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ASSESSMENT ANALYSIS PLANNING INTERVENTION RATIONALE EVALUATION

Independent

^ Assess dental health andoral hygiene periodically.

^ Discuss with clientareas needing

improvement anddemonstrate methods for

good oral care.^ Initiate/recommendoral

hygiene program toinclude:

= Avoidance ofcommercial

mouthwashes,lemon/glycerine swabs

= Use of mouthwashmade from warm water

with salt and baking soda.A dilute solution of

hydrogen peroxide maybe used for bleeding or

infected tissue

^ To identifyprophylactictreatment needs

before initiation ofchemotherapy or

radiation andprovides baseline

data of current oral

hygiene for futurecomparison.

^ Productscontaining alcohol

and phenol mayexacerbate mucous

membranedryness/irritation.

May be soothingto the membranes.

Rinsing beforemeals may improve

the clients sense oftaste. Rinsing after

meals and atbedtime dilutes oral

acids and relievesxerostomia.

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^ Encourage fluid intake

as individually tolerated.

^ Discuss limitation ofsmoking and alcohol

intake.

^ Monitor for and explain

to client signs ofsuperinfection.

Interdependent

^ Refer to dentist beforeinitiating chemotherapy

or head/neck radiation.

^ Culture suspicious oral

lesions.

^ Administer medications

^ Adequate

hydration helps

keep mucousmembrane moist ,preventing drying

and cracking.

^ May occur furtherirritation and

dryness of mucous

membranes.

^ Early recognition

providesopportunity for

prompt treatment.

^ Prophylacticexamination and

repair work beforetherapy reduce risk

of infection.

^ Identifies

organism(s)responsible for oralinfections and

suggestsappropriate drug

therapy.

^ May be needed to

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as indicated. anesthetize,

treat/prevent

secondary oralinfections, mayprevent nausea

associated with oralstimulation, and

may be requires foracute episodes of

moderate to severe

oral pain.