Date post: | 26-May-2015 |
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GASTROINTESTINAL
CARE OF CLIENT WITH GINGIVITS
GINGIVITISWhat is gingivitis? Gingivitis is mild gum disease. It is an infection caused by germs
called bacteria, that hurts your gums. Occurs when buildup of plaque (sticky
film) on teeth and gums. Plaque contains bacteria that can irritate your gums, and cause an infection
What may increase risk of gingivitis?
Not brushing or flossing your teeth every day, or cleaning your teeth well enough to remove plaque
Not visiting your dentist regularly for
exams and cleanings
Pregnancy, diabetes, HIV infection, and diseases that decrease your immune system Your body's immune system fights off infection
Cont’
Smoking or chewing tobacco, poor diet, and stress
Taking certain types of medicines such as steroids, drugs that treat depression, and birth control pills
Cont’
Having dental problems that make it hard to remove plaque. This may include bridges or dentures that do not fit right, and crooked teeth
Getting older, and having a family history of gum disease
Signs and symptoms
Red, swollen gums.
Gums may or may not be painful.
Gums may bleed when brush or floss your teeth.
Halitosis (bad breath) is worse if have gingivitis.
Diagnose of gingivitis
Dentist will check gums for swelling and redness.
Dentist will also use a dental probe (metal tool) to check for bleeding.
X-rays (pictures) may be taken of your mouth and teeth.
Treatment of gingivitis
Dentist may need to remove plaque and calculus (hard plaque) from teeth with special tools.
Dentist may also need to treat any dental problem that make it hard to clean teeth well
Clean teeth very well every day to remove plaque
A battery-powered toothbrush may remove
plaque better than a regular toothbrush.
Cont’ Floss teeth every day.
Use a special dental rinse. These special rinses may help to reduce plaque and decrease swelling of gums.
Stop smoking. Smoking increases risk of getting periodontitis, which can occur if gingivitis gets worse. Smoking also decreases how well treatments for gum disease work.
Prevention of gingivitis
Brush teeth two times a day after meals with fluoride toothpaste
Use dental floss to clean between teeth at least once a day
Ask dentist if should use a dental rinse, and what kind may work best
See dentist regularly for dental cleanings and oral exams. Ask dentist how often should see him for dental cleanings and exams
Complication Recurrence of gingivitis
Tooth loss
Periodontitis
Infection or abscess of the gingiva or the jaw
Bones
Trench mouth (bacterial infection and ulceration of the gums
NURSING CARE PLAN 1
Nursing Care Plans Diagnosis : Impaired Oral mucous membrane Client Outcomes:
a)Maintains intact, moist oral mucous membranes that are free of ulceration and debris
b) Describes or demonstrates measures to regain or maintain intact oral mucous membranes
Nursing Interventions Encourage fluid intake up to 3000 ml per
day if not contraindicated by client's medical condition
Fluids help increase moisture in the mouth, which protects the mucous membranes from damage and helps the healing process.
Keep lips well lubricated using petroleum jelly or a similar product .
NURSING CARE PLAN 2
Nursing diagnosis: Risk of imbalanced nutrition related
disease process Expected outcome: Maintain the nutrition status
Nursing Interventions Assess caregiver’s and client’s knowledge of nutritional
needs.
Offer or provide assistance in menu selection.
Provide privacy when eating habits become an insoluble problem.
Offer small meals and/or snacks of one or two foods
around the clock, as indicated
Anticipate needs, cut foods, and provide soft or finger foods.
Refer to dietitian or nutritionist, as indicated.
NURSING CARE PLAN 3
Nursing diagnosis : fear and anxiety related to decrease in
functional abilities Expected outcomes : Fear Level Decreases
Demonstrate more appropriate range of feelings and lessened fear
Nursing Interventions
Note change of behavior, suspiciousness, irritability, and defensiveness.
Identify strengths the individual had previously.
Deal with aggressive behavior by imposing calm, firm limits.
Provide clear, honest information about actions and events.
Discuss feelings of SO and caregivers. Acknowledge normalcy of feelings and concerns and provide information as needed.
CONCLUSION The conclusion is very important to
maintain the healthy teeth and beautiful smile
Prevent plaque from appearing at the gums and teeth that will cause gingivitis or periodontitis
Brushing and flushing are very important to prevent any formation of the hard plaque ,infection and inflammation for a good and healthy mouth