Chg Oral Hygiene

Experienced nurses find ways of incorporating oral care into regular assessments – combining the two encourages performing the oral hygiene care and saves time. Dale, et al. (2016) quoted an un-named ICU administrator who commented, “I would hope that they are teaching (mouth care) in the critical care curriculum.” Stressing the importance of oral care early in the training of a new critical care nurse should help to solidify the inclusion of oral care into regular daily practice.

If left untreated, pulp infection can lead to abscess, destruction of bone, and systemic infection (Cawson et al. 1982; USDHHS 2000). Various sources have concluded that water fluoridation has been an effective method for preventing dental decay (Newbrun 1989; Ripa 1993; Horowitz 1996; CDC 2001; Truman et al. 2002). Water fluoridation is supported by the Centers for Disease Control and Prevention (CDC) as one of the 10 great public health achievements in the United States, because of its role in reducing tooth decay in children and tooth loss in adults (CDC 1999). Each U.S. Surgeon General has endorsed water fluoridation over the decades it has been practiced, emphasizing that “[a] significant advantage of water fluoridation is that all residents of a community can enjoy its protective benefit…. A person’s income level or ability to receive dental care is not a barrier to receiving fluoridation’s health benefits” (Carmona 2004). As noted earlier, this report does not evaluate nor make judgments about the benefits, safety, or efficacy of artificial water fluoridation. That practice is reviewed only in terms of being a source of exposure to

As a nurse in a skilled nursing facility, oral hygiene care is very important, but the importance significantly increases when our patients are functionally dependent or cognitively impaired. These patients are unable to perform this task and depend on nurses to provide daily care. Nurses need to pay close attention for potential problems. They will need to perform assessments, develop oral care plans, and identify preventions and strategies to eliminate any potential problems. Poor oral health has been linked to serious systemic illnesses including diabetes mellitus, stroke, hypertension, myocardial infarction and aspiration pneumonia (Dyck et al., 2012). Patients who suffer from a lack of oral care can have a dramatic impact to their

VAP is defined as a patient who is mechanically ventilated for greater than 48 hours and exhibits three out the five symptoms: fever, increase leukocytosis, change in sputum color or amount, radiographic evidence of new/progressive infiltrates and worsening oxygen requirements along with a culture identifying a bacterial microorganism (CDC, 2008). Risk factors associated with the formation of VAP is the altered oral physiology where there is a decrease in saliva production decreasing the pH level forming an ideal environment for bacteria to grow, respiratory pathogens such as Staphylococcus aureus, Streptococcus pneumonia, Methicillin Resistant Staphylococcus aureus and Pseudomonoas aeruginosa which can form a biofilm on the teeth that we know as plaque that can then aspirate and travel down to the lungs (Koeman et al., 2006). Several studies (Munro et al., 2009) have verified that removing bacteria from the oropharynx requires the removal of dental plaque, and the only way to remove the plaque is with toothbrushing. Others found that the majority of nurses use a soft Toothette instead of toothbrushing and that the Toothettes do not

Research has shown that staff training in oral hygiene and the use of an individualised Oral Hygiene Care Plan is beneficial to the resident and also the nurse and will allow appropriate care (National Guideline Clearing house [NGC], 2003).

Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted

In order to evaluate if mouth care and its frequency are Gold Standard interventions to prevent VAP

It is important that we have this knowledge and constantly build on it because there still isn’t any valid ground. We can say “we think this can happen” but as more studies come out we can change that thought or idea into a valid explanation. Although you can’t convince every person into believing something, having proof behind your explanation is going to be more persuasive than just stating what you’ve heard.

All healthcare providers including dental hygienists should be knowledgeable when it comes to educating patients and use evidence based decision-making constructed on the research. The focus is to make an effort to find the right article and transform evidence into practice to improve quality and effectiveness of patient’s health care outcome.

