blue section

steps for providing/assisting oral care (natural teeth) (no explanation)

1. opening

2. supplies on overbed table, bring table close, raise bed to working height

3. gloves on, half tap water half mouthwash

4. washcloth across chest

5. emesis basin under chin, rinse with mouthwash mix, ask to spin prn

6. wet toothbrush with mouthwash mix, pea sized toothpaste

7. approach toothbrush downwards

8. brush lower teeth and gums circularly, repeat upper

9. repeat inner surfaces

10. allow spit prn

11. brush tongue

12. allow spit prn

13. offer floss (care plan)

14. ^18 in floss, wrap around middle fingers, stretch tight

15. ^floss between teeth without touching gums

16. ^floss between two upper front teeth toward back, repeat other side, repeat bottom

17. rinse and spit, wipe with washcloth

18. offer lip balm, one end for upper, other end for lower

19. remove washcloth from chest, dont contaminate self

20. raise side rails (order), lower bed

21. clean equipment in sink, store, wipe overbed table

22. remove gloves, wash hands

23. closing

in general, gloves are put on ____

just before care

(oral care natural teeth) principle of care for opening?

• all

(oral care natural teeth) principle of care for putting supplies on overbed table, bringing it close to you, and raising the bed to working level.

• safety

• body ergonomic, efficiency

(oral care natural teeth) principle of care for gloves, cup of water and mouthwash.

• infection control

• eliminate microbial growth

(oral care natural teeth) principle of care for emesis basin, spitting prn.

• pre rinse lets food debris clear

(oral care natural teeth) principle of care for wetting toothbrush, good amount toothpaste?

• soften bristles, toothpaste adheres, lather

(oral care natural teeth) principle of care for approaching toothbush angled down?

• non threatening, especially for dementia

(oral care natural teeth) principle of care for brushing in circular motions?

• coverage of teeth, gentle care

• no loosening, bleeding

(oral care natural teeth) principle of care brushing tongue wihtout going too far?

• reduces microbial growth

• no gag reflex

(oral care natural teeth) principle of care for floss?

• clean between teeth

• prevent gum disease

(oral care natural teeth) principle of care for wiping with washcloth/paper towel?

• loosening food

(oral care natural teeth) principle of care for using lip balm, using different sides of q tip?

• infection control

• prevent chapped lips

(oral care natural teeth) principle of care for removing washcloth?

infection control

(oral care natural teeth) principle of care for raising bedrails (ordered), lowering bed?

• safety

• fall prevention

(oral care natural teeth) principle of care for cleaning equipment, storing properly, wiping bed table?

• infection control

• minimize microbial growth

• next caregiver provide care with clean equipment

(oral care natural teeth) principle of care for removing gloves, washing hands?

• infection control

• hand hygiene

(oral care natural teeth) principle of care for closing procedure?

• all

• report and record loose teeth/bleeding gums

steps for providing/assisting oral care (dentures) (no explanation)

1. opening procedure

2. supplies on overbed table, bring close, raise bed to working level

3. gloves, half tap water half mouthwash

4. washcloth on chest

5. emesis basin, rinse with mouthwash, spit

6. remove upper set, put in container, remove lower set, put in container

7. allow rinse

8. wet toothette with mouthwash, squeeze excess, swab gums, natural —> toothbrush, toothpaste

9. repeat inner surface

10. spit prn

11. clean tongue

12. spit prn

13. rinse and spit, wupe with washcloth

14. offer lip balm with cotton swab

15. side rails (order), lower height of bed

16. remove washcloth

17. line sink with washcloth/paper towel, put dentures in sink, rinse container

18. warm water to clean dentures, moisten toothbrush, apply toothpaste

19. brush lower set, place teeth up

20. brush upper set, place teeth down

21. ask to put dentures on, yes—> upper then lower

22. bedtime then put at bedside with cleaning tablet

23. remove gloves, wash hands

24. closing procedure

(oral care natural teeth) principle of care for opening?

• all

(oral care natural teeth) principle of care for supplies on bed table, raise bed to working level?

• safety

• body ergonomics, efficiency

(oral care natural teeth) principle of care for gloves, cup of mouthwash?

• infection control

• eliminate microbial growth