Improving oral hygiene for stroke patients

In stroke nursing, oral hygiene is fundamental and should be a priority. Patients are more dependent on the nursing staff due to problems with cognition, arm weakness, a reduced conscious level, dysphagia or aphasia. Patients rely on nurses for oral care and are at a higher risk of xerostomia (dry mouth). Effective oral care removes plaque and prevents complications such as pneumonia which would increase patient length of stay. A lack of knowledge exists amongst nursing staff in the area of oral conditions and evidence based oral hygiene. Different practices exist based on traditions or experience and education is limited. A standardised assessment tool and oral hygiene guideline should be developed to support and ensure that effective oral hygiene occurs.