Thomas Gottschalck

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The purpose of this study was to evaluate current practice in mouth care as few data exist in this area. By means of a questionnaire nurses were asked which mouth care substances, methods and instruments they used in their clinical practice. They were also asked about their clinical experience. The most frequently used substances and instruments were then(More)
The "mucous membrane, altered" is a frequently observed nursing diagnosis. It manifests itself in varying and extremely unpleasant forms of strain on the patient, even life-threatening complications are possible. The publications on mouth changes originate in the field of nursing care, however there is an increasing number in the medical fields of(More)
By means of a written questionnaire nurses of different wards of various disciplines in 21 German hospitals were asked about their decision-making authorization in mouth care. At the same time experience in this field of nursing was examined. The study revealed that nurses have a high autonomy concerning their decisions in performing mouth care. They decide(More)
Especially in patients which are at risk for transformations of the oral soft tissue the importance of an oral assessment is stressed by many authors. The application of an assessment instrument enables a diagnosis related decision of the care measures which have to be taken. Furthermore, the effectiveness of the measures can be assessed and it is an(More)
An extensive study of literature, from which recommendations for oral hygiene could be deduced, forms the base of this essay. The group of geriatric clients is also taken into consideration. At the beginning it lists frequent risks in medical and nursing situations that may lead to changes of the oral cavity. It then gives recommendations as to how and with(More)
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