Teaching Plan Deficient Knowledge (oral hygiene) related to cognitive impairment
Tammy Cochran
Georgia Northwestern Technical College
Fundamentals of Nursing
RNSG 1110
Wheeler
November 13, 2013
Teaching Plan Deficient Knowledge (oral hygiene) related to cognitive impairment
Assessment
This resident is an 80 year old widowed female who is alert to self, communicates verbally with clear speech. She is unable to recall year of birth, day of the week or grandchildren’s names. She is able to state month and day of birth, and her children’s names. She is able to follow simple verbal commands although is forgetful. Hearing and vision is adequate. Extra ocular movements are intact; pupils are equal, 3mm in size. History of cataract surgery. Resident requires one to two person assist for bed mobility, transfers and toileting needs, one person extensive assist for daily personal hygiene, bathing and grooming needs. Resident is diagnosed with s/p ORIF left hip, history of falls, abnormality of gait, lack of coordination, alzheimers, dementia w/o behaviors, anemia, hypertension, use of anticoagulants, history of UTI, GERD, dyslipidemia and depression. She has poor safety awareness and requires use of bed alarm.
Teaching Plan
The first clinical day, my resident was in bed eating breakfast, with food particles observed on face and food in dentures, but otherwise well groomed. Her hair was combed, and she was neatly dressed. After the meal, while assisting resident in washing the food particles from her face I noticed she also had bad breath. Staff reports resident would sometimes not allow them to assist her in oral care after breakfast. Resident has full dentures in good condition. My teaching plan would include the importance of good oral hygiene especially after meals. It promotes a sense of well being while preventing deterioration of the oral cavity. (Taylor, Lillis, Lemone, &