The patient was keen to get her oral hygiene up to a good standard and prevent any

Bacteria adhere to the tooth surface and is often missed due to incorrect brushing or lack of flossing. Another common mistake is flossing after brushing. This action will only release more bacteria in the mouth, rather than flossing before brushing. Most patients are unaware that flossing can be a more complex action than assumed. Commonly missed spots when flossing is the proximal space between the mesial and distal of teeth. This is when the dental hygienist begins to educate the patient on the correct form of flossing and brushing in order to contribute to a cleaner mouth. The use of a Waterpik can also help with patients who often miss the proximal spaces when flossing. A Waterpik uses a range of different speeds to force water between the teeth and loosen up any debris. Also, the dental hygienist must correlate to the patient and attract the patient into learning greater details towards oral hygiene to better their health. Asking open ended questions will bring the patient more into the conversation. For instance, engaging the patient by asking or having the patient show their home health habits. In return, giving additional suggestions will help with developing good home health habits for patients. Another helpful tool is to assess caries risk factors and manage caries, based on preventive and curative clinical procedures. “One protocol, termed Caries Management by Risk Assessment (CAMBRA), is an evidence-based approach to preventing, reversing and, when

Lots of people know that dental cleanings are crucial for having clean teeth, but what many don’t know or realize it 's that it is also crucial for having a healthy mind as well as a healthy body. For being such a frequently visited place, there are lots that people do not know about. Here I will present you with what you should know, the process of, and what to expect on your next dental cleaning visit. Lots of people see the mouth as something completely separate and different from the rest of their body. The reality is that everything is connected to each other. Having problems in your mouth can cause or indicate diseases in other

Administration of this clinical skill involved undertaking an assessment of my colleague’s mouth before delivering any care in order to help determine the most appropriate means of delivering oral care. Malkin (2009) asserts that this is a critical component of the procedure and was one I was keen not to overlook. The World Health Organisation (WHO 2010) describes a healthy mouth as being free of chronic mouth and facial pain and in the situation described; this is the condition I found my partner’s mouth to be in. I was therefore happy to proceed with cleaning his teeth as instructed. I selected to use a soft bristled toothbrush and toothpaste. The use of these adjuncts are described by many writers as being the most appropriate in terms of removing plaque and preventing trauma to the gums (Holman et al 2005,McCauliffe 2007).Despite this it has been identified that they are also most

(2012) evaluated whether oral care by swabbing with 0.2% CHX decreases the risk of ventilator-associated pneumonia (VAP) in hospitalized patients. Patients 18 years and older were included in the study if they had no episode of chemical pneumonitis and have never been diagnosed with thrombocytopenia. Eligible patients were randomly assigned to one of two groups as follows: a CHX group (n=29) and a control group (n=32). Oral care was performed by swabbing oral mucosa with either CHX or saline on sponge pellets, four times daily (at 6 AM, 12 AM, 6 PM and 12 PM). Approximately 30 mL of 0.2% CHX or saline was applied and this lasted for about 1 minute. The control group received the standard oral care (saline applications). All patients were followed for at least 14 days or until discharge from the hospital, extubation or death. The main outcome in this study was the incidence of VAP and was assessed using a mouth mirror together with a headlight. VAP was observed in 34/61 patients (55.7%) within 6.8 days. The rate of the development of VAP was significantly higher in the control group (68.8%) compared to the CHX group (41.4%) [p = 0.03] with a significant odds ratio of 3.12 (95% CI = 1.09-8.91). This study identified acinetobacter baumannii (64.7%) as the most frequent pathogen of all study

Imagine after years of being dead, a human body is found and all that is really left of them is their teeth. Why? It may be because of the way they took care of their teeth while they were alive and the precaution methods they were educated about. Educating people about oral health is really important because teeth are the strongest bone in our body and they even preserve the most after we pass away, this means it is an essential factor to knowing how to protect them from getting a disease and keeping them as long as possible. Most patients are not aware of diseases in dentistry. Educating the older and the young generation will help to care for their oral health.