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1710


Oral Health Maintenance


Definition: Maintenance and promotion of oral hygiene and dental health for the patient at risk for developing oral or dental lesions


Activities:



• Establish a mouth care routine


• Apply lubricant to moisten lips and oral mucosa, as needed


• Monitor teeth for color, shine, and presence of debris


• Identify the risk for development of stomatitis secondary to drug therapy


• Encourage and assist patient to rinse mouth


• Monitor for therapeutic effects of topical anesthetics, oral protective pastes, and topical or systemic analgesics, as appropriate


• Instruct and assist patient to perform oral hygiene after eating and as often as needed


• Monitor for signs and symptoms of glossitis and stomatitis


• Consult physician or dentist about readjustment of wires/appliances and alternative methods of oral care if irritation of oral mucous membranes occurs from these devices


• Consult physician if oral dryness, irritation, and discomfort persist


• Facilitate toothbrushing and flossing at regular intervals


• Recommend the use of a soft-bristle toothbrush


• Instruct person to brush teeth, gums, and tongue


• Recommend a healthy diet and adequate water intake


• Arrange for dental checkups, as needed


• Assist with denture care, as needed


• Encourage denture wearers to brush gums and tongue and rinse the oral cavity daily


• Discourage smoking and tobacco chewing


• Instruct patient to chew sugarless gum to increase saliva and cleanse teeth


1st edition 1992; revised 2004



1720


Oral Health Promotion


Definition: Promotion of oral hygiene and dental care for a patient with normal oral and dental health


Activities:



• Monitor condition of patient’s mouth (e.g., lips, tongue, mucous membranes, teeth, gums, and dental appliances and their fit)


• Provide oral health screening and risk assessment


• Determine patient’s usual dental hygiene routine, identifying areas to be addressed, if necessary


• Instruct patient or patient’s family on frequency and quality of proper oral health care (e.g., flossing, brushing, rinsing, adequate nutrition, use of fluoride-containing water, supplement, or other preventive product, and other considerations based on patient’s developmental level and self-care ability)


• Assist patient in brushing teeth, gums, and tongue; rinsing; and flossing, as needed


• Assist patient wearing dentures in oral care, as needed (i.e., remove, cleanse, and reinsert dentures; brush gums, remaining teeth, and tongue; and massage gums with brush or fingers)


• Provide oral care for unconscious patient, using appropriate precautions (i.e., turn patient’s head to side or place in side-lying position when possible, insert bite block or padded tongue blade, avoid putting fingers in mouth, use small amounts of liquid, and use bulb syringe or other suction device)


• Cleanse infant’s mouth using dry gauze or washcloth


• Apply lubricant to moisten lips and oral mucosa, as needed


• Assist patient or patient’s family in identifying and obtaining oral care products most suited to meet needs (e.g., toothbrush with easy-to-grasp handle, powered toothbrush, dental floss holder, immersion cleanser for dentures, and athletic mouthguard)


• Discuss role of sugar in development of caries (i.e., encourage patient to limit natural sugar intake; suggest use of artificial sweeteners in diet, particularly xylitol; and instruct parent on appropriate use of bottles and sippy cups and their contents)


• Discourage smoking and tobacco chewing (i.e., instruct patient on effects of tobacco use, implement tobacco-use prevention measures, and provide tobacco-cessation assistance)


• Discuss importance of regular dental checkups, including timing of child’s first visit to dental health professional


• Provide community-level services (i.e., assist patient in meeting needs for transportation and translational services, use health fairs and cultural events as opportunities for education, and develop public service announcements)


• Provide referral, as needed


1st edition 1992; revised 2013




1730


Oral Health Restoration


Definition: Promotion of healing for a patient who has an oral mucosa or dental lesion


Activities:



• Monitor condition of patient’s mouth (e.g., lips, tongue, mucous membranes, teeth, gums, and dental appliances and their fit), including character of abnormalities (e.g., size, color, and location of internal or external lesions or inflammation, and other signs of infection)


• Monitor changes in taste, swallowing, quality of voice, and comfort


• Obtain order from health care provider to perform oral hygiene, if applicable


• Determine necessary frequency for oral care, encouraging patient or patient’s family to adhere to schedule or assisting with oral care, as needed


• Instruct patient to use soft-bristled toothbrush or disposable mouth sponge


• Instruct patient on appropriate selection of floss use and type (i.e., avoid use if at risk for bleeding; use waxed floss to prevent tissue trauma)


• Administer mouth rinse to patient (e.g., anesthetic, effervescent, saline, coating, antifungal, or antibacterial solution)


• Administer medication (e.g., analgesics, anesthetics, antimicrobials, and antiinflammatory agents), if needed


• Remove dentures, encouraging patient to use only for meals


• Apply lubricant to moisten lips and oral mucosa, as needed


• Discourage smoking and tobacco chewing


• Discourage alcohol consumption


• Instruct patient or patient’s family on frequency and quality of proper oral health care (e.g., flossing, brushing, rinsing, adequate nutrition, use of fluoride-containing water, supplement, or other preventive product, and other considerations based on patient’s developmental level and self-care ability)


• Instruct patient to avoid oral hygiene products containing glycerin, alcohol, or other drying agents


• Instruct patient to keep toothbrushes and other cleaning equipment clean


• Discuss importance of adequate nutritional intake (i.e., address malnutrition caused by deficiencies in folate, zinc, iron, and complex B vitamins; encourage consumption of high-protein, high vitamin C-containing foods)


• Encourage avoidance of spicy, salty, acidic, dry, rough, or hard foods


• Instruct patient to avoid foods causing allergic response (e.g., coffee, cheese, nuts, citrus fruits, gluten, and potatoes), if applicable


• Encourage patient to increase water intake


• Instruct patient to avoid hot foods and liquids, preventing burns and further irritation


• Instruct patient on signs and symptoms of stomatitis, including when to report to health care provider


• Provide referral

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Dec 3, 2016 | Posted by in NURSING | Comments Off on O

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