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Carers, things that have helped Share your experiences of caring, and pass on practical advice and helpful tips

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Old 24-06-13, 01:18 PM   #1
jonsalie
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Default You might find this helpful, Dry mouth/Teeth cleaning

Medication that has helped.

Sally is having problems with a dry mouth, she is on meds that help dry up secretions and saliva to stop her choking.
Also had a problem trying to keep her teeth clean because she can not open her mouth easily, or keep it open for very long. Her mouth can build up nasties because she is only fed via PEG. So cleaning is very important.

This is what I have found to be very good. 1st I found a toothbrush that has three sides http://www.dentocare.co.uk/Specialist/Special-Needs_2. I ordered the Compact and Regular to see which was best.

Now for the dry mouth. This site do a toothpaste for dry mouths, I ordered the BIOXTRA.

I found the regular toothbrush is better, it has more bristles and gets to the back of the teeth better. Only a small amount of paste is needed, it does not froth up so does not cause choking.

I spoke with our Dr and found the toothpaste is avaliable on script, the same company BIOXTRA also do a mouth moisturising gel that you put on the gums and tongue when going to bed, it helps keep the mouth moist; this is also avaliable on script. Sally already has Glandosane synthetic saliva spray which also helps keep her mouth moist.

There has been a great improvement in how Sally's teeth look, she does not choke so much when they are being cleaned. Our carers say the toothbrush is easy to use and does a good job. I will let you know how the Gel does.
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Old 26-06-13, 06:27 PM   #2
Brian2001
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Default Re: You might find this helpful, Dry mouth/Teeth cleaning

Quote:
Originally Posted by jonsalie View Post
Medication that has helped.

Sally is having problems with a dry mouth, she is on meds that help dry up secretions and saliva to stop her choking.
Also had a problem trying to keep her teeth clean because she can not open her mouth easily, or keep it open for very long. Her mouth can build up nasties because she is only fed via PEG. So cleaning is very important.

This is what I have found to be very good. 1st I found a toothbrush that has three sides http://www.dentocare.co.uk/Specialist/Special-Needs_2. I ordered the Compact and Regular to see which was best.

Now for the dry mouth. This site do a toothpaste for dry mouths, I ordered the BIOXTRA.

I found the regular toothbrush is better, it has more bristles and gets to the back of the teeth better. Only a small amount of paste is needed, it does not froth up so does not cause choking.

I spoke with our Dr and found the toothpaste is avaliable on script, the same company BIOXTRA also do a mouth moisturising gel that you put on the gums and tongue when going to bed, it helps keep the mouth moist; this is also avaliable on script. Sally already has Glandosane synthetic saliva spray which also helps keep her mouth moist.

There has been a great improvement in how Sally's teeth look, she does not choke so much when they are being cleaned. Our carers say the toothbrush is easy to use and does a good job. I will let you know how the Gel does.
Good luck with your endeavours! You are trying hard to get it right.
My Wife also liked the flavoured lypsyls.

I guess you are very aware of aspiration/silent aspiration and the ongoing battle? (even some nurses would need reminding/informing of the risks when peg feeding V, laid down.)


-on a side note, I was always amazed how V would tolerate a dry mouth and never complain... whereas if I wake with a dry mouth I think it's intolerable and cannot wait for a first cuppa.

Brian.
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Old 29-06-13, 12:29 PM   #3
jonsalie
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Default Re: You might find this helpful, Dry mouth/Teeth cleaning

I guess you are very aware of aspiration/silent aspiration and the ongoing battle? (even some nurses would need reminding/informing of the risks when peg feeding V, laid down.)


Hi

Just to make sure I am not missing something Brian, could you enlarge on the above I have marked in red.

Many thanks John.
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Old 29-06-13, 02:08 PM   #4
Brian2001
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Default Re: You might find this helpful, Dry mouth/Teeth cleaning

Quote:
Originally Posted by jonsalie View Post
I guess you are very aware of aspiration/silent aspiration and the ongoing battle? (even some nurses would need reminding/informing of the risks when peg feeding V, laid down.)


Hi

Just to make sure I am not missing something Brian, could you enlarge on the above I have marked in red.

Many thanks John.
Hi John,

I have found that even some hospital nurses are not aware of the dangers of aspiration when a patient has a peg fitted.

The fact that a patient has a peg does not mean they can be fed laid down, horizontally/not propped up.

The danger of getting food into the lungs is very present unless you take proactive measures and incline the upper body of the patient.

The 'argument' I was given for feeding a patient laid down was ' the food enters the stomach direct and cannot endanger the patient...' this was absolute rubbish and I told the nurse , and subsequent staff at every opportunity, that the food could travel up into the patient's throat and into the lungs via aspiration/silent aspiration.

***when feeding a patient, always incline the upper body when feeding, even if a peg is being used ***

-hope I have explained ok...

Brian.
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Old 09-08-18, 02:26 PM   #5
jonsalie
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Default Re: You might find this helpful, Dry mouth/Teeth cleaning

Quote:
Originally Posted by Brian2001 View Post
Hi John,

I have found that even some hospital nurses are not aware of the dangers of aspiration when a patient has a peg fitted.

The fact that a patient has a peg does not mean they can be fed laid down, horizontally/not propped up.

The danger of getting food into the lungs is very present unless you take proactive measures and incline the upper body of the patient.

The 'argument' I was given for feeding a patient laid down was ' the food enters the stomach direct and cannot endanger the patient...' this was absolute rubbish and I told the nurse , and subsequent staff at every opportunity, that the food could travel up into the patient's throat and into the lungs via aspiration/silent aspiration.

***when feeding a patient, always incline the upper body when feeding, even if a peg is being used ***

-hope I have explained ok...

Brian.
Sorry taken so long to reply Brian, yes I was and am aware of silent aspiration, all Sally's care plans make it absolutely plain that she must be in an upright position during and after feeding. I have a suction machine from our hospital that I use if she burps up feed.
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Old 11-08-18, 12:34 PM   #6
Gabby
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Default Re: You might find this helpful, Dry mouth/Teeth cleaning

thank you both for your insight x

Gabby
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