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strategies to enchance oral hygiene of the ventilated adult critically ill patient
Pages 3 (753 words)
Strategies to Enhance Oral Hygiene of the Ventilated Adult Critically Ill Patient Name: Institution: STRATEGIES TO ENHANCE ORAL HYGIENE OF THE VENTILATED ADULT CRITICALLY ILL PATIENT Introduction For patients who are critically ill, particularly those requiring endo-tracheal intubation, they carry the greatest risk of all hospitalized patients in the acquisition of nosocomial pneumonia.
Dental plaque build up has been increasingly associated with nosocomial respiratory infections. Therefore, the prevention of colonization of pathogens in the oropharyngeal cavity acts as an effective control measure for infection (Pruitt & Jacobs, 2011: p38). Oral care, for critically ill patients, is often an undervalued practice for intensive care health settings. However, a significant collection of evidence that associations the colonization by pathogens of the oropharyngeal cavity and dental plaque with VAP, or ventilator-associated pneumonia exists. In addition, provision of oral care for critically ill patients on a fixed basis is a vital part of giving comfort for patients in critical care (Judith et al, 2012: p125). The optimization of oral health care for patients who are intubated is made difficult because of the presence of orogastric tube and endo-tracheal tubes. Once dental plaque reaches its critical thickness, it serves as a reservoir for anaerobic and aerobic pathogens. If this plaque is not removed, it sets off a complex cascade of biological activity through which pathogens fix them to tooth and mucosal surfaces and what ensues is overgrowth of pathogens (Munro, 2010: p28). ...
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