護(hù)理學(xué)基礎(chǔ)雙語(yǔ)教學(xué)-授課教案:6 Oral hygiene

授課題目

Moving and Turning Clients

授課形式

Bilingual lecture

Demonstrate

授課時(shí)間

2006．10．12

授課學(xué)時(shí)

2

教學(xué)目的

與 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.

基本內(nèi)容

1.  Objectives

2.  Preparation

3.  Procedure

重 點(diǎn)

難 點(diǎn)

1.  Principles of moving and turning positions

2.  How to m醫(yī)學(xué)檢驗(yàn)網(wǎng)ove client with four nurses

主要教學(xué)

媒 體

PPT

主 要 外

語(yǔ) 詞 匯

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

有關(guān)本內(nèi)容的新進(jìn)展

Mouthwash

主要參考資料或相關(guān)網(wǎng)站

1、Zhou Kexiong. Basic Nursing Skills

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

系、教研室

審查意見(jiàn)

已審合格，同意授課。

課后體會(huì)

1.  多交流使課堂氣氛活躍，學(xué)生學(xué)習(xí)積極性高。

2.  在課堂中部分內(nèi)容要求學(xué)生自己演示，提高學(xué)習(xí)效果。

3.  本節(jié)內(nèi)容醫(yī)學(xué)單詞較多，需要學(xué)生提前預(yù)習(xí)。

教學(xué)內(nèi)容

時(shí)間分配和

媒體選擇

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中治療盤(pán):

Flashlight手電筒, swab棉簽, lubricant for lips潤(rùn)滑劑, gentian violet紫藥水, mouth-gag開(kāi)口器, tongue forceps舌鉗 (if necessary), protective pad治療巾, kidney basin彎盤(pán) 2 (tong招生簡(jiǎn)章ue blades壓舌板, forceps鑷子, hemostatic forceps止血鉗, gauze紗布, normal saline cotton ball26~30生理鹽水棉球 [water in cotton ball should be moderate to prevent aspiration吸氣.

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