Steps of oral cleaning for the elderly in bed Many people have bad breath, especially when they just get up in the morning. This is because they don't pay attention to oral hygiene, or because their life and diet are irregular. Let's share the steps of oral cleaning for the elderly in bed.
Steps of oral cleaning for the elderly in bed 1 Nurse preparation: wash hands, wear masks and pick jewelry.
Spare items: put the necessary items on the bedside of the elderly (18 cotton balls, therapeutic bowls, tongue depressors, curved boards, flashlights, mouthwashes, small towels, water cups, straws, etc. ).
Put what you need by the old man's bed.
Nursing preparation: nurses should first understand the situation of the elderly. With the cooperation of the old man, help the old man turn his head to one side, put a small towel under his chin and put the curved board next to the place where the old man quarreled.
The nurse helped the old man twist his head to one side, put a small towel under his chin and put the curved plate next to the place where the old man quarreled.
Observe the oral cavity: the nurse wipes the lips of the elderly, lets the elderly gargle (no coma), opens the oral cavity with a tongue depressor, and observes whether there are any symptoms such as bleeding and ulcer in the oral cavity. In case of false teeth, wrap them in gauze and take them out.
The nurse wiped the old man's lips.
Cleaning the mouth: swab mouthwash is scrubbed along the longitudinal direction between teeth, and the scrubbing order is left → right → outside → inside → occlusion; Upper teeth → lower teeth → buccal mucosa → (arc scrubbing); Hard palate → lingual surface → lingual frenulum. Finally, put the used cotton swab in the bending plate.
Clean the teeth in the order of "left → right → outside → inside → occlusion".
Clean teeth in the order of "upper teeth → lower teeth → buccal mucosa → (arc scrubbing), hard palate → lingual surface → lingual frenum".
Observe and then gargle: the nurse opened the old man's mouth with a tongue depressor for observation, let the old man gargle repeatedly, then the nurse dried the old man's face with a small towel and observed whether there was any residue in the old man's mouth.
Let the old man rinse his mouth repeatedly with mouthwash, and the nurse will dry the old man's face with a small towel.
Medication on demand: If symptoms such as ulcer and fungal infection are found in the oral cavity of the elderly, medication should be taken as needed. If there is ulcer, apply 1% gentian violet, tin powder or boron matte powder as needed; In case of fungal infection, apply 1% gentian and nystatin glycerin; In case of chapped lips, apply a proper amount of paraffin oil.
If you find that the elderly have oral ulcers and fungal infections, you should take medicine as needed.
Make the bed: Help the elderly make the bed and make them feel comfortable when they lie down.
Cleaning materials: classify used materials and put them back in their original places.
Key points: When cleaning dentures for the elderly, clean them under running water, and then soak them in cold boiled water. Never soak them in ethanol or hot water. When helping the elderly to clean their oral cavity, the action should not be too heavy, and the cotton swab should not directly contact the oral mucosa of the elderly.
Steps to clean the mouth of the elderly in bed Figure 2 Take a comfortable position, wrap a dry towel under the jaw to help gargle, and soak the cotton ball in normal saline for later use.
Take the cotton ball with tweezers, squeeze out the water in the cotton ball, keep it semi-dry, let the patient bite the upper and lower teeth and wipe it from the left molar to the front teeth, and scrub the right side in the same way.
Ask the patient to open his mouth, scrub the left upper medial surface, left upper occlusal surface, left lower medial surface, left lower medial surface and left lower occlusal surface at one time, then scrub the left cheek in an arc shape, and scrub the right side in the same way. Scrub the tongue and hard palate, rinse your mouth and scrub.
Open your mouth, hold a flashlight in one hand and a duck tongue plate in the other to open your cheeks and observe the oral situation.
Complete works of folk methods for treating halitosis
1, drink lemon juice, lemon has the effect of quenching thirst and dispelling summer heat. You can add some mint to a cup of boiling water and some fresh lemon juice to drink, which can not only get rid of bad breath, but also enjoy the sweet and sour taste brought by lemon.
2, kumquat, kumquat is very effective for bad breath with chest tightness and food stagnation. Take 5 to 6 fresh kumquat, wash and chew. The prescription also has the effects of aromatic resuscitation, promoting qi circulation and strengthening the spleen; Tea, gargling with strong tea or chewing tea can get rid of bad breath. Especially green tea, drinking green tea often can regulate the bad breath caused by the stomach.
