Oral care or Mouth care is a procedure performed to keep the mouth clean and refreshed. This is done usually every after meal. The purpose of this procedure is to prevent the occurrence of Garlic Breath and other forms of malodorous breath of a person. It aims to maintain the intactness and health of the lips, tongue, and mucous membranes of the mouth. It also helps to prevent any infections occurring to mouth and it helps the person to clean and moisten the membranes of the mouth and lips.
Proper implementation of oral care is performed to destroy the bacteria causing bad breath and to some situation that worsens the aroma of Garlic Breath.
- Explain the procedure to the person and the family
- To gain the person’s and family’s cooperation and confidence
- Wash hands and observe appropriate infection control procedures such as wearing of disposable gloves.
- To protect the person from infection
- Provide person’s privacy.
- To promote comfort.
Prepare the client for the implementation of oral care. This is advisable for elder people who are not able to perform this on their own. Especially to those elder people who just finished eating foods that creates Garlic Breath.
- Place the person in a side-lying position, with the head of bed lowered, turn it on one side.
- In this position, the saliva automatically runs out by gravity rather than being aspirated into the lungs.
- Place the towel under the person’s chin
- To prevent the person from getting wet
- Place the curved basin against the chin and lower cheek.
- To be used as a receptacle for the fluid from the mouth.
- Put on gloves
- To protect the person from infection.
In cleaning the teeth and mouth requires several steps to effectively remove the unwanted smell of Garlic Breath.
- If the person has natural teeth, brush the teeth. If the client has artificial teeth, clean them by removing it first from the person’s mouth.
- Rinse the client’s mouth by drawing about 10mL of water or free mouthwash into the syringe and injecting it gently into each side of the mouth.
- If the solution is injected by force, some of it may flow down the client’s throat and be aspirated into the lungs.
- Watch carefully to make sure that all the rinsing solution has run out the mouth into the basin. If not, suction the fluid from the mouth.
- To prevent the possibility of aspirating the fluid.
- Repeat rinsing until the mouth is free of dentifrice, if used.
- To ensure that the mouth is clean.
Ideally after the oral care, it is best for the patient to have an ensured comfort. Aside from preventing Garlic Breath, comfort is the next priority for the patient who undergoes this procedure.
- Remove the basin, and dry around the client’s mouth with the towel. Replace artificial dentures, if indicated.
- To promote comfort.
- Lubricate the client’s lips with petroleum jelly. If the person is on oxygen therapy, do not use petroleum jelly but instead use another product that does not have petroleum in it.
- To prevent cracking and subsequent infection. Applying petroleum jelly to client’s lips that are on oxygen therapy can cause burns to the skin and mouth.
For evaluation purposes, considering the person’s medical diagnosis and treatment and the necessary nursing interventions related to oral hygiene. There must be a proper conduction of an ongoing assessment, if appropriate, of the oral mucosa, gums, tongue and lips. Any deviations to the person’s mouth should be directly referred to the physician. Conducting an appropriate follow-up such as referral to a dentist must be made if the person has dental caries.
For documentation purposes, a thorough assessment of the teeth, tongue, gums, and oral mucosa should be done. Any problems such as mouth sores, inflammation and swelling of the gums, bad breath like Garlic Breath and other dental caries should be documented and referred to the dentist for a prescribe treatment.
This is the proper way of doing oral care to bedridden people who ingested foods which caused bad breath. It may require time and effort but the best fulfillment is to provide service and care for them. Comfort and safety must be ensured to prevent complications that can worsen the condition of the person.