Mouth crud - page 3

by liveyourlife747

5,476 Views | 35 Comments

Ok this is a random thread but the more I work in the hospital, the more I notice that patients don't get proper mouth care, especially the total care patients. I'm having a hard time figuring out the best way to remove this... Read More


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    OP, if I were you, I'd pull together the info you've got here, do some research of your own and make an inservice for your ward. The inservice doesn't have to be anything fancy. In my workplace, our inservices often come in the forms of fliers with easy to understand, quick pointers on how to improve an aspect of patient care or nursing practice. Nurses and CNAs alike can benefit from re-learning or being reminded about how to do proper oral care.

    It is commendable that you are concerned about this enough to want to improve your practice, but I'd challenge you to take it a step further--see if you can't spread that good practice beyond your care and influence the care of your coworkers. That's how you'll see real improvements for your patients and your ward.
    amoLucia likes this.
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    We use an oral debreeding agent witht he mouth swabs it works great. It comes in a pack with the swabs and mouthwash minus the alcohol. Soak the swab and rub it over the lips let it sit a minute same with the inside just keep going over the inside of he cheeks.

    "No day but today"
    Sugarcoma likes this.
  3. 1
    I find that a green or pink mouth swab soaked in coke a cola will loosen bad crud.
    Sugarcoma likes this.
  4. 1
    Quote from Sugarcoma

    I once removed a completely intact film from a patient's mouth that looked like a mold of the roof of his mouth. Took me almost all shift. It was oddly satisfying. Sometimes I wonder about myself lol.
    This is how I would feel if I could've gotten the crud out! We would probably get along.

    And to everyone else, thanks for the tips!!
    Sugarcoma likes this.
  5. 3
    Mouth crud as described here is sad. I can see an occasional ommitted shift here & there because yes, things do get hectic. But to have developed so badly shift after shift after shift is hard to explain. To NOT try to clean it when so obvious....

    I also equate unshaven mens' faces on the same level of care. When they've days & days of growth to the point that they look wildmen, that's sad too. But that's another thread.
    RNperdiem, sharpeimom, and Sugarcoma like this.
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    4X4's or a washcloth soaked in warm water and oral lubricant, then wrapped aroung a tongue depressor. Gently wipe the entire oral cavity with a yankauer close at hand. Do this a few times per shift and most gunk should come right out. I've also been known to use a hemostat to pluck the loosened pieces out of the mouth...they clog the yankauer otherwise.
    Sugarcoma and SNB1014 like this.
  7. 0
    Quote from YouwishiwasyourCNA
    We use an oral debreeding agent witht he mouth swabs it works great. It comes in a pack with the swabs and mouthwash minus the alcohol. Soak the swab and rub it over the lips let it sit a minute same with the inside just keep going over the inside of he cheeks.

    "No day but today"
    I want this too!!! This sounds fabulous.
  8. 2
    Quote from amoLucia
    Mouth crud as described here is sad. I can see an occasional ommitted shift here & there because yes, things do get hectic. But to have developed so badly shift after shift after shift is hard to explain. To NOT try to clean it when so obvious....

    I also equate unshaven mens' faces on the same level of care. When they've days & days of growth to the point that they look wildmen, that's sad too. But that's another thread.
    I agree with you. Unfortunately it happens pretty frequently on my unit. People get busy and it gets overlooked. Our day shift RNs have to ambulate any one not on a vent, round with docs, meet with PT/case management etc. I work nights so I have more time and can make sure my patient's get bathed/shaved/mouth care/dressing changes/ etc.

    Shaving is another pet peeve of mine. We are technically not allowed to shave due to infection/injury risk, but a few of us have a stash of disposable razors. I also shave my female patients. I know since I have reached a certain age I have sprouted some pretty impressive chin hairs. I would hope my nurse/aide would shave them for me if I could not!!! I don't want grandma sporting a beard when family comes to visit.
    RNperdiem and amoLucia like this.
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    Esme12 and 1dreamer, great suggestions! I will definitely try both of these!
  10. 1
    Sugarcoma - who shaves the guys when they can't do it themselves????? You must have a bunch wild fuzzy men on your unit.

    I also occasionally do the LOL's chinny chin chin. That's a woman's dignity issue!
    Sugarcoma likes this.


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