Question

mouth care preventing pneumonia base on QSEN guideline

Answer 1

Quality and safety education for nurses(QSEN) guidelines for mouth care to prevent pneumonia:
Hospital Acquired Pneumonia occurs within 48 hours ones the patient gets admitted in the hospital. This is the major cause of pneumonia in the united states which make readmission within 30days. nurses are in the role to prevent this problem...Critically ill patients within 48 hours there will be bacterial colonization in the mouth with gram-negative organisms...Patients when they are in the hospital micro aspirants decrease the mobility and make changes in the oral cavity with microbes and reach the pulmonary tract.
Daily care for the patient whether they are in the ventilator or non-ventilator effective oral or hygiene is important to prevent associated infection and disease...
Pneumonia risk can be prevented in the way by
-Early mobilization
-Preventing aspiration risk
-Patient headend should be elevated
-make sure the lung expansion
-increase oral care importance with standardized practice and knowledge.
-If the patient using denture it should be removed at the time of admission.
-Advice the patient to rinse their mouth every after the meal.
- In case of stomatitis, every 2 hours nurses must provide oral care.
-Provide soft brush for the non-ventilator patient and clean gauze pieces for ventilator patients to perform oral care.
- advice the patient to use warm saline with sodium bicarbonate for mouth wash.
- Avoid high alcohol content, lemon glycerin swabs and other commercial mouthwashes for mouth care to prevent ulcer
- Always provide soft, well ground and nonacidic food for patients.
-In case of oral pain and stomatitis apply topical analgesics as prescribed by the physician and monitor the reaction carefully.