APA FORMAT1. The nurse care plan for an older client with d…
1.1 Rationale:
In this scenario, the nurse care plan includes interventions for oral health in an older client with dehydration. The nurse is supervising an LPN, so it is important to identify which interventions are within the scope of practice for the LPN. Scope of practice refers to the activities and tasks that a healthcare professional is legally allowed to perform based on their educational preparation, experience, and licensure.
1.2 Activities within the scope of practice:
A. Reminding the client to avoid commercial mouthwashes: This intervention is within the scope of practice for the LPN. The LPN can remind the client about the potential adverse effects of commercial mouthwashes and the importance of using alternative oral hygiene methods.
B. Encouraging mouth rinsing with warm saline: This intervention is within the scope of practice for the LPN. The LPN can provide instructions to the client on how to perform mouth rinsing with warm saline and encourage its regular use for oral hygiene.
D. Observing the lips, tongue, and mucous membranes: This intervention is within the scope of practice for the LPN. The LPN can assess the condition of the client’s lips, tongue, and mucous membranes and report any abnormalities to the supervising nurse.
E. Providing mouth care every 2 hours while the client is awake: This intervention is within the scope of practice for the LPN. The LPN can provide basic oral care, such as brushing the client’s teeth, cleaning the gums, and providing hydration to the oral cavity.
1.3 Aspects to consider for discharge teaching:
When providing discharge teaching for an older client with dehydration, several aspects need to be taken into consideration. These include:
– The client’s ability to perform self-care: Assess the client’s physical and cognitive abilities to determine if they can independently perform oral hygiene practices or if they require assistance from a caregiver or healthcare professional.
– Effective communication: Provide clear and concise instructions to the client or their caregiver on the importance of proper oral hygiene and the specific techniques to be used. Use simple language and visuals if necessary to enhance understanding.
– Adaptations and modifications: Consider any physical limitations or impairments the client may have and provide appropriate adaptations or modifications to ensure effective oral hygiene. This may include the use of assistive devices, adaptive techniques, or specialized oral hygiene products.
– Follow-up care: Provide information on the importance of regular dental check-ups and follow-up appointments to monitor the client’s oral health status. Emphasize the need for ongoing hydration and encourage the client to maintain good oral hygiene practices.
– Resources and support: Provide information on community resources and support services available to the client and their caregiver, such as home healthcare agencies, oral health education programs, and support groups. These resources can help ensure ongoing support and assistance with oral health maintenance.
By considering these aspects, the nurse can provide effective discharge teaching to the client and their caregiver, promoting optimal oral health and preventing further complications related to dehydration.