Task: Care of the Mouth for Concious and Unconscious Patients

 MOUTH CARE FOR A CONSCIOUS PATIENT

REQUIREMENTS ON TRAY 

  • Bowl for dentures 
  • Tooth paste and brush 
  • A sputum mug or receiver for used water 
  • Mackintosh and towel 
  • Napkin 
  • Orange sticks 
  • Mirror

COMPONENT TASK

1. Explain procedure to patient. 
2. Arrange requirement for patient.
3. Assist patient into a suitable and comfortable position.
4. Places towel under chin for protection. 
5. Give brush with paste/ chewing sponge /stick to him.
6. Encourage patient to brush the teeth.
7. Cleans the mouth thoroughly but gently inside the cheeks, both sides of gums, tongue and palate.
8. Give water or mouth wash and void content into a receiver.
9. Make patient comfortable in bed 
10. Clears away used items
11. Washes and dries hands, records procedure and reports any abnormalities.

MOUTH CARE FOR A SERIOUSLY ILL/ UNCONSCIOUS PATIENT

REQUIREMENTS ON TRAY

  • Two gallipots ( for mouth cleaning lotion and cotton wool or gauze ) 
  • Bottle containing the mouth cleaning lotion ( e.g. normal saline, sodium bicarbonate, weak strength of hydrogen peroxide, maxolon mouthwash)
  • Padded Spatula 
  • Mouth gag 
  • Artery, sponge or dressing forceps
  •  Dissecting forceps 
  • Bowl for dentures 
  • Glycerine or Vaseline 
  • Receiver for used swabs  Orange sticks (toothpick)

COMPONENT TASK

1. Explain procedure to patient and provide privacy
2. Prepare a tray and takes it to the patient’s bedside
3. Put patient in a suitable position
4. Protects patients’ gown and bed linen with mackintosh and towel.
5. Pour lotion into gallipots washes and dry hands.
6. Cleans lips and outer part of teeth. Opens mouth with padded spatula.
7. Inspect mouth for any abnormality and remove dentures.
8. Take swab with forceps dip into cleansing lotion and squeeze out excess.
9. Cleans mouth thoroughly but gently, i.e. from inside the cheeks, both sides of the gum, 
tongue and palate changing swabs frequently. 
10. Controls movement of the tongue with spatula.
11. Uses tooth pick to clean in between of teeth.
12. Cleans mouth with water or any mouth wash.
13. Cleans lips and applies Vaseline.
14. Make patient comfortable in bed and removes screen.
15. Discard tray, decontaminates, washes and sterilizes instruments.
16. Washes hands and documents procedures and findings.

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