The document outlines the process and responsibilities of nursing staff in providing mouth care to clients, focusing on maintaining oral hygiene and health. It includes detailed preparation steps, necessary articles, techniques for cleaning, and considerations for clients with varying levels of consciousness. Proper hand hygiene and appropriate disposal of waste are also emphasized along with the need to record and report the care provided.

1. PRESENTED BY-
MISS SAYMA KHAN
NURSING TUTOR/CI
ECON
*

2. *INTRODUCTION-
MOUTH CARE MEANS BRUSHING THE TEETH OF THE
CLIENTS OR CLEARING THE DENTURES ACCORDING TO
THE CLIENT’S USUAL ROUTINE. MOUTH CARE IS
PROVIDED TO MAINTAIN THE INTEGRITY OF THE
CLIENT’S TEETH, GUMS, MUCUS MEMBRANE & LIPS.

3. *NURSING RESPONSBILITY IN ATTENDING THE
MOUTH OF THE CLIENT IN AN ILLNESS-
PRELIMINARY ASSESSMENT-
CHECK THE CONDITION OF THE ORAL CAVITY.
CHECK THE ABILITY OF THE CLIENT FOR SELF CARE.
CHECK THE GENERAL CONDITION OF THE CLIENT.
FREQUENCY OF THE MOUTH CARE NEEDED.
DOCTOR’S ORDERS FOR SPECIFIC PRECAUTIONS REGARDING
THE MOVEMENT AND POSITIONING OF THE CLIENT.
ARTICLES AVALIABLE IN THE CLIENT’S UNIT

4. *PREPARATION OF THE ARTICLES-
* A TRAY CONTAINING-
SMALL MACKINTOSH- TO PROTEC THE BED AND GARMENTS.
FACE TOWEL
TWO SMALL JUGS- TO TAKE HOT AND COLD WATER FOR MOUTH WASH.
FEEDING CUP- FACILITATES TO POUR THE WATER INTO THE MOUTH IN LYING
POSITION.
ARTERY FORCEPS- {TO CLEAN THE MOUTH OF A CLIENT WHO IS UNABLE TO
DISSECTING FORCEPS CARE FOR HIM SELF.}
RAG PIECE OR GAUGZE PIECE IN A CONTAINER
DENTIFRICE IN A CONTAINER
KIDNEY TRAY- TO COLLECT THE WET WASTE
PAPER BAG – TO COLLECT THE DRY WASTE.
SOLUTIONS FOR MOUTH WASH
A BOWL OF CLEAN WATER- TO RECEIVE THE DENTURES IF ANY.

5. FEEDING CUP ARTERY FORCEPS
DISSECTING FORCEPS
DENTIFRICE

6. *PREPARATION OF THE CLENT AND UNIT-
EXPLAIN THE PROCEDURE TO THE CLIENT
PROVIDE PRIVACY
PLACE THE MACKINTOSH AND FACE TOWEL
REMOVE DENTURES IF ANY.
ARRANGE THE ARTICLES CONVENIENTLY.

7. *
WASH HANDS
PREPARE THE ANTISEPTIC SOLUTION FOR
MOUTHWASH.
MAKE A PASTE WITH SODA BICARB OR SALT OR USE
ANY DENTIFRICE WHICH IS AVALIABLE.
PLACE THE KIDNEY TRAY CLOSE TO THE CHEECK.
DO NOT POUR WATER INTO THE MOUTH IS THE
CLIENT IS UNCONCIUOS.
TAKE A GAUZE OR RAG PIECE, WRAP IT AROUND
THE FORCEPS COVERING THE TIPS COMPLETELY.
MOISTEN THE GAUZE AND DIP IT IN THE CLEANING
AGENT, SWAB EACH TEETH GENTLY BUT FIRMLY
TAKING CARE TO CLEAN ALL SIDE OF TEETH.

8. *CONT…
TO CLEAN THE INNER AND CHEWING SURFACES OF THE
TEETH, USE A MOUTH GAG.
WITH MOUTH GAG POSITION CLEAN THE TONGUE, USING
THE GAUZE COVERED ARTERY FORCEPS. WET THE GAUZE
ONLY WITH A SMALL AMOUNT OF SOLUTION.
WHEN THE TEETH AND TONGUE ARE CLEANED WELL, STOP
THE PROCEDURE, WIPE THE LIPS AND FACE WITH TOWEL.

9. *
APPLY GLYCERINE BORAX OR ANY OTHER EMOLLIENT ON THE CRACKED LIPS
AND TOUNGE TO KEEP THEM SOFT.
REMOVE THE KIDNEY TRAY, MACKINTOSH AND TOWEL.
MAKE THE CLIENT COMFORTABLE.
TIDY UP THE UNIT.
IN CASE OF UNCONSCIOUS OR SERIOUSLY ILL CLIENTS, IF THERE IS
COLLECTION OF SECRETIONS IN THE MOUTH, APPLY SUCTION.
TAKE ALL THE ARTICLES TO THE UTILITY ROOM. DISCARD THE WASTE.
WASH HANDS.
RECORD AND REPORT.