Set of hygienic measures performed by the nursing staff in the oral cavity when the patient is limited in performing his/her own hygiene.
Objectives:
– Keep the patient’s oral cavity clean to avoid dryness, bad odors, cracks in lips and tongue. – Prevent infections.
Equipment:
– Glass with water. – Basin. – Towel. – Equipment necessary for the aspiration of secretions.
Equipment:
– Toothbrush. – Toothpaste. – Mouthwash. – Depressor, sterile gauze. – Disposable gloves. – Moisturizing lip balm. – Protective mask. – Necessary material for secretion aspiration. – 1 Syringe of 10 cc. – Nursing records.
Procedure:
– Assess the patient’s autonomy and encourage self-care. – In autonomous patients: inform and provide the necessary material. – In conscious patients who require assistance: 1. Perform hand washing. 2. Prepare the material 3. Preserve the patient’s privacy. 4. Inform the patient. 5. To request the collaboration of the patient and family. 6. Put on gloves and mask. 7. Place the patient seated or semi-incorporeal. 8. Cover the chest with a towel or soaker. 9. Brush teeth, tongue and gums. 10. Rinse first with clean water and then with mouthwash. 11. Apply moisturizing lip balm to lips. – In unconscious patients: 1. Position with head cocked to one side.
2. Wrap gauze around forceps and soak with antiseptic. 3. Clean the oral cavity. Change the gauze often. 4. Rinse the mouth with water (10 cc syringe) and aspirate. 5. Dry the lips. 6. Apply moisturizing lip balm on the lips. – In patients with dental prosthesis: remove denture and rinse it with warm water and brush it. Leave it in a container with water. – Leave the patient in a comfortable position. – Collect the material. – Remove gloves and mask. – Wash hands. – Record in the nursing documentation: procedure, reason, date and time, incidences and patient’s response.
Observations:
If there is a lot of salivation or secretions, aspirate them before performing the hygiene.
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