Question

1. Discuss nursing considerations (assessment and strategies) for providing oral care to a dependent client. Outline the important factors related to the care of dentures.
   1. Define effleurage and kneading in the backrub technique.
   2. How long should an effective backrub take?
   3. When should a backrub be offered?
   4. What are some of the benefits of gentle massage?
   5. Discuss general measures that are incorporated into the hygienic care of the eyes and ears and the maintenance of sensory aids. (e.g. glasses, contact lenses, artificial eyes, and hearing aids.
   6. What would you do if a client becomes weak and unsteady while you are washing his hair at the sink?
   7. What assessments are important to obtain prior to planning to provide nail care?
   8. Discuss nursing considerations (dental health promotion) for providing oral care to toddlers, preschool children, school age children and adolescents, palliative care patient, unconscious patient.

Answer 1

Ans) Nursing Consideration for oral care for dependent client:

- Inspect the patient's mouth:
- Remove loose material (debris):
- Brush the teeth with a Suction Toothbrush (or soft toothbrush) with toothpaste.
- Rinse the mouth with Suction Swab or clean-moist toothette & Yankauer suction.
- Mouthwash: dip toothette into a standard oral rinse.

Care of dentures:

- Cleaned and immersed in water to avoid warping.

- Change solution and clean container daily

- Use new solution to prevent contamination and growth of MO

- Use only warm water which promotes the action of the cleanser for mixing and rinsing the solution.

- Hot water is never used because it can distort plastic resin.

• Effleurage, a French word meaning "to skim" or "to touch lightly on", is a series of massage strokes used in Swedish massage to warm up the muscle before deep tissue work using petrissage. This is a soothing, stroking movement used at the beginning and the end of the facial and/or body massage.

Kneading is a massage technique in the category of petrissage movements. In general, petrissage movements involve compressing soft tissues (such as skin and muscle tissue) against each other and/or against the underlying bone or bones.

• To give an effective backrub, the specialist will massage the back for 3 to 5 minutes.