Oral Care ● Check if the client has a bridgework or

wears dentures.
- It is define as a practice of keeping one’s ● If antiseptic mouth washes are to be
mouth clean by regular brushing of the used follow correct dilution.
teeth, flossing, and denture care.
- Its important that oral hygiene is done Common Oral Problems: (Likely result of poor
on a regular basis to enable the oral hygiene.)
prevention of dental disease. ➢ Halitosis- a condition of having a bad
- It is a special care given to the mouth breath.
and teeth. ➢ Gingivitis- inflammation of the gum.
- It is the brushing and flossing of the ➢ Cheliosis- cracking of the lips.
teeth and denture care. ➢ Stomatitis- inflammation of the oral
mucosa.
Purposes
❏ To remove food particles from around Equipments:
and between the teeth. Through oral ❏ Toothpaste
hygiene food particles remove from ❏ Tooth brush
around and between the teeth. ❏ Dental Floss
❏ To remove dental plaque. Oral hygiene ❏ Oral Foam Swab
removes dental plaque which is an ❏ Mouth Wash
invisible soft film that adhere to the ❏ Emesis Basin
enamel surface of the teeth.
❏ Tissue Wipes
❏ To promote clients feeling of well-being
❏ Gloves
and increase/improve appetite.
❏ Glass of Water
❏ To prevent sores and infection of the
oral tissues.
PROCEDURE:
❏ To prevent dental carries. (Tooth
Decays) Oral Care Conscious Client
❏ To freshen the mouth and prevent ● Introduce yourself
halitosis. ● Explain the procedure
● Hand hygiene
Special Considerations: ● Double check the bed brakes
● Determine clients self-care abilities and ● Pull the curtain
assess his usual mouth care practices. ● Raise the head of the bed
● Inspect lips, gums, oral mucosa and ● Introduce the equipments (Gloves, two
tongue for any deviation. So that you towels, emesis, brush and tooth paste,
can assess the general oral status of the water)
client and formulate intervention based ● Put the gloves on and the towel over the
on the findings. upper portion of the body.
● If clients condition allows, encourage Note: The students actually has to brush the
him/her to brush his/her teeth. For our actors teeth the inner outer and chewing surface
UNCONSCIOUS CLIENT we should of the upper and lower teeth and tongue.
observe aspiration precautions since ● Upper teeth first because their is less
they cant voluntarily swallow fluids. saliva, start with the inner aspect and
● Observe special precautions when then the outer and then the chewing
cleaning the mouth of a very ill client. surfaces of the upper teeth.
 ● Inner aspect of the lower, the outer and ● Take special care to remove all food
then the chewing surfaces. particle, that may be lodge in this
● Then the tongue. channel.
● Give some water to rinse and spit. ● Keep the dentures over the sink while
● Wipe the mouth with towel. you are cleaning them.
Note: Student must let the actor rinse and spit. ● Turn the dentures over in your hand and
● Then clean all the materials, rinse it and use the larger end of the dentures brush
then store it. to brush the teeth portion of the
● Empty the emises basin and then rinse it dentures. Making sure you cover all the
also the tooth brush thoroughly and surface including the palate.
then dry it. ● Rinse the dentures brush out under the
● Take off the gloves. cool running water and set in to the
● Store the materials in the bed side. clean basin.
● Use the hand sanitizer, clean the hands ● Discard the water in the denture cap.
thoroughly again and then open the ● Fill the cup with cool water and place the
curtain. clean dentures into the clean denture
cup and place the lid.
● Turn the faucet off.
Oral Care: Client with denture ● Get a paper towel place the denture cup
● Greet and introduce yourself to the on the paper towel and place it on the
patient. bedside table beside the patient.