How to prevent bad breath?
1. The first thing after getting up every morning and taking a nap is to brush your teeth and scrape your tongue. When you sleep, smelly bacteria will have a chance to occupy your mouth, and when you get up, it is likely to cause disgusting breath. Tongue scrapers can be bought in most health food stores, as well as pharmacies and convenience stores, because more and more people begin to use them.
After you brush your teeth and scrape your tongue, wash your mouth thoroughly and rinse your mouth with fresh cold water. This is an important step, but it has been ignored by many people. No one wants to smell your breath when your mouth is full of dirty used toothpaste foam.
Bad breath is the cause of long-term unclean mouth, and anyone who talks to you doesn't want to be smoked by the smell in your mouth. Therefore, for the sake of personal image, you must brush your teeth and rinse your mouth frequently. Avoid bad breath, or the other person may dislike you and push you away when kissing.
Steps of oral cleaning for the elderly in bed Figure 3 Step 1: Preparation for oral cleaning.
1. Operator's preparation: there are no long nails and jewelry on the hands. Wash your hands in seven steps and wear a mask.
2. Material preparation: 1 therapeutic board; Oral care kit: (with 1 curved disc, 1 therapeutic bowl, 1 dirt bowl, 1 tweezers, 1 curved vascular clamp, 16 dry cotton ball (cotton swab is not available at home),/kloc-0. 1 flashlight; Lipstick1; 1 cup (including warm water); 1 dry towel; Goods should be placed reasonably to avoid pollution.
3. Preparation for the elderly: lie flat on the bed and assess whether the general condition is still good.
Step 2: Preparation before oral cleaning
1, help the elderly to be comfortable, spread therapeutic towels and place curved boards; Communicate with the elderly for the next operation and obtain their consent and cooperation. Assist the elderly to take the lateral position or supine position to raise the bedside. Help the head of the elderly face the caregiver, spread the towel on the chest and right submandibular pillow of the elderly, and open the protective pocket; Take an arc plate and put it under the old man's right jaw.
2. Check the oral condition of the elderly; Hold the tongue depressor in the left hand and the flashlight in the right hand to check whether the oral mucosa of the elderly has bleeding and infection, no denture, no oral ulcer and no gingival bleeding, and can be operated.
3. Screw out the 16 cotton ball (or cotton swab) for later use. Count the 16 cotton ball in the treatment bowl, soak the cotton ball with warm water, and hold the tweezers in the left hand and the vascular clamp in the right hand. Tweezers clamp the cotton ball and pass it from top to bottom to vascular clamp 1/3. Squeeze them on the earthen bowl, don't drip.
Step 3: Start the operation.
1. Moisten your lips, scrub the side of the opposite tooth, and scrub longitudinally from the inside out to the front teeth.
2. Brush the side of the proximal teeth from the inside out to the front teeth.
3. Scrub the inside of the contralateral side longitudinally and the occlusal surface of the contralateral side spirally.
4. Scrub the contralateral lower inner side longitudinally, and scrub the contralateral lower occlusal surface with screws.
5. Scrub the proximal upper inner side and the proximal occlusal surface longitudinally.
6. Scrub the lower inner side of the proximal end longitudinally and the lower occlusal surface of the proximal end spirally.
7. Use the tongue depressor to open the contralateral cheek for arc scrubbing.
8. Use the tongue depressor to open the near cheek for arc scrubbing.
9. Scrub the hard palate in zigzag.
10, wipe the tongue horizontally, and "u" scrub under the tongue.
1 1, apply lip balm.
Matters needing attention
1, move gently to prevent touching mucous membrane, and the comatose elderly are forbidden to gargle.
2. When scrubbing, clamp the cotton ball with vascular forceps to prevent omission, and the elbow is facing the scrubbing surface.
3. Change 1 cotton balls on each side, and don't reuse them.
4, cotton balls should not be too wet to prevent excessive water from causing cough in the elderly.
5. The wiping time should not be too long, limited to 20-25 seconds.
6. The intensity should not be too high during operation. Wipe the upper jaw and tongue surface, not too deep, so as to avoid discomfort for the elderly.