oral care.pptx

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1. PROCEDURE ON ORAL HYGIENE Dr Mohammad Zulkarnain Bidin

2. I N T R ODUCTION Certain patients are prone to oral problems because of lack of knowledge. Good oral hygiene includes daily stimulation of the gums and brushing of the teeth.

3. DEFINITION “Oral hygiene cleaning the teeth and the oral cavity of the patient. It includes the measures to prevent the spread of disease from mouth and increase the comfort of the patient.”

4. PURPOSES To maintain the healthy state of mouth, gums, teeth and lips. To remove food particles from and between the teeth. To stimulate appetite. To provide a sense of well-being. To remove dental plaque. To prevent sores and infection of the oral tissues.

5. To relieve discomfort resulting from halitosis and taste. To prevent gum inflammation and infection . To prevent the mucous membrane from becoming dry. To prevent sordes, which results in ulceration. To maintain the intactness and health of the lips and oral cavity. To prevent oral infections. To clean and moisten the membranes of the mouth and lips.

6. INDICATIONS

7. Seriously ill p a tie nt. Patients with f e ve r . P o s t o per a ti v e patients. U n c o nsci o us patients. Patients breathing through mouth. Pa ra lyzed patients. Patients with infections and disease of mouth. Patients under anesthesia .

8. ARTICLES- Articles needed for conscious patients- A tray containing the following articles- Face towel. Mackintosh with draw sheet or towel. Disposable gloves(clean). Toothbrush. Toothpaste. Log of tepid water. Emollients (liquid paraffins, coconut oil, boroglycerine Vaseline. Cotton applicator.

9. Articles needed for unconscious patients- Face towel. Mackintosh with draw sheet. Disposable gloves(clean) Artery forceps Dissecting forceps. Tongue depressor Mouth gag Potassium permanganate(1gm:5000ml) Gauze piece Emollients (liquid paraffins, coconut oil, boro glycerine Vaseline Cotton applicator

10. PROCEDURE STEPS- for conscious

11. For unconscious

12. Post procedural/ After procedural Apply emollient over the lips. Remove and dispose off equipment appropriately. Remove and discard the gloves. Remove kidney tray, mackintosh and towel. Make the patient comfortable. Tidy up the unit. In unconscious patient, if there is collection of secretions in mouth, apply suction. Take all the articles to treatment room. Discard the waste as per protocol of biomedical waste management and clean the articles with soap and water. Wash hands. Record the time and nature of treatment and condition of the mouth on nurse record. Document assessment of the teeth, tongue, gums, and oral cavity.

13. COMPLICATIONS OF NEGLECTED MOUTH CARE

14. LOCAL Complications GENERAL Complications Halitosis Stomatitis Pyorrhea Root abscess Tonsillitis Sinusitis Parotitis Glossitis Sordes and crust Adenitis Otitis media Inhalation pneumonia Nephritis Joint disease Rheumatic heart disease Loss of appetite

15. SUMMARY…

16. THANK YOU & KEEP SMILING!