The document discusses gingivitis, which is a mild gum disease caused by plaque and bacteria that can irritate the gums. It explains the causes and symptoms of gingivitis, as well as the treatment which involves removing plaque through brushing and flossing daily. Proper oral hygiene and regular dental cleanings are important to prevent gingivitis from worsening and potentially leading to more serious gum disease.

1. GASTROINTESTINAL
CARE OF CLIENT WITH GINGIVITS

2. What is gingivitis?
 Gingivitis is mild gum disease.
 It is an infection caused by germs called
bacteria, that hurts your gums.
 Occurs when buildup of plaque (sticky
film) on teeth and gums. Plaque contains
bacteria that can irritate your gums, and
cause an infection

4.  Not brushing or flossing your teeth every day,
or cleaning your teeth well enough to remove
plaque
 Not visiting your dentist regularly for exams
and cleanings
 Pregnancy, diabetes, HIV infection, and
diseases that decrease your immune system
Your body's immune system fights off infection

5.  Smoking or chewing tobacco, poor diet, and
stress
 Taking certain types of medicines such as
steroids, drugs that treat depression, and birth
control pills

6.  Having dental problems that make it hard to
remove plaque. This may include bridges or
dentures that do not fit right, and crooked teeth
 Getting older, and having a family history of
gum disease

7.  Red, swollen gums.
 Gums may or may not be painful.
 Gums may bleed when brush or floss your
teeth.
 Halitosis (bad breath) is worse if have
gingivitis.

8.  Dentist will check gums for swelling and
redness.
 Dentist will also use a dental probe (metal tool)
to check for bleeding.
 X-rays (pictures) may be taken of your mouth
and teeth.

9.  Dentist may need to remove plaque and calculus
(hard plaque) from teeth with special tools.
 Dentist may also need to treat any dental problem
that make it hard to clean teeth well
 Clean teeth very well every day to remove plaque
 A battery-powered toothbrush may remove plaque
better than a regular toothbrush.

10.  Floss teeth every day.
 Use a special dental rinse. These special rinses
may help to reduce plaque and decrease
swelling of gums.
 Stop smoking. Smoking increases risk of
getting periodontitis, which can occur if
gingivitis gets worse. Smoking also decreases
how well treatments for gum disease work.

11.  Brush teeth two times a day after meals with
fluoride toothpaste
 Use dental floss to clean between teeth at least
once a day
 Ask dentist if should use a dental rinse, and what
kind may work best
 See dentist regularly for dental cleanings and oral
exams. Ask dentist how often should see him for
dental cleanings and exams

12.  Recurrence of gingivitis
 Tooth loss
 Periodontitis
 Infection or abscess of the gingiva or the jaw
 Bones
 Trench mouth (bacterial infection and ulceration of
the gums

13.  Nursing Care Plans Diagnosis :
Impaired Oral mucous membrane
 Client Outcomes:
a)Maintains intact, moist oral mucous
membranes that are free of ulceration and
debris
b) Describes or demonstrates measures to
regain or maintain intact oral mucous
membranes

14.  Encourage fluid intake up to 3000 ml per day
if not contraindicated by client's medical
condition
 Fluids help increase moisture in the mouth,
which protects the mucous membranes from
damage and helps the healing process.
 Keep lips well lubricated using petroleum jelly
or a similar product .

15.  Nursing diagnosis:
Risk of imbalanced nutrition related disease
process
 Expected outcome:
Maintain the nutrition status

16.  Assess caregiver’s and client’s knowledge of nutritional
needs.
 Offer or provide assistance in menu selection.
 Provide privacy when eating habits become an insoluble
problem.
 Offer small meals and/or snacks of one or two foods
around the clock, as indicated
 Anticipate needs, cut foods, and provide soft or finger
foods.
 Refer to dietitian or nutritionist, as indicated.

17.  Nursing diagnosis :
fear and anxiety related to decrease in
functional abilities
 Expected outcomes :
Fear Level Decreases
Demonstrate more appropriate range of
feelings and lessened fear

18.  Note change of behavior, suspiciousness, irritability, and
defensiveness.
 Identify strengths the individual had previously.
 Deal with aggressive behavior by imposing calm, firm
limits.
 Provide clear, honest information about actions and events.
 Discuss feelings of SO and caregivers. Acknowledge
normalcy of feelings and concerns and provide information
as needed.

19.  The conclusion is very important to maintain
the healthy teeth and beautiful smile
 Prevent plaque from appearing at the gums
and teeth that will cause gingivitis or
periodontitis
 Brushing and flushing are very important to
prevent any formation of the hard plaque
,infection and inflammation for a good and
healthy mouth