Transcript Care of Oral Cavity in Dermatology

Prepared by :
SIG, Dermatology Nursing
IADVL
CONT……
 Good oral hygiene has health and social benefits, and
will help patients recover from illness
Importance
 Some dermatology diseases may only involve the oral
cavity
 Some disorders may involve the oral cavity along with
skin
 Some systemic disorders may involve the oral mucosa
as well
CONT….
 Oral nursing care is mostly important in disorders like
 Pemphigus
 Steven Johnson Sydrome
 Toxic epidermal necrolysis
 Severe oral candidiasis
 Sever herpetic gingivostomatitis
 Extensive aphthous ulcers
Aphthous ulcer
Pemphig vulgaris
Steven Johnson syndrome
Toxic epidermal necrolysis
http://www.eijd.org/viewimage.asp?img=IndianJDermatol_2013_58_5_406_117319_f2.jpg
Role of nurses
 In patients who are able to carry out oral care
themselves - should facilitate or prompt patients to
carry out themselves at appropriate times (morning,
night, after meals or after vomitting, more frequent if
required)
 In bed ridden patients or who are not able to do
themselves nurses should undertake oral care
Oral assessment
 Gain consent
 Wash hands
 Wear gloves and apron
 Maintain privacy.
 Assesst the oral cavity for the oral hygiene, dental
hygiene, ulcers, growths, etc
 Use of torch, tongue depressor
 Recording of the problem
Oral care
 Gain consent
 Assemble equipment – toothbrush, toothpaste,
clothing protection, glass of water for rinsing mouth,
receiver, tissues, medications
 Position of patient: upright ( if patient needs to lie flat
special care to avoid choking – turn patient’s head to
the side and suction equipment if available)
 If patient can tolerate – brush the inner, outer and
biting surfaces of the teeth with wet toothbrush with a
small amount of toothpaste. Use a gentle rotational
movement
Oral care – cont.
 If patient can’t tolerate the use of toothbrush (e.g
extensive involvement with tenderness SJS/TEN)mouthwash can be used instead
 Allow the patient to take mouthfuls of water, rinse the
mouth and spit into the receiver. Use tissues to dry
around the mouth
 Apply the medicine prescribed by the physician gently
with a ear bud over the lesions
Oral care – .cont.
 Apply moisturizer to the patients lips
 Document the care you have given
How often should oral care be
carried out???
 As often as necessary
 Brushing the teeth at least twice daily
 Application of topical anaesthetic gel (containing
Benzocaine) 15-20 minutes before each feed
 Rinsing the mouth with antibacterial rinse after each
feeding ( if patient has tenderness anaesthetic rinse
may be added)
 Applying antifungal/antibacterial creams/gels/lotions
after rinsing