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Mouth crud

Nurses   (8,998 Views 36 Comments)
by liveyourlife747 liveyourlife747 (Member) Member

liveyourlife747 specializes in Home Health/PD.

5,270 Profile Views; 227 Posts

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 dried on mouth crud because I know it cannot be comfortable at all. Anyone have any tips on removing dried secretions from a patients mouth without hurting them too much? Thanks in advance for helpful tips :)

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nicenurselpn has 7 years experience as a LPN and specializes in Pediatrics and geriatrics.

120 Posts; 4,744 Profile Views

I always use pink toothettes to soften up the gunk. I am a big believer in oral care!! Nothing chaps my behind more then seeing a patient with dried up secretions and crud in their mouth. Plus it makes them feel better too!

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liveyourlife747 specializes in Home Health/PD.

227 Posts; 5,270 Profile Views

Thanks. I try that too but sometimes it doesn't seem like its enough. Glad I'm not the only one who hates the crud!

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S.kill2018 has 4 years experience and specializes in ICU.

106 Posts; 3,629 Profile Views

I heart those pink mouth swabs! I have a couple LOL who are total care and their mouths get so nasty! The mouth swabs get the job done.

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113 Posts; 3,354 Profile Views

I don't like mouth crud either. I'm always wiping down a face or repeating oral care on residents. Our toothetes are a green color.

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nicenurselpn has 7 years experience as a LPN and specializes in Pediatrics and geriatrics.

120 Posts; 4,744 Profile Views

You could always soak the swabs in mouthwash. I am forever wiping faces and mouths myself!! With the disabled pediatric patients I take care of, most of them are mouth breathers. That means constant gunk and crud to clean out!! Our cna's are fabulous when it comes to oral care on these little folks!!

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liveyourlife747 specializes in Home Health/PD.

227 Posts; 5,270 Profile Views

I would think mouthwash would be more drying. Maybe I just need to be a little more aggressive with the swabbies. Thanks for y'all's help!

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Do-over is a ASN, RN and specializes in CICU.

1,085 Posts; 15,474 Profile Views

I use the pink swabs with water or mouthwash (ours is alcohol free, of course). We also have the set up that can be hooked to suction.

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RNperdiem has 14 years experience as a RN.

1 Follower; 4,205 Posts; 29,492 Profile Views

Swab a little water based lubricant to soften up the crud, and sponge out with mouth swabs dipped in warm water.

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Daisy_08 has 5 years experience as a BSN, RN.

597 Posts; 13,094 Profile Views

This is not the best when the pt is alert and totally aware, but sometimes after going through a dozen (blue) toothetts, I'll take a wash cloth and dig out what I can

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ktliz specializes in critical care.

379 Posts; 11,054 Profile Views

This is not the best when the pt is alert and totally aware, but sometimes after going through a dozen (blue) toothetts, I'll take a wash cloth and dig out what I can

Just thinking about this made me dry heave! ::shudder::

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canoehead has 30 years experience as a BSN, RN and specializes in ER.

2 Followers; 6,635 Posts; 49,098 Profile Views

Toothettes are great for moistening a mouth, but they are so soft, there's no friction to get gunk out. I've done the washcloth thing, but there has to be a better way.

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