ASSESSMEN
T NURSING
SUBJECTIVE:
“I’ve been experiencing
dryness of mouth for 1 week
and oral malodor and gum
swelling for about two
weeks.” Mark stated. “I
don’t know why this
happened to me .. I just
sometimes forgot to brush
my teeth for a couple of
days.. but then I realized
that I am forgetting my oral
hygiene.”
OBJECTIVE:
BP- 110/80 mmHg
CR- 84 bpm
RR- 20 cpm
Temp. 37.5 C
(+) ulcerations
(+) gum swelling
(+) oral malodour
PLANNING
DIAGNOSIS
Alteration in oral mucous
membrane related to
infection as evidence by dry
mouth, carious teeth and oral
malodor.
INTERVENTION EVALUATION
After prior to consultation • Assist or educate After doing the following
patient will be: the patient about interventions the patient will
good oral hygiene. be relieved from his condition
LIKE: and will have the knowledge
• educated about his
• Brushing the about the good oral hygiene.
underlying condition
tongue as well
• verbalize comfort
as the teeth.
and will gain
• Scrape the
knowledge about
tongue to
his present
remove the
condition
bacteria.
• Floss the teeth
..
• Increase fluid intake
to keep the mouth
from dryness
..
• Take lozenges to
relief dryness of the
mouth..