Soins de bouche non stérile

Soins de bouche non stérile
 Objectifs
  • Assurer l’hygiène de la cavité buccale
  • Maintenir la physiologie buccale
  • Aider au confort du patient à son bien être

Indication

  • Patients à risques d’infections (comateux, personne âgées, intubes, trachéostomiesés, porteurs de sonde gastrique)
  • Postopératoire
  • Contre indication
  • Chirurgie maxillo faciale (soins stérile)

Attention ! L’utilisation de produit médicamenteux est de la compétence infirmière

Matériels
  • Sur le chariot
  • 1 plateau
  • Compresses
  • Plusieurs abaisse-langue ou coton tige ou sets pour soins de bouche
  • 1 verre à dent
  • 2 haricot
  • 1 serviette de toilette
  • Glycérine ou produit gras pour les lèvres
  • Des gans à usage unique
  • Savon liquide et essuie-main à usage unique
Action
  • Effectuer le soin loin des heures de repas
  • Convenir d’un horaire avec le patient
  • Allumer la présence
  • Se laver les mains
  • Installer le patient assise ou ne décubitus latéral
  • Confection les bâtonnée environ 18 à 20
  • Si le patient porte un prothèse dentaire, l’enlever avant le soins la nettoyer) et la remettre après les soins
  • Placer la protection
  • Mettre les gants .ne jamais utiliser les doigts pour faire le soin
  • Nettoyer de la façon suivante :
  • Bâtonnet pour un passage
  • Commencer toujours au fond de la bouche vers l’avant
  • Écarter la joue avec un autre abaisse langue sans compresse.
  1. Face extérieur des gencives (haut droit, bas droit haut, gauche bas gauche)
  2. Face intérieur des joues (joue droite, joue gauche)
  3. palais (côte droit, côte gauche)
  4. Face interne des gencives (haut droit, bas droit haut, gauche bas gauche)
  5. sous la langue (côte droit, côte gauche)
  6. sur la langue (côte droit, côte gauche)
 

Faire rincer la bouche du patient ( si conscient) en lui plaçant un haricot sous la bouche pour lui permettre de recracher.

Nettoyer les lèvres avec une compresse imprégnée d’antiseptique

Lubrifier les lèvres avec une le produit gras

Si la langue est sèche la lubrifier  le produit gras

Débarrasser le patient du haricot et de la protection

Réinstaller le patient  remettre à proximité sonnette, carafe, verre ect..

Oter les gants, et les mettre dans le haricot

Se laver les mains

Éteindre la présence

   Désinfecter le matériel et nettoyer /désinfecter le chariot Transmissions.Transmissions orales À l’infirmier (ère) et ecrites sur le dossier de soins.

Soins

Attitudes du patient

Etat buccal (langue « cartonnée » état des dents état de gencives, état des lévre

Important

Ne pas faire saigner, aller doucement.

Ne pas introduire les bâtonnets profondément ( nausées)

Ne pas repasser une compressé sale ou même endroit

Utiliser autant de bâtonnet que le soin nécessite.

  

17 votes. Moyenne 2.76 sur 5.

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