ASSESSMENT NURSING PLANNING IMPLEMENTATION RATIONALE EVALUATION

DIAGNOSIS
Subjective: After 12 hours of -Monitor the -pain and
 Oral pain and Impaired oral nursing condition of lips discomfort may
discomfort mucous membrane intervention the and tongue daily. interfere with oral The patient
 Absence of related to iron client will be intake. reports
taste deficiency. relieved from any -Use a mouthwash less discomfort in
discomfort in her of saline, saltwater -this cleanses and her mouth while
Objective: mouth. or half-strength soothes oral eating or
 Mouth peroxide and water mucous drinking.
breathing to rinse every 2-4 membranes.
hours. Avoid The patient’s
 Dry lips Alcohol based
alcohol based mouthwash further mucous
 Difficulty to
mouthwashes. irritate and dry oral membranes
chew or
tissues. appear moist and
swallow
-Provide frequent pink.
 Difficulty to talk
oral hygiene (after
 Dry mouth each meal and at The patient’s
-removing food
bed time) with a mucous
debris may provide
soft bristle membranes will
comfort. Keeping
toothbrush or be free from
the oral cavity
sponge. harmful plaque to
clean
prevent
-Instruct to avoid secondary
spicy, hot or acidic infection
foods. throughout
-may irritate
hospital stay.
-Encourage soft, mucous
cool, bland foods. membranes. The patient will
demonstrate
-promotes comfort proper oral
and helps maintain hygiene by
 -Encourage eating adequate food and discharge.
four to six small fluid intake.
meals daily with
high iron, protein - nutrient rich
and vitamin meals promote
content. healing of te
mucous
membranes.

Impaired oral mucous membrane related to iron deficiency