Nursing Care Plan for Aphthous Stomatitis (Impaired Oral Mucous Membrane)

Impaired Oral Mucous Membrane

Definition of Aphthous Stomatitis

Aphthous stomatitis is an inflammation that occurs in the oral mucosa, usually in the form of a yellowish white spots. The patches can be either single or groups of spots. Aphthous stomatitis can invade the mucous membranes of the inner cheek, inner lip, tongue, gums, and palate in the oral cavity. Although not classified as dangerous, but aphthous stomatitis very disturbing. There are also saying that the aphthous stomatitis is an abnormal immunological reactions in the oral cavity.

Etiology

Until now the main cause of aphthous stomatitis is unknown. However, experts have suspected a lot of things which cause stomatitis, which are:

• Causes from the state in the mouth such as:
• Poor oral hygiene.
• The layout arrangement of teeth / braces.
• Food / drinks are hot and spicy.
• Cigarette.
• Toothpaste that does not fit.
• Lipstick.
• Fungal infections.
• Overhang fillings or caries, prosthesis (denture).
• Sores on the lips as a result of being bitten / impact.

Part of a systemic disease, among others:

• Allergic reactions: stomatitis occurs after eating certain types of food. These foods are different for each patient.
• Hormonal imbalance.
• Mental stress.
• Lack of vitamin B12 and minerals.
• Indigestion.
• Radiation.

Viral and bacterial infections are also thought to be the originator of the onset of stomatitis. There are also saying that the stomatitis is an abnormal immunological reactions in the oral cavity. And immunologic very closely related to the psychological (stress). Psychological factors (stress) has been investigated related to the onset of stomatitis (canker sores) in most societies.


Nursing Diagnosis for Aphthous Stomatitis

1. Impaired oral mucous membrane related to the inflammatory process.
2. Chronic pain related to Impaired oral mucous membrane.
3. Risk for Imbalanced Nutrition: less than body requirements related to altered oral mucous membranes, decreased desire to eat secondary to pain in the oral mucosa.
4. Impaired verbal communication related to pain in the oral mucosa.
5. Risk for fluid volume deficit related to lack of fluid intake as a result of the inflammatory process.