What is so darned difficult about oral care?

Apr 01, 2005 09:22 PM

by lovingtheunloved

A local dentist and some of his staff did an inservice today about oral care. Very informative. It wasn't mandatory, and we didn't get paid. Who showed up? All the CNAs who already DO oral care and are interested in learning. Not the ones who swear they do it only their residents have chunks of chewed up chicken in their mouths. Or the ones who say the resident "refused" oral care, except his toothbrush is still sealed in the package with the charge stickie on it. Why do some CNAs find it SUCH a bother to do oral care? It seems some aides think as long as the butt is dry, they've done a good job. I guess this is just one of my soap box issues.

*Marie_LPN, RN* · Apr 02, 2005, 08:29 AM

I hated oral care, but i did it.

One thing that made it difficult was my first day back after 2 days off. And during those 2 days of, none of the residents i was assigned to had any mouthcare, so it wound up taking three times longer to do when i did it to dig the stuff out.

Maxs · Apr 02, 2005, 09:42 AM

When facilities are fully staffed, then CNA's will have time to do oral care.

Maxs

TriageRN_34 · Apr 02, 2005, 09:46 AM

My caregivers really know the value of oral care, and will report when they see oral care not being done by other shifts! It doesn't help if you do oral care and no one else does! That happens too darned often! It is just gross and can be dangerous!

lovingtheunloved · Apr 02, 2005, 07:22 PM

Originally Posted by Maxs

When facilities are fully staffed, then CNA's will have time to do oral care.

Maxs

I may get flamed for this, but that's a cop out. We're always short lately, but we manage to get it done. It has to be a priority. Bad oral hygeine is linked to cardiovascular problems, lung infections, and just think, that wad of food that someone didn't have the time to clean out may wind up lodged in the resident's windpipe.

*Marie_LPN, RN* · Apr 03, 2005, 01:51 PM

Originally Posted by lovingtheunloved

I may get flamed for this, but that's a cop out. We're always short lately, but we manage to get it done. It has to be a priority. Bad oral hygeine is linked to cardiovascular problems, lung infections, and just think, that wad of food that someone didn't have the time to clean out may wind up lodged in the resident's windpipe.

EXACTLY!

unknown99 · Apr 03, 2005, 06:12 PM

Originally Posted by Maxs

When facilities are fully staffed, then CNA's will have time to do oral care.

Maxs

This is true, but the patients should not have to be neglected because of it.
Recently, I got a patient on the surgical floor who had fallen at the local nursing home and broke her hip. When I went to take her teeth out, I had to pry them out. Once out, the dentures was covered in green mold towards the back, the roof of the patient's mouth had black eschar from the pressure, as did the bottom gums. The odor was so bad that I had to go and vomit! I can tolerate alot, but that was awful!!!
We did blood cultures on thei lady, due to the mold, and guess what??? They were positive for MRSA, VRE, and another one I cannot remember. This lady was in bad shape because of it. Her surgery had to be put off for 72 hours.
That was outright neglect AND abuse!!!! Short-staffed is NO EXCUSE!!!

**VivaLasViejas** · Apr 03, 2005, 06:39 PM

I'd be willing to bet it's not just laziness or neglect........some people really don't do well with oral care because it's so GROSS.

I've always turned green when handling dentures and cleaning out peoples' mouths---doesn't mean it's ever OK to neglect this chore, but I know I have to think about something else while I'm in the process or I WILL get sick. Bleaaaaaahhhhhhhh.

Shastalee99 · Apr 03, 2005, 06:51 PM

shortage

Originally Posted by Maxs

When facilities are fully staffed, then CNA's will have time to do oral care.

Maxs

I agree. I do oral care as much as possible, even when my fellow nurses are tugging at me left and right to get a pt ice for their coffee, or a blanket for another. I know everyone is busy, but when I have 15 pts who need somthing every second, it would be nice if a nurse could get the blanket themself instead of passing the buck to me. I'm an RN student and learned how to make a bed and do ROJM, but many of my pts have contractures so bad I can barely T&P them. I believe in team playing, and frequently ask the nurses "Can I get you anything?" "Is there something I can do to help?"

lovingtheunloved · Apr 03, 2005, 10:57 PM

I'm fortunate to work with nurses who trust me enough to let me do my job and not follow me around irritating me.

And if oral care is too "gross" to do, don't become a CNA. If a person can't handle what the job requires, do something else.

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What is so darned difficult about oral care?

What is so darned difficult about oral care?

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