The oral cleaning of the elderly in bed, about oral hygiene, is what we will focus on now, regardless of men, women and children, and it is also what we need to pay attention to in our daily life. There are many methods of oral hygiene management. The following is the understanding of oral cleaning for the elderly in bed.
Oral cleaning for the elderly in bed 1 For the elderly in bed who are conscious, clear-headed and have no dentures, they can face the nursing staff on the basis of the patient's lateral lying. With the consent of the doctor, the bedside bracket will be shaken to make the patient get an inclined lying position, and a towel will be placed under the jaw, and then a toothpaste toothbrush will be prepared, so that the patient can suck water through a straw, rinse his mouth and squeeze toothpaste to finish brushing his teeth. If there are patients with dentures, they should take them off and rinse them with cold water instead of hot water to avoid cracking or deformation. Let the elderly wear them after gargling.
Help elderly patients with conscious mobility difficulties brush their teeth. First put a dry towel under his jaw, then take out the cotton ball soaked in physiological salt with tweezers, squeeze out the water and keep it semi-dry. Finally, let the patient bite the upper and lower teeth and clean the left side from the right toothbrush to the front teeth in the same way.
In oral care, the action should not be too rough, but should be handled gently to avoid damaging the oral mucosa. When wiping with a cotton ball, keep it semi-dry to avoid entering the respiratory tract. In addition, oral care should be carried out at least once in the morning and evening, and before and after meals if necessary. In addition, comatose patients are forbidden to gargle.
The elderly in bed can't take care of themselves because of their physical inconvenience, which is a painful thing for the elderly and their families. Maintaining oral health can increase the appetite of the elderly, make them feel the beauty of the world, and also help to promote the recovery of their physical condition. Therefore, friends who have elderly people in bed at home should give more oral care to the elderly.
The oral cavity of 2 beds old people is clean. Oral cleaning procedure for the elderly in bed
Nurse preparation: wash your hands, wear a mask and pick up 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.
Oral cleaning for the elderly in bed 3 How to do oral care for the elderly in bed?
Old people should not only keep healthy, but also maintain oral hygiene during bed rest.
The temperature, humidity and food residue of human mouth are suitable for microbial growth and reproduction. Healthy people seldom get sick, because the body has certain resistance, coupled with the bactericidal effect of lysozyme in saliva, and mechanical actions such as brushing teeth, gargling, drinking water and eating can remove bacteria to a certain extent.
However, the body resistance of the elderly is weakened, saliva secretion is reduced, and the bactericidal effect of lysozyme is reduced, which creates favorable conditions for the reproduction of bacteria in the oral cavity. At this time, the number of bacteria increased, and the functions of sugar dissolution, fermentation and acid production were enhanced. If you don't pay attention to oral hygiene, it will not only lead to bad breath and stomatitis, but also affect appetite and digestive function, and even lead to complications such as mumps due to oral infection, so oral care is very important.
The specific practice of oral care is: prepare a pair of tweezers, a cotton ball, a tongue depressor (or replace it with bamboo chopsticks), and gargle (normal saline, 1:5000 nitrofurazone or 3% boric acid solution).
Let the elderly lie on their side, facing the caregiver, gently spread their cheeks with a tongue depressor, take a cotton ball soaked in mouthwash with tweezers, and wipe the occlusal surface, tongue, oral mucosa and hard palate on both sides of the teeth from inside to outside along the longitudinal direction of the teeth. After washing, help the old man rinse his mouth and dry his face. If there is an ulcer in the oral mucosa, you can sprinkle tin powder or indigo powder. If there are false teeth, help the elderly to take them off, rinse them with cold water, and let them wear them after gargling.
Oral care of the elderly in bed
Steps/methods:
1. Let's see if the elderly have dentures first. It would be easy if all the teeth could be pulled out. Take it off and brush it with toothpaste, then keep it in cold water. Hot water is not allowed, because the denture material is different, and hot water may affect the quality of teeth! When you use it, it's at the belt entrance!
If patients can brush their teeth in bed, you can help them brush their teeth and gargle in bed. If they can't brush their teeth, you can tilt their heads and help them brush their teeth! Rinse mouth before and after meals. If you have an oral ulcer, you can apply some drugs to relieve the situation!
3. What should we do if the comatose patient can't live by himself and others brush their teeth? We can brush our teeth with a cotton ball, dip it in warm water or normal saline, lean the old man's head to one side, and clamp the cotton ball with a clip to talk about the scrubbing inside the teeth! Pay attention to whether the number of cotton balls before and after is consistent, so as not to miss them in your mouth!
Precautions:
Bedridden patients and those with dentures should choose to have dentures. When cleaning the mouth, the action should be gently rubbed to prevent damage to the oral mucosa. Don't miss the cotton ball in your mouth, it may cause suffocation. When there is an ulcer in the mouth, you can apply some medicine! Rinse your mouth at least once in the morning and evening, rinse your mouth before and after meals, and tell the elderly to drink more water and eat lightly! Only by maintaining oral hygiene can patients eat delicious incense and recover faster!