Mardene Carr mcarrfacultyuccedujm March 24 2022 Unit 4 Basic Foot amp Oral Hygiene Specific Objectives Identify Common Diseases of Older Persons in the Mouth and Oral Cavity Identify Medications That May Cause Or Aggravate Oral Problems ID: 930429
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Slide1
Promoting Health & Wellness Older Adults
Mardene Carr
mcarr@faculty.ucc.edu.jm
March 24, 2022
Slide2Unit 4: Basic Foot & Oral Hygiene
Specific Objectives
Identify Common Diseases of Older Persons in the Mouth and Oral Cavity
Identify Medications That May Cause Or Aggravate Oral Problems
Recognize Nursing Interventions That can be implemented to Assist the Geriatric Patient With Oral Problems
List Common Nursing Diagnosis of Older Persons Related to the Feet
Recognize Nursing Interventions to Assist Geriatric Patient With Problems Associated With The Feet
Slide3Recap Of Last Class
#1 Stomatitis is when your tongue is swollen and inflamed
True or False
#2 Glossitis is often a symptom of other conditions
True or False
Slide4Recap of Last Class
#3 Stomatitis is the general term for inflamed or sore mouth
True or False
#4 Good oral hygiene cannot lower the risk of glossitis
True or False
Slide5Recap of Last Class
#5 ____________
m
ay be passed down in families
A. Glossitis
B.
Chelitis
C. Periodontal Disease
D. Stomatitis
Slide6Recap of Last Class
#6 ________ can occur anywhere in the mouth
A. Gingivitis
B. Stomatitis
C. Glossitis
D.
Chelitis
Slide7Recap of Last Class
#7 Canker sore is a type of _________________
A. Glossitis
B. Stomatitis
C. Cold Sore
D. Gingivitis
Slide8Recap of Last Class
# 8 Cold sores will be gone in ___________
A. 7 – 10 months
B. 7 – 10 hours
C. 7 – 10 weeks
D. 7 – 10 days
Slide9Recap of Last Class
#9 The early stage of periodontal disease is called __________
A. Stomatitis
B. Glossitis
C. Gingivitis
D. Caries
Slide10# 10 Can You Identify This Disease?
A. Stomatitis
B Glossitis
C. Periodontal
D. Gingivitis
Slide11Responses
#1 Stomatitis is when your tongue is swollen and inflamed
True or
False
#2 Glossitis is often a symptom of other conditions
True
or False
Slide12Responses
#3 Stomatitis is the general term for inflamed or sore mouth
True
or False
#4 Good oral hygiene cannot lower the risk of glossitis
True or
False
Slide13Responses
#5 ____________ may be passed down in families
A. Glossitis
B.
Chelitis
C. Periodontal Disease
D. Stomatitis
Slide14Responses
#6 ________ can occur anywhere in the mouth
A. Gingivitis
B. Stomatitis
C. Glossitis
D.
Chelitis
Slide15Responses
#7 Canker sore is a type of _________________
A. Glossitis
B. Stomatitis
C. Cold Sore
D. Gingivitis
Slide16Responses
# 8 Cold sores will be gone in ___________
A. 7 – 10 months
B. 7 – 10 hours
C. 7 – 10 weeks
D. 7 – 10 days
Slide17Responses
#9 The early stage of periodontal disease is called __________
A. Stomatitis
B. Glossitis
C. Gingivitis
D. Caries
Slide18Responses
#10 Can you identify this disease?
A. Stomatitis
B. Glossitis
C. Periodontal
D. Gingivitis
Slide19Leukoplakia
Coined in 1861 by Karl Freiherr von Rokitansky
Development of white or grey patches on tongue or inside of cheek
Reaction to chronic irritation of the mucous membranes of the mouth
Can also develop on genital area, urinary tract, gastrointestinal tract
Most common in elderly (can happen at any stage in life)
Slide20Leukoplakia
Pre-Cancerous Condition
Other Names
Leukokeratosis
Idiopathic Leukoplakia
Idiopathic Keratosis
Idiopathic White Patch
Leukoplasia
Slide21Leukoplakia
About 8% of men over 70
Lesions change over time
Advanced forms may develop red patches
Slide22Leukoplakia
"Hairy" leukoplakia of the mouth
Unusual form of Leukoplakia often seen in persons with HIV, AIDS
F
uzzy white patches on tongue/less frequently elsewhere in the mouth
Usually happens when immune system is compromised
One of the first signs of HIV infection
Slide23Leukoplakia Causes
HIV/AIDS
Oral Cancer (Rare)
Sun Exposure To Lips
Chronic Smoking
Irritation From Rough Teeth or Filling
Ill Fitting Dentures
Slide24Leukoplakia Symptoms
W
hite or gray colored patches on your tongue, gums, roof of your mouth, or the inside of the cheeks of your mouth
Develop slowly over weeks to months
Thick, slightly raised
Hardens and rough texture eventually
Painless
Sensitive to spicy food, heat, touch
Slide25Leukoplakia Diagnosis
Dentist upon examination
Biopsy to rule out other complications
Slide26Leukoplakia Treatment
Removing source of irritation
Clears in a few weeks
May need to surgically remove the lesions (general dentist or oral surgeon)
Hairy leukoplakia requires treatment with an antiviral medication
.
Slide27Leukoplakia - Tongue
Slide28Leukoplakia – Inside Of Cheek
Slide29Hypogeusia
Diminished ability to taste things
Sweet, sour, salty, bitter
Complete lack of taste (Ageusia)
Some medications
Slide30Hypogeusia Causes
Sinus Infections
Upper Respiratory Infections (Common Cold)
Middle Ear Infections
Head Injuries
Poor Oral Hygiene/Dental Hygiene (Gingivitis)
Slide31Hypogeusia Diagnosis
Otolaryngologists can diagnose and treat
Look for growth in mouth or nose
Check breathing, signs of disease and inflammation
Look for other signs of infection
Review medical history
Ask about exposure to chemicals and drug use
Slide32Hypogeusia Causes
Radiation Therapy For Cancer
Surgeries on ear, throat, mouth, nose
Exposure to certain chemicals such as insecticides
Slide33Hypogeusia Treatment
Underlying condition will determine treatment
Simple cases – wait till it subsides
Antibiotics for bacterial infections
Serious issues require individualized plans (nervous system disorders and head injuries)
Slide34Angular Cheilitis
Inflammation of one or both corner of the mouth
Corners are red, skin breakdown and crusting
Itchy and painful
Can last for days to years
Often occurs in people in their 30s and 60s
Slide35Angular Cheilitis Causes
Allergies
Toothpaste, food, makeup
Irritation
Poorly fitting dentures, licking lips, drooling, sun exposure, smoking, overclosure of mouth
Infections
Fungi, Bacteria
Poor Nutrition/Poor Immune Function
Slide36Angular Cheilitis Treatment
Based on underlying causes
Barrier Creams
Antifungal Creams
Antibacterial Creams
Slide37Angular Cheilitis