seminar in adult nursing specialty

1. Specialty
‫الطالب‬ ‫اعداد‬:
‫حسوني‬ ‫سالم‬ ‫صادق‬
Master student in
Babylon university
College of nursing

2. DISORDERS OF THE ORAL
CAVITY
The oral cavity, which includes the lips, mouth,
and gums, is subject to many disorders and
diseases
can impact speech, nutritional intake and
overall health.
oral health is a very important component of a
person’s physical and psychological sense of
well-being.

3. Stomatitis Disease
Stomatitis disease is an inflammation and sore of
the mucous membrane inside of the cheeks,
gums, tongue, lips, and palate. Stomatitis can
severely affect speech; eating ability, nutrition,
body image, sleep and overall quality of life. The
ulceration causes pain, bleeding and infection.
Stomatitis treatment includes oral hygiene,
antiviral medication, topical or parental
analgesia.

5. Types of Stomatitis Disease:
1.Kanker Sore (Aphthous Stomatitis),
2.Cold Sore (Fever Blisters),
3.Herpes Stomatitis.

6. 1. Kanker Sore (Aphthous Stomatitis):
Kanker Sore (Aphthous Stomatitis) is a single pill or a
cluster of small pits or ulcer in the mouth. Usually kanker
sore appears on the cheeks, tongue, or inside the lip.
2. Cold Sore (Fever Blisters):
Cold Sore (Fever Blisters) is filled with fluid that usually
appears on lip or around the lips.
3. Herpes Stomatitis:
Herpes Stomatitis is a viral infection of the mouth that
cause sores and ulcers. Usually in age children between
six months to five years aged. Herpes simplex1 (HSV1)
virus is the cause of infection.

7. Causes of Stomatitis Disease:
1. Bacteria/Virus (Herpes Simplex type-1).
2.Nutritional deficiency (Vitamin B12, Folic
acid, Iron or Zinc).
3. Hormonal changes.
4. Food sensitivities to potatoes, citrus, fruits,
strawberries, chocolate, eggs, cheese or nuts.
5. Inflammatory bowel disease.
6. HIV/ AIDS.
7. Weak immune system and allergic reaction.

8. Sign and symptoms for stomatitis
disease :
1. Blister over gums, palate, check, tongue or lip,
2.Difficulty of eating, drinking and
3. Drooling, pain and swelling,
4. Irritation,
5. Fever,
6. Red patches,
7. Oral dysaesthesia,
8. Burning mouth syndrome.

9. Test and Diagnosis for Stomatitis
Disease:
1.Bacterial or viral swabs culture,
2.Biopsy,
3. Patch tests,
4. Blood test.

10. Treatment for Stomatitis Disease:
1.Oral hygiene,
2. Identify and treat cause,
3. Use antiviral drug acyclovir,
4. Coating agents such as bismuth Salicylate,
Sucralfate, or other Antacids,
5.Topical Analgesics, such as Benzydamine
Hydrochloride,
6.In severe pain use Topical Anesthetics, such as
Lidocaine viscous (might impair gag reflex for a
short period),

11. 7.Oral or parenteral analgesics such as Tylenol or
ibuprofen when not control by above
medication,
8.Apply a paste of Triamcinolone,
9.Water-soluble lubricants for mouth and lips,
10.Rinse and expectorate after meals with
Inj.Dexamethasone (0.5mg) / 5ml water.
11.In nutritional deficiency is the cause of
Stomatitis take floate (folic acid), vitamin B12.

12. Nursing Diagnoses
• Impaired oral mucous membrane related to a pathologic
condition, infection, or chemical or mechanical trauma
• Imbalanced nutrition, less than body requirements, related
to inability to ingest adequate nutrients secondary to oral
conditions
• Pain related to oral lesion or treatment
• Impaired verbal communication related to treatment
• Risk for infection related to disease or treatment

13. Nursing Intervention for Stomatitis
Disease:
1. Give cool, non-acidic drinks, such as water,
milk shakes, or diluted apple juice to patient.
2. Encourage use of a straw to make
swallowing easier.
3. Provide high in protein and vitamins containing
diet to promote healing and new tissue
4. Encourage client to suck on vitamin C or
sugarless candy or chew sugarless gum to stimulate
salivation.
5. Encourage a fluid intake of at least 2500
ml/day unless contraindicated.
6. Apply topical analgesia over lesion 15 to 20
minutes before meals, or painted on each lesion
immediately before mealtime.

14. CON …
7.Give Acyclovir to patient that fights the virus causing the
infection.
8. Give pain killer acetaminophen or ibuprofen for pain
as order...
9.Administer medications, which may include antifungal agent,
10. Give mouth care and gently brush teeth every day
instruct and assist client to perform oral hygiene using a soft
bristle toothbrush
11. Numbing medicine (Viscous Lidocaine) apply
to patient mouth to ease severe pain.
12. If stomatitis is not severe, encourage client to
use artificial saliva to lubricate the oral mucous membrane.

15. Prevention of Stomatitis Disease:
1.Wash hands frequently,
2.Keep toys, brush clean and don’t share with
others,
3.Don’t share dishes, cups, or eating utensils,
4.Don’t kiss affected person.