Mouth care during end-of-life is focused on maintaining comfort and preventing dryness. Here's how it's typically managed:
Maintaining Oral Comfort
Proper mouth care at the end of life is crucial for patient comfort. Because many individuals at this stage have difficulty with eating, drinking, or expectorating, their mouths can quickly become dry and uncomfortable. The primary goal is to keep the oral cavity clean, moist, and free from discomfort.
Frequent Moistening
- Regular Hydration: The mouth can be moistened every 30 minutes to an hour. This can be achieved using:
- Water Sprays: A gentle mist of water can help relieve dryness.
- Droppers: A small amount of water can be administered directly to the mouth.
- Ice Chips: Small ice chips can slowly melt in the mouth, providing moisture and a cooling sensation.
- Sponge Sticks: These are gentle tools that can be soaked in water and used to apply moisture to the oral tissues.
- Frequency: Consistent moistening is critical for comfort. As mentioned, aim for every 30 minutes to an hour, or more often as needed.
Cleaning the Mouth
- Gentle Cleaning: Use a soft toothbrush or sponge stick to gently clean the mouth and remove any debris.
- Oral Swabs: Specially designed oral swabs can also be used to cleanse and refresh the mouth.
- Avoid Irritants: Do not use harsh mouthwashes or strong chemicals, as they can cause further discomfort.
- Lip Care: Apply a lip balm or moisturizer to prevent dryness and chapping.
Assessing Oral Health
- Regular Checks: Monitor for signs of dryness, sores, or infection.
- Consult Professionals: If you notice any issues, seek advice from healthcare professionals.
Summary of Mouth Care in End of Life
| Care Aspect | Details |
|---|---|
| Moistening | Use water sprays, droppers, ice chips, or sponge sticks every 30 minutes to 1 hour. |
| Cleaning | Gently clean with a soft toothbrush or sponge stick, use oral swabs. |
| Irritant Avoidance | Avoid harsh mouthwashes or strong chemicals. |
| Lip Care | Use lip balm or moisturizer. |
| Assessment | Check for dryness, sores, or infection; seek professional advice as needed. |
Consistent and gentle mouth care, focusing on moisture and cleanliness, greatly improves comfort for individuals at the end of life.
