StudentShare solutions
Triangle menu
  • Home
  • Subjects
  • Nursing
  • Strategies to enchance oral hygiene of the ventilated adult critically ill patient

Strategies to enchance oral hygiene of the ventilated adult critically ill patient - Research Proposal Example

Free

Extract of sample
Strategies to enchance oral hygiene of the ventilated adult critically ill patient

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). In addition, insufficient or neglected oral care acts as the foremost predisposing factor for stomatitis, mucositis, gingivitis, and other oral conditions that supply pathogens with extra entry points. Just a handful of research studies compare the frequency and mode of oral hygiene that is needed

Related Essays

Changeing Hand Hygiene at the Point of Care
The World Alliance for Patient Safety launched by The WHO in 2004 advocates a “clean care is safer care” program, in which health care leaders sign a pledge to take specific steps to reduce hospital associated infections in their facilities. Hand hygiene is the first focus in this worldwide initiative.
3 pages (750 words) Research Proposal
Nurse-to-Patient Ratio
Often, the lack of adequate attention to this matter has resulted in the organizations’ inability to extend proper medical care to the patients. On the other hand, there is a general feeling among nurses that increased levels of patient acuity entails delays in providing medical treatment.
8 pages (2000 words) Research Proposal
Young Adult Literature
They are in the transient stage between childhood and adulthood. This means that they still have the children's imagination and are at the same time seeking freedom from the shackles of the adults in their life. It has been noted that the content, character and language that is used by young adult authors makes it easier for the youth to identify with these writings.
24 pages (6000 words) Research Proposal
ADD in Adult Hispanic Women
METHOD: Several scholarly articles have been reviewed (list incorporated in the references). These articles have been of assistance for the evaluation of the impact cause by this epidemic. Article and journals referred are specifically related to gender, socioeconomic status, geographical location, use of prescribed and illegal substances, prevalence, and racial and ethnic differences when paired co- morbidly with a learning disability.RESULTS: As surveyed by the listed sources, less than five percent of the females and ten percent of the male population in U.S.
7 pages (1750 words) Research Proposal
Marketing and Branding Strategies
The merger would fill holes in each company's shoe portfolio. Reebok is strong in tennis, fitness and basketball, while Adidas has a grip on soccer and team sports (Petrecca, and Howard) Thus the merger will help both the companies to diversify their portfolios and to expand their market to other territories.
3 pages (750 words) Research Proposal
Teaching Strategies Integration
He said he had had a visit from a parent the day before and that this parent had asked him to talk more while he diagrammed, because he child needed words to learn. So he simply explained as he went and then asked
2 pages (500 words) Research Proposal
Motivation and Retention of Adult Online Sophomore Students
The proposal will also discuss the linguistic, socio-cultural, socio-economic/political issues which cause the students dropout. Besides, it will discuss how these adult online sophomore dropouts can be reduced, and the
4 pages (1000 words) Research Proposal
An investigation into effective hand hygiene compliance in the radiology department. Aims: To investigate the factors that affect hand hygiene compliance in the radiology department: Objectives are: To investigate factors that affect hand hygiene complian
The impact of nosocomial infection in the health care setting is alarming since the spread stronger strains of pathogens can evolve plus the fact that not only patients are at risk but as well as hospital workers that are exposed
1 pages (250 words) Research Proposal
Research proposal on practise of hand hygiene tecnique in a medical ward:Factors affecting compliance
Even as this remains clear, compliance to the guidelines by the health workers remains poor. However, hand hygiene practices as well as compliance with skin protection measures will always be essential in the medical field (Mathur, 2011). Alcohol-based hand rubs have been
19 pages (4750 words) Research Proposal
Strategies to enchance oral hygiene of the ventilated adult critically ill patient
The causative pathway of nosocomial pneumonia oropharyngeal is the pathogen aspiration present in the dental plaque. Dental plaque build up has been increasingly associated with nosocomial respiratory infections. Therefore,
3 pages (750 words) Research Proposal
to decrease or prevent oropharyngeal colonization (Coyer et al, 2011: p75). Comprehending the relationship that exists between the two will aid in coming up with strategies to prevent the above. This paper will discuss the various strategies, which healthcare professionals could use to ensure the maintenance of oral hygiene for critically ill patients who are prone to oropharyngeal colonization and infections. Background Dental plaque refers to a dynamic bio-film that could be defined in clinical terms as deposits of bacteria that are difficult to rinse off (Hixson et al, 2008: p49). Dental plaque harbors numerous different species of microbes with a one-mm3 plaque volume that contains approximately one hundred million bacteria. In patients who are critically ill and are mechanically ventilated, their mouths are propped open using endo-tracheal tubes that expose the oral cavity, in turn increasing the susceptibility of the oral cavity to desiccation (Cutler & Davis, 2010: p390). Oral intubation, in addition, acts to reduce the role of saliva in cleansing the mouth and impedes nursing staff in the provision of oral hygiene. The patient is also likely to suffer from; impaired cough reflexes, as well as the inability to clear out accumulated secretions. Because of a combination of the problems stated, intensivitis are gaining more awareness on the important role played by dental plaque in the etiology of VAP, or ventilator-associated pneumonia (Grap et al, 2010: p114). Ventilator Associated pneumonia is a hospital acquired pneumonia, which is defined as parenchymal infection of the lungs occurring in people who are intubated and ventilated mechanically for over 48 hours (Davidson & Berry, 2010: p320). This condition is associated with increased mortality, morbidity, increased cost, and long length of stay in the hospital and the ICU. In view of these clinical costs and major adverse effects

Summary

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…
Author : rempelkareem
Strategies to enchance oral hygiene of the ventilated adult critically ill patient essay example
Read Text Preview
Comments (0)
Rate this paper:
Thank you! Your comment has been sent and will be posted after moderation