Assisting Patient with Oral Care

Adequate oral hygiene care is imperative to promote the patient’s sense of well-being and prevent deterioration of the oral cavity. Poor oral hygiene is reported to lead to the colonization of the oropharyngeal secretions by respiratory pathogens. Diligent oral hygiene care can improve oral health and limit the growth of pathogens in the oropharyngeal secretions, decreasing the incidence of aspiration pneumonia and other systemic diseases (Yoon & Steele, 2007; American Association of Critical-Care Nurses [AACN], 2006). The mouth requires care even during illness, but sometimes care must be modified to meet a patient’s needs. If the patient can assist with mouth care, provide the necessary materials. Oral care is important not only to prevent dental caries but also to improve the patient’s self-image. Oral care should be done at least twice a day for ambulatory patients.

NCP: Ineffective Airway Clearance

Nursing Assessment

Johti Singh is a 39-year-old secretary who was admitted to  the hospital with an elevated temperature, fatigue, rapid, labored respirations; and mild dehydration. The nursing history reveals that Ms. Singh has had a “bad cold” for several weeks that just wouldn’t go away. She has been dieting for several months and skipping meals. Ms. Singh mentions that in addition to her full-time job as a secretary she is attending college classes two evenings a week. She has smoked one package of cigarettes per day since she was 18 years old. Chest x-ray confirms pneumonia.