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NCP Mucous

The document provides an assessment, planning, intervention, and evaluation for maintaining oral health during chemotherapy or radiation treatment. It recommends assessing dental health before treatment, discussing areas for improvement and demonstrating good oral hygiene techniques. An oral hygiene program is initiated using saltwater rinses and avoiding commercial mouthwashes. Signs of infection are monitored and smoking/alcohol limited to prevent dryness and irritation of the mucous membranes. The client is referred to a dentist before starting treatment to address any issues.

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0% found this document useful (0 votes)
40 views3 pages

NCP Mucous

The document provides an assessment, planning, intervention, and evaluation for maintaining oral health during chemotherapy or radiation treatment. It recommends assessing dental health before treatment, discussing areas for improvement and demonstrating good oral hygiene techniques. An oral hygiene program is initiated using saltwater rinses and avoiding commercial mouthwashes. Signs of infection are monitored and smoking/alcohol limited to prevent dryness and irritation of the mucous membranes. The client is referred to a dentist before starting treatment to address any issues.

Uploaded by

alidude
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASSESSMENT

ANALYSIS

PLANNING

INTERVENTION RATIONALE Independent ^ Assess dental health and ^ To identify oral hygiene periodically. prophylactic treatment needs before initiation of chemotherapy or radiation and provides baseline data of current oral hygiene for future comparison. ^ Discuss with client areas needing improvement and demonstrate methods for good oral care. ^ Initiate/recommendoral hygiene program to include: = Avoidance of commercial mouthwashes, lemon/glycerine swabs = Use of mouthwash made from warm water with salt and baking soda. A dilute solution of hydrogen peroxide may be used for bleeding or infected tissue ^ Products containing alcohol and phenol may exacerbate mucous membrane dryness/irritation. May be soothing to the membranes. Rinsing before meals may improve the clients sense of taste. Rinsing after meals and at bedtime dilutes oral acids and relieves xerostomia.

EVALUATION

^ Encourage fluid intake as individually tolerated.

^ Adequate hydration helps keep mucous membrane moist , preventing drying and cracking. ^ May occur further irritation and dryness of mucous membranes. ^ Early recognition provides opportunity for prompt treatment.

^ Discuss limitation of smoking and alcohol intake.

^ Monitor for and explain to client signs of superinfection.

Interdependent ^ Refer to dentist before initiating chemotherapy or head/neck radiation.

^ Prophylactic examination and repair work before therapy reduce risk of infection. ^ Identifies organism(s) responsible for oral infections and suggests appropriate drug therapy. ^ May be needed to

^ Culture suspicious oral lesions.

^ Administer medications

as indicated.

anesthetize, treat/prevent secondary oral infections, may prevent nausea associated with oral stimulation, and may be requires for acute episodes of moderate to severe oral pain.

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