, condition of oral cavity, abnormalities noticed and patient’s response.
Complication of Neglected Mouth Care
- Local Complications
- Parotitis: Inflammation of the parotid glands
- Stomatisis: Inflammation of the mucus membrane of the mouth
- Gingivitis: Inflammation of the gums.
- Glossitis: Inflammation of the tongue
- Dental carries: Forms cavity in the teeth
- Root abscess: Pus formation in the root of the teeth
- Periodontal diseases: It is also known as pyorrhea or pus
- formation in the sockets of teeth
- Bleeding gums: Deficiency of vitamin C and use a hard
- brushing of the teeth.
Complication Neighboring Structure
- Parotitis: Inflammation of the parotid gland
- Rhinitis: Inflammation of sinus cavity
- Otitis media: Inflammation of middle ear
- Tonsillitis: Inflammation of the tonsils
- Adenitis: Inflammation of the adenoids.
Systemic Complication
- Anorexia: Loss of appetite.
- Bacterial endocarditis: Inflammation of the endo-cardium.
- Gastritis: Inflammation of the stomach.
- Nephritis: Inflammation of the kidneys .
- Rheumatic arthritis: Inflammation of the joints.
Recording and Reporting
- Record the procedure with date, time and condition of the mouth, teeth, etc. on nurse’s record
- Report and record any abnormal condition to the ward sister and physician.
- Give health education to the patient and relatives on oral hygiene.
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