Mouth
Mouth
Mouth
conscious patients
Importance of Oral Care in Nursing
• Oral care or mouth care is one of the most basic nursing activities.
Keeping the mouth and teeth clean will protect patient’s oral health
and allow quicker recovery by preventing infections. The patient is
unconscious, oral care will be needed more frequently. Unconscious
patients usually breathe through the mouth, causing secretions to
dry. It is vital aspect of patient care that needs to be carried out
consistently by a nurse.
Supplies and Equipment for Unconscious
Patient:
• Small mackintosh–1,
• Towel—1,
• Kidney tray-2,
• Gauze piece or cotton balls,
• Mouth wash solution (0.12% Chlorhexidine or 05% Cetylpyridinium Chloride),
• Galipot-1(Denture soaking solution),
• Gloves,
• Cotton ball ,
• Gauze padded tongue depressor,
• Mouth gag (if patients unconscious to open the mouth),
• Plain water in mug,
• Paper bag.
Oral care procedures
• Arrange all equipment on the bedside cabinet or on an over bed table.
• Set the patient bed in a comfortable position and lower one side rail.
• Place client in side-lying position and raise the level of the bed on one side so that the patient is in partial sitting position.
• Rinse your hands properly with antiseptic soap and lukewarm water.
• Wear gloves after drying hands.
• Place towel or waterproof pad under client’s chin and Wrap the patient’s chest
• Keep kidney tray under patient’s cheek or remove secretions from mouth by suction catheter.
• Use padded tongue blade to open teeth gently. Never put your fingers in an unconscious patient’s mouth.
• Turn the head of the patient towards you in a very gentle manner.
• Clean mouth, gums, teeth and tongue with toothbrush and toothpaste.
• Use an Asepto syringe or irrigating bulb without needle to rinse oral cavity. Swab or use oral suction to remove pooled secretions
• Clean immediately after brushing and Suction the saliva and toothpaste from the mouth of the patient.
• Wipe out the extra water on the mouth with a clean small towel.
• Removes basin, dries face and mouth and applies water-soluble lip moisturizer.
• Bring the patient back to the comfortable position.
• Raise side rail and lower bed position.
• Dispose of gloves in paper bag and wash hands properly.
• Report & documents oral findings and procedure.
Oral Care Instructions for Unconscious Patients
• Sit the patient fully upright to prevent aspiration during mouth cleaning.
• Inspect the patient’s oral cavity (lips, gums, teeth, tongue, inside cheeks and mucosa of floor and
roof of mouth) for any sign of dryness, edema, redness, bleeding, or other debris.
• Choose the appropriate devices and cleaning products for the oral cavities.
• Use Yankauer suction to remove excessive secretions and loose debris.
• Avoid oral care with Hydrogen Peroxide if oral thrush or oral lesions present.
• Use toothpaste to brush the teeth and use an electric suction toothbrush to reduce risk for
aspiration of contaminated water.
• If dentures present, remove and gently brush and rinse. Soak dentures overnight.
• Gently brush teeth in circular motions at a 45 degree angle to the gum line.
• Brush for 1-2 minutes to remove plaque build-up.
• Use 0.05% Cetylpyridinium Chloride (anti-fungal and anti-bacterial) containing mouthwash to
reduce the risk of infection and to remove plaque.