Beruflich Dokumente
Kultur Dokumente
SCHOOL OF NURSING
CALAMBA CITY, LAGUNA
A. Background of the Study
Stomatitis is an inflammation of the mucous lining of any of the structures in the mouth, which may
involve in the cheeks, gums, tongues, lips, throat, roof or floor of the mouth. It’s a common infection that
may occur alone or as part of systemic disease.
The inflammation can caused by condition in the mouth itself, such as poor oral hygiene, poorly
fitted dentures or from mouth bums from hot food or drinks or by conditions that affect the entire body
such as medications, allergic reactions radiation therapy or infection.
The two main types of stomatitis are Acute herpetic stomatitisand Aphthous stomatitis. Acute
herpetic stomatitis is self limiting but may severe and fatal for neonates. There are other several types of
stomatitis. Gingivostomatitis involves the inflammation of the gingiva. Angular stomatitis involves the
irritation and fissuring in the corners of the lips, for children, it is frequently caused by repeated lip-licking.
This is a sign of iron deficiency anemia or Vitamin B deficiencies for adult. Periodorititis and Vincent’s
angina are also types of stomatitis.
Acute herpetic stomatitis result from the herpes simplex virus It’s common in children ages 1 to 3.
The cause of aphthous stomatitis is unknown, but predisposing factors include stress, fatigue, anxiety,
febrile states