授课题目

Moving and Turning Clients

授课形式

Bilingual lecture

Demonstrate

授课时间

2006．10．12

授课学时

2

教学目的

与 要 求

1.  state the objectives and precautions of oral hygiene.

2.  discuss the variety and function of mouthwash for oral hygiene.

3.  demonstrate the procedures of providing special oral care.

4.   provide client teaching when appropriate.

基本内容

1.  Objectives

2.  Preparation

3.  Procedure

重 点

难 点

1.  Principles of moving and turning positions

2.  How to m医学检验网ove client with four nurses

主要教学

媒 体

PPT

主 要 外

语 词 汇

Oral hygiene, Mouthwash, Special oral care, Cotton ball, Hemostatic forceps

有关本内容的新进展

Mouthwash

主要参考资料或相关网站

1、Zhou Kexiong. Basic Nursing Skills

2、SABDRA F.SMITH. Clinical Nursing Skills. Prentice Hall Health.

系、教研室

审查意见

已审合格，同意授课。

课后体会

1.  多交流使课堂气氛活跃，学生学习积极性高。

2.  在课堂中部分内容要求学生自己演示，提高学习效果。

3.  本节内容医学单词较多，需要学生提前预习。

教学内容

时间分配和

媒体选择

Chapter 4  Personal Hygiene

Section 1  Oral Hygiene

Objectives

To provide increased comfort

To allow the nurse to assess the client’s oral health status, knowledge, and routines of oral care. To provide client teaching when appropriate.

To remove unpleasant tastes and odors from the oral cavity.

To decrease the possibility of irritation or infection of the oral cavity.

Preparation

Assessment of client

1.   Assess client’s ability to care for him or herself.

2.   Assess client’s oral health status

3.   Assess client’s oral cavity condition

Choice of methods

Choice of mouthwash

Implementation

Providing oral hygiene for normal client(learn by self)

Providing oral hygiene for special client

Equipment 

Middle-sized therapeutic basin中治疗盘:

Flashlight手电筒, swab棉签, lubricant for lips润滑剂, gentian violet紫药水, mouth-gag开口器, tongue forceps舌钳 (if necessary), protective pad治疗巾, kidney basin弯盘 2 (tong招生简章ue blades压舌板, forceps镊子, hemostatic forceps止血钳, gauze纱布, normal saline cotton ball26~30生理盐水棉球 [water in cotton ball should be moderate to prevent aspiration吸气.

Procedure

Before the procedure there are some key points that should be known:

1.   gather equipment.

2.   Identify the client.

3.   Explain the rationale for the procedure to the client.

4.   if possible, position client on side in a lateral position or supine position, turn client’s head to the side. Allows fluid to drain out of mouth and thus prevents aspiration.

5.   place underpad on client’s chest and near by chin.

6.   inspect surface of mouth for any abnormalities.

7.   put kidney basin under chin.

8.   brushing order.

9.   assist client to rinse mouth and expectorate into kidney basin. 

10.  remove basin and wipe off client’s mouth with gauze.

11.  lubricate client’s lips with petroleum jelly or swab wound with gentian violet if necessary.

12.  dispose of equipment.

13.  return client to comfortable position. Clear up client’s bed.

14.  place equipment in appropriate receptacle.

Precaution

1.   lightly brush.

2.   brushing thoroughly and having a rational brushing order.

3.   water in cotton ball should be moderate to prevent aspiration.

4.   assess the client’s oral health status to see if there are dentures, oral ulcer or infection, and deal with it accordingly.

5.   provide oral care frequently.

Summary

Objectives

Preparation

Procedure

Question

how to access the oral condition？

what is the precaution?

6’

Give example to introduce the importance of personal hygiene

8’

20’

Ask students what should be assessed

40’

Learn by themselves

Picture

Picture

Picture

Picture

Picture

Picture

Demonstrate the whole procedure for students

6’

Summary

Question