Oral Cavity Assessment - Sage Products Inc.

STEP 2: ORAL CLEANSING RECOMMENDATIONSsee individual product package(s) for complete informationScore of 5NO OBSERVED DYSFUNCTION,but at possible risk for alteration in integrity, function,or comfort of oral cavity.1. Perform oral assessment on admission andonce daily.2. Remove and brush dentures 2 times daily(same time as oral care).3. Perform oral care 4 times daily (after meals,at bedtime).4. Use Ultra-Soft Toothbrush and SodiumBicarbonate Mouthpaste to clean teeth, gumsand entire oral mucosa.For patients requiring suction, use SuctionSwabs or Suction Brushes.5. Rinse with Perox-A-Mint ® Solution, AntisepticOral Rinse or water.6. Apply Mouth Moisturizer to lips and oralmucosa to lubricate and moisturizeScore of 6 to 10MILD DYSFUNCTIONof integrity, function, or comfort of oral cavity.1. Perform oral assessment on admission and 2 timesdaily (AM and PM).2. Remove and brush dentures 2 times daily (sametime as oral care); leave out if irritating.3. Perform oral care 6 to 12 times daily.4. Use Ultra-Soft Toothbrush and Sodium BicarbonateMouthpaste to clean teeth, gums and entire oralmucosa. If painful or risk of bleeding, useToothette ® Plus Swabs.For patients requiring suction, use Suction Swabs orSuction Brushes.5. Rinse with Perox-A-Mint ® Solution, Antiseptic OralRinse or water.6. Apply Mouth Moisturizer to lips and oral mucosa tolubricate and moisturize (frequently; after oral careand 4 times daily minimum).Score of 11 to 20MODERATE TO SEVERE DYSFUNCTIONof integrity, function, or comfort of oral cavity.1. Perform oral assessment on admission and3 times daily.2. Remove dentures (and leave out).3. Perform oral care 12 times daily.4. Use Toothette ® Plus Swabs and SodiumBicarbonate Mouthpaste, Perox-A-Mint ® Solutionor Antiseptic Oral Rinse to clean teeth, gums andentire oral mucosa.For patients requiring suction, use Suction Swabsor Suction Brushes.5. Rinse with Perox-A-Mint ® Solution, AntisepticOral Rinse or water.6. Apply Mouth Moisturizer to lips and oral mucosato lubricate and moisturize (every 1 to 2 hours;after oral care and as needed).Product Reorder #s Product Reorder #s Product Reorder #sAdapted with permission from Beck, S.L., Oral Exam Guide 1991. To order more cards, contact Sage Products at 800-323-222020015D © Sage Products Inc. 2009