Shurouq Qadose1232008.ppt

* Describe preventive interventions for the specific nail problem Demonstrate nail care as instructed Mouth Each tooth has three parts: the crown, the root, and the pulp cavity. Nursing Management ?Assessing ?Assessment of the client’s mouth and hygiene practices includes:- ?Nursing history The nurse obtains data about the client’s oral hygiene practices, including dental visits, self care abilities, and past or current mouth problems. Physical assessment Most common problems affect the teeth. Tarter is a visible, hard deposit of plaque and dead bacteria that forms at the gum lines. Gingivitis red, swollen gingival, bleeding, receding gum lines, and the formation of pockets between the teeth and gums. Pyorrhea; the teeth are loose and pus is evident when the gums are pressed. Identifying Clients at risk Certain clients are prone to oral problems because of lack of knowledge or the inability to maintain oral hygiene. Among these are seriously ill, confused, comatose, depressed, and dehydrated clients. In addition, people with nasogastric tubes or receiving oxygen are likely to develop dry oral mucous membranes. Clients who have had oral or jaw surgery must have meticulous oral hygiene care to prevent the development of infections. Clients in long-term care settings are at high risk for oral health problems. A dry mouth can be aggravated by poor fluid intake, heavy smoking, alcohol use, high salt intake, anxiety, and many medications. Clients who are receiving or having radiation treatments to the head and neck may have permanent damage to salivary glands Diagnosing Nursing diagnosing related to problems with oral hygiene and the oral cavity are: *Self –care deficit: oral hygiene will be used for clients unable to perform oral care independently. *Impaired oral mucous membrane related to - Ineffective oral hygiene - Physical injury or drying effect (mouth breathing, oxygen therapy) Planning Specific detailed nursing activities taken by the nurse may include th