Introduction . In High Acute Settings, Such As Intensive

1680 WordsApr 30, 20177 Pages
Introduction In high acute settings, such as intensive care units essential nursing care such as oral care is very vital to prevent life-threatening complications such as nosocomial – acquired, Ventilator-Associated Pneumonia (VAP), and also most patients in intensive care are on oral intubation, and medications such as anticholinergics, antihypertensives, which may lead to xerostomia (dry mouth). One of the challenging nosocomial infections is VAP, and a leading cause of mortality in hospital patients in high acuity settings (Jones, 2007). The development of VAP is occurred due to mechanical ventilation, longer ICU stays and longer intubation periods, increasing the mortality of ICU patients to as high as 70 per cent (Jones, 2007). Good…show more content…
Which may further lead to prioritising oral care as a less priority for nurses than other aspects of care (H. Jones et al., 2004). In turn, even the tapes that are used in the fixation of the tube quickly become heavily contaminated with the bacterium in the existence of salivary secretions and the hitches associated with cleaning the mouth (Abidia, 2007). So, they have greater susceptibility to nosocomial-acquired infections such as ventilator-Associated Pneumonia (VAP) (Zurmehly, 2013). Patients who are intubated are also forced to keep their mouths open which leads to xerostomia, caused due to dryness of oral mucosa (Miranda, de Paula, de Castro Piau, Costa, & Bezerra, 2016). Furthermore, patients who may have some medical conditions have oral manifestations such as diabetes, Crohn’s disease, Leukaemia (H. Jones et al., 2004). In order to prevent these life-threatening complications, it is important to prioritise oral care as an essential nursing priority in high acuity settings by doing appropriate and more frequent oral assessments followed by mouth care with an evidence-based approach. Oral Assessment To initiate interventions, patients oral care requirements are to be identified. To process and evaluate, assessment needs to be performed. Evidence suggested oral assessment should be performed using a checklist within the 24 hours
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