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    Oral Hygiene For Conscious Patient and Unconcious

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    Dredd Alejo Sumbad
    1. The document provides instructions for oral hygiene for conscious and unconscious patients. 2. For conscious patients, it involves assessing the patient's oral health, explaining and positioning the patient, brushing their teeth with their involvement if possible, and documenting the procedure. 3. For unconscious patients, it involves assessing gag reflex, positioning the patient on their side, cleaning the mouth using a brush or swab while suctioning secretions, applying petroleum jelly to lips, and repositioning the patient.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Oral Hygiene For Conscious Patient and Unconcious

    Uploaded by

    Dredd Alejo Sumbad
    255 views2 pages
    1. The document provides instructions for oral hygiene for conscious and unconscious patients. 2. For conscious patients, it involves assessing the patient's oral health, explaining and positioning the patient, brushing their teeth with their involvement if possible, and documenting the procedure. 3. For unconscious patients, it involves assessing gag reflex, positioning the patient on their side, cleaning the mouth using a brush or swab while suctioning secretions, applying petroleum jelly to lips, and repositioning the patient.

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    Oral Hygiene for Conscious Patient and Unconcious

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    1. The document provides instructions for oral hygiene for conscious and unconscious patients. 2. For conscious patients, it involves assessing the patient's oral health, explaining and positioning the patient, brushing their teeth with their involvement if possible, and documenting the procedure. 3. For unconscious patients, it involves assessing gag reflex, positioning the patient on their side, cleaning the mouth using a brush or swab while suctioning secretions, applying petroleum jelly to lips, and repositioning the patient.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    255 views2 pages

    Oral Hygiene For Conscious Patient and Unconcious

    Uploaded by

    Dredd Alejo Sumbad
    1. The document provides instructions for oral hygiene for conscious and unconscious patients. 2. For conscious patients, it involves assessing the patient's oral health, explaining and positioning the patient, brushing their teeth with their involvement if possible, and documenting the procedure. 3. For unconscious patients, it involves assessing gag reflex, positioning the patient on their side, cleaning the mouth using a brush or swab while suctioning secretions, applying petroleum jelly to lips, and repositioning the patient.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ORAL HYGIENE FOR CONSCIOUS PATIENT

    1. Assessment: Verify extent of client’s ability to brush his teeth. Inspect


    lips, gums, and oral mucosa for deviation from normal. Evaluate
    presence of oral problems such as dental caries, halitosis, or gingivitis
    or loose or broken teeth.
    2. Preparation: assemble equipment and place at bedside table.
    3. Explain to the client what you are going to do, why it is necessary, and
    how she can cooperate.
    4. Wash hands and observe other appropriate infection control procedures
    like putting on gloves.
    5. Assist client to a sitting or Fowler’s position if the client’s condition
    allows. If not, assist client to a side-lying position with head turned to
    side.
    6. Place the towel under the client’s chin tucking it behind the shoulders.
    7. Moisten the bristles of the toothbrush with tepid water and apply the
    toothpaste to the toothbrush
    8. If client is able to brush his teeth, hand the toothbrush to him. If not,
    proceed to the next step.
    9. Hold the brush against the teeth with the bristle at a 45-degree angle.
    The tips of the outer bristles should rest against and penetrate under the
    gingival. Gently move the bristle up and down. Repeat until all outer
    and inner surfaces of the teeth and suici of gums are cleaned. If tongue
    is coated, brush gently with the toothbrush.
    10. Hand the client the water cup or mouthwash to rinse the mouth
    vigorously or assist client when necessary. Then ask the client to spit
    the water and excess toothpaste into the emesis basin. Repeat until the
    mouth is free of toothpaste and food particles.
    11. If available, floss the teeth or assist the client to floss
    independently. Help the client in wiping the mouth after gargling.
    12. Remove and discard gloves. Dispose of equipment appropriately
    according to agency policy
    13. Document procedure performed including assessment of the
    teeth, gums, tongue and oral mucosa.

    ORAL HYGIENE FOR UNCONSCIOUS PATIENT


    1. Assess for presence of gag reflex. Position patient in sim’s or
    side-lying position with head turned well toward dependent
    side.
    2. Explain procedure to patient.
    3. Wash hands and apply disposal gloves.
    4. Place paper towels on over bed table and arrange equipment.
    Turn on suction machine and connect tubing to suction
    catheter.
    5. Pull curtain around bed or close room door.
    6. Raise bed to highest horizontal level; lower side rail.
    7. Bring patient close to side of bed and near you, be sure
    patient’s head is turned toward mattress.
    8. Place towel under patient’s face and emesis basin under chin.
    9. Carefully retract patient’s upper and lower teeth with padded
    tongue blade by inserting blade quickly but gently between the
    back molars. Insert when client is relaxed, if possible.

    10. Clean mouth using brush or tongue blade moistened with


    peroxide and water. Have second nurse suction as secretions
    accumulate during cleansing. Clean chewing and inner tooth
    surfaces first. Clean outer tooth surfaces. Swab roof of mouth
    and inside cheeks. Gently swab or brush tongue but avoid
    stimulating gag reflex (if present). Moisten clean swab or
    toothbrush with water to rinse. Repeat rinse several times.
    Suction any remaining secretions.
    11. Apply thin layer of petroleum jelly to lips.
    12. Explain that procedure is completed.
    13. Remove gloves and dispose in proper receptacle.
    14. Reposition patient comfortably, raise side rail, and return
    bed to original position.

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