● Close the curtain for privacy. Put the ● Pick up the basin and bring to the table
head on the bed up. Take the dentures ,place the denture brush on clean area.
in the sink and then Wash the hands. ● If done in denture Remove soil gloves
● Put barrier on the table, to put the ● Prepare for mouth care
cleaning supplies. ● Ask the client if it okay to put towel over
● The supplies needed are: TOWEL, WASH the chest to keep out sink in clean
CLOTH, BASIN AND TOOTH PASTE, ● Use toothbrush a spongy toothbrush
DENTURE BRUSH, AND A CUP OF WATER ● Apply small amount of toothpaste
AND TWO SETS OF GLOVES. ● And place to the basin while wearing a
● Clean the denture with denture brush, gloves on
put it in the water, apply a little bit of ● After gloves wear and touch the patient
toothpaste to the sides and just allow ● Ask the client to open the mouth
the basin to hold the denture brush. ● Use the toothbrush to clean the gums
● Take the wash cloth, set of gloves, basin and the teeth including the top and
holding the tooth brush over to the sink. bottom, front and back
● Place a washcloth at the bottom in case ● After cleaning throw the toothbrush in
the denture is drop they wont break. trash bin
● Open the denture cap, turn on the water ● Give the client water to rinse or to gargle
and put on your clean gloves. and ask the client if they want to rinse
● Take out the dentures and rinse them again
under the running water holding them ● After that go in the sink and clean the
firmly with your hand. basin
● Pick up the denture brush and use the ● Spray protection and use paper towel to
smallest in to clean the channel portion pick it up and also the inside of the basin
of the dentures that fit over the patients to dry out and to that the same in
gum, as well as the palate or the portion outside of the basin
that fits against the roof of the mouth.
 ● Once the basin is clean and come over •Position the client in the right side and the
and pick up the toothpaste ,denture client right arm cross the body and then cross
brush and the paper towel the right foot over the left foot
● Open the cabinet and place it •Turn the patient towards the you and count of
● And ask the client in removing the towel 1,2,3
if it is okay •You cannot clean his mouth while the client is
● And put in the basket supine in case the fluids ran down into as long
● And throw temporary table cloth away as the client aspirated
● Take gloves off •Position the client on his side face it a little bit
● Ask the client if there anything else get •Place the towel under his chin
you can do •Put the gloves
● Ask the client if they want to lie down •Fill one cup with some cool water and put a
their bed couple of swabs in it and the other cup few
● Open the curtain and wash your hands swabs with a little bit of mouthwash and little
● Review the skills bit of water so diluted mouthwash
•Place the basin and under the patient chin to
ORAL CARE: UNCONCIOUS CLIENT catch the fluids that run out of his mouth
•When you get a swab with water squeeze the
PURPOSES: excess fluid of out of it and with out of the
✓ To maintain the intactness and health of the mouthwash and you are going to squeeze the
lips, tongue, and mucous membranes of the excess fluid off of one of those swabs.
mouth •Gently place the swab in his mouth and kind of
✓ To prevent oral infections prized mouth open gently and then with my
✓ To clean and moisten the membranes of the other swab ,scrub all the surfaces in his mouth
mouth and lips. •Scrub the client teeth inside of the client cheek
the roof of the mouth and tongue, getting his
SPECIAL CONSIDERATIONS: gums
• Cover the sturdy wooden applicator or •Throw the swab used it is disposable, get
tongue blade with gauze square PRN another one clean the mouth
• Change padded wooden applicators PRN •Inspect the client mouth for any bleeding
• Prepare a portion of the bedside table gums broken, missing teeth sores anything like
nearest the working side for the that.
equipment. •Note the report. Use the final swab must be a
STEPS: water swab to rinse
•Knock the door •bend to pout the client mouth to dry
•Do the Preliminaries •Apply some oral moisturizer
•Adjust the side rails •After the session done, Remove the towel and
•Always talk to them assume unconscious put in bag and go to soiled utility
person/client can hear you •Remove the gloves
•Raise the bed up that can reach the client •Position again the client in where he/she
•Prepare the equipment comfortable make sure the his/her good
•Prepare Two cups and kidney basin or an alignment
emesis basin, some mouthwash, some oral •Put it back supine but leave the client on his
moisturizers or chopsticks of some sorts ,Some side in lateral position
gloves •if you see the client in good alignment and
•Reposition the client position on the side comfortable ask the client if its comfortable on
his position
• Clean the equipment/supplies used and throw
away what’s disposable
•Clean up the are go ahead and bed lower the
rails ,still going to leave this call and reach even
though the client is unconscious just in case the
client will awake up and know to use it would
be available
•Say thank you and open the privacy curtain
and wash the hands before leaving the room
and record the document about his oral care
report anything abnormal finding