Post on 30-Dec-2015
description
Religion
Environment
Developmentallevel
Health and energy
Personal preferences
Culture
Individual hygiene practice
Types of Hygienic Care
Morning Care (AM Care) Hour of Sleep Care (HS Care) As-Needed Care (prn Care)
Nursing History Oral hygiene practices —determine
learning needs and incorporate the client’s needs and preferences
Self-care ability —determine the amount and type of nursing assistance to provide
Past or current mouth problems —alert the nurse to specific interventions required or referrals
Physical Assessment
Dental caries (龋齿) Periodontal disease( 牙周组织疾病) Gingivitis (牙龈炎) Mucosa ,lip, tongue, odor
Risk Factors Lack of knowledge Inability People with hasogastric tubes or receiving oxygen Oral or jaw surgery Inadequate nutrition Excessive intake of refined sugars Family history Older people Dry mouth
Planning
To maintain or improve oral hygiene practices
To maintain or restore the integrity of the oral tissues
To prevent associated risks such as dental caries and inflammation or injury of the gums , tongue, or oral mucosa
Goals
Nursing Interventions
Teaching client about good oral hygiene practices and other measures to prevent tooth decay
Assisting dependent clients with oral care
Providing special oral hygiene for clients who are debilitated, unconscious,or have lesions of the mucosa membrane or other oral tissue
Implementing
(一) Teaching oral hygiene
1.Brushing the teeth
2.Flossing the teeth
3.Health education
(二) Caring for artificial dentures
(三) Special oral care
Assessing
Nursing history
1.Hair Care Practices
2.Self-Care Abilities
3.Past or Current Hair ProblemsPhysical assessment
Dandruff, hair loss, pediculosis
Planning
Maintain or improve hair care Maintain or improve a sense of
well-being Prevent specific hair and scalp
problems
Goals
Nursing Intervention
Performs hair grooming with assistance
Has clean ,well-groomed ,resilient hair with a healthy sheen
Has reduced or absent scalp lessions or infestations
Describes contributing factors, interventions ,and preventive measures for specific hair problems