Impaired Oral Mucous Membrane r/t Decreased Salivation, Fluid Deficit

 

Definition:

Disruption of the lips and/or soft tissues of the oral cavity

 

Characteristics:

Bleeding; cheilitis (inflammation of the lips); desquamation; difficult speech; difficulty eating; difficulty swallowing; diminished taste; edema;

 

Nursing Outcomes:

• Oral health, oral hygiene, tissue integrity: skin and mucous membranes

 

Client Outcomes:

• Maintain intact, moist oral mucous membranes that are free of ulceration, inflammation, infection, and debris

• Demonstrate measures to maintain or regain intact oral mucous membranes

 

Intervention:

• Oral health restoration