Checklist for Oral Hygiene for a Conscious & Unconscious Patient
Objectives-By the end of this exercise, the patient will be able to describe about Oral Hygiene for a Conscious & Unconscious Patient
Participant…………………… Date Observed…………………….
Oral Hygiene for a Conscious Patient
S. Contents 1 2 3 4 5 N 1 Definition 2 Indication 3 Purpose 4 Articles 5 Procedure Assess the condition of the patient. His or her mouth and level of consciousness Inspect the integrity of lips, teeth, buccal mucosa , gums, palate and tongue Assess the patient’s ability to grasp and manipulate toothbrush Explain procedure to patients and encourage him to participate Pull the screen Wash hands Bring patient to edge of the bed nearest to the nurse Position patient in high fowlers/ semi fowler position as tolerated Place the small Mackintosh with the face towel on the chest Place k basin close to the patient’s chin Apply toothpaste to brush, holding brush over k basin , pour small amount of water over toothpaste Instruct patient to hold toothbrush at 45fehree angle to hum line.Brush inner and outer surfaces of upper and lower teeth by brushing from gum to crown of each tooth Clean the biting surface back and forth , farther side first and then nearer side and upper jaw first and then lower jaw Have the patient hold the brush at the same angle (45 degree) over tongue and brush lightly over surface horizontally taking care not to initiate gag reflex Allow patient to rinse mouth thoroughly by taking mouthful of water and spitting into the k – basin Allow patient to rinse mouth with mouthwash as desired Assist wiping mouth with face towel Apply emollient to lips Assist patient to comfortable position Discard the waste , clean the used articles and replace equipment as appropriate Wash hands Record the procedure including time. Solution used and condition of mouth Discard the waste , clean the used articles and replace equipment as appropriate Oral Hygiene for an Unconscious Patient 1 Definition 2 Purpose 3 Articles 4 Procedure Assess patient oral hygiene Test for presence of gag reflex by placing tongue blade on back half of tongue Check the doctor’s orders for specific precautions regarding the movement and positioning of patient Explain the procedure to patients and or relatives Pull curtains Raise bed to comfortable working level . arrange articles by bedside Position the patient on side , head turned towards you Place towel and Mackintosh under the patients head and spread one towel over chest and an emesis basin under the chin Raise side rails of bed on both sides Wash hands and Don gloves Lower the side rails on the working side Do not pour water into the mouth of an unconscious patient Raise side rails of bed on both sides Separate the upper and lower teeth with padded tongue depressor by inserting it quickly and gently if required Take gauze piece with the dissecting forceps Wrap the gauze piece around the artery forceps covering it’s tip. Moisten the gauze piece with normal saline or dip in the cleaning agent Swab each tooth gently but firmly and clean all the sides of tooth. Clean chewing surface first and then , inner and outer surface from gum to crown Replace all articles Total Marks