Bill complains of too much saliva in his mouth making him drool and is embarrassed by this.
Summary
- Bill receives regular assistance with his oral hygiene from the ward staff and reports that his mouth is now much more comfortable
- He is taking medications which have helped to reduce the saliva production
You have now covered the issues around Bill’s early care – now you need to consider the longer-term aspects of his care.
Suctioning – to remove excess secretions and/or referral to physiotherapy for chest physio
… but the benefits of suction would have to outweigh the risk, i.e. Cough and distress caused.
Positioning – Liaise with physiotherapy to assist Bill to manage his secretions
The physiotherapist could give you advice about the best position for Bill during the day and night.
Monitor – Bill’s temperature, oxygen saturation levels, chest status
Early observations should be carried out to prevent complications.
Medication – to reduce the amount of saliva produced, e.g. hyoscine
It is important to note though, that the side-effects of medications to control excess saliva can be problematic too.
Suck – Encourage Bill to suck on a citrus sweet or lollipop
Bill is NBM and has swallowing difficulties. He might have difficulty controlling the sweet in his mouth and choke. Citrus tends to encourage salivation too, thus worsening the problem.
Page last reviewed: 29 Apr 2021
