[Dysphagia] Oral hygiene revisited briefly

[joanneaton at charter.net (JoAnn Eaton)]

According to the workshop I attended which focused upon the Frasier water 
protocol and oral hygiene, Tom Franceschini presented info to use the 50-50 
hydrogen peroxide and tap water. This will make the solution 1.5% hydrogen 
peroxide and can be used as a 3x daily oral rinse. He also advocated soaking 
any partials/dentures in this solution overnight at the very least initially 
to kill the bacteria that permeate the denture material. Part of that comes 
from: Schleder B et al, The effect of a comprehensive oral care protocol on 
patients at risk for vnetilator associated pneumonia. J Advocate Health 
2002; 10 (4): 27-30.
Tom, if you are out there and need to clarify this answer, please do so. (By 
the way, I'm using a lot of the information from that workshop for a 
mandatory in-service at one of my SNFs this week. Thanks so much.
JoAnn Eaton
JoAnn
----- Original Message ----- 
From: "Sharon Manders" <sharon.manders@gmail.com>
To: <dysphagia@b9.com>
Sent: Thursday, August 10, 2006 6:34 PM
Subject: [Dysphagia] Oral hygiene revisited briefly


> Hi,
>
> I was talking to one of my nurses yesterday and she showed me what she
> had set up  to clean the mouth of one of my patients. She told me that
> she used to work for an oral surgeon (approx 20 years ago) and that
> they had their own way of cleaning people's mouths. (they did
> resections of all parts of the jaw, mouth, etc as well as general oral
> surgery.)
>
> She had set up a kidney basin with 3 small containers, 1 of 1:1
> hydrogen peroxide and H2O, one with mouthwash (not diluted) and 1 with
> mineral oil (in that order). She said that the 1st mixture was to help
> get a lot of the 'gunk' off, and the mineral oil also helped to loosen
> anything else that was in the mouth. (She had no positive things to
> say about the use of vaseline in the mouth, which we all know is not a
> good idea.)
>
> One of our geriatricians also used to be a nurse and it was she who
> first told me about using a 1:1 mixture of hydrogen peroxide and water
> to clean a mouth. She showed me during an assessment session in the ER
> and it worked really well.
>
> My questions are: Has anyone else come across this combination of
> things? And, what are your thoughts on this? I am interested to see
> what's actually being used out there in the absence of a 'strict' oral
> hygiene protocol/guidelines.
>
> By the way, she did a great job of cleaning out a very thick layer of
> the usual gunk.
>
> Thanks in advance,
>
> Sharon
>
> -- 
> "Death is caused by swallowing small amounts of saliva over a long
> period of time."
> - George Carlin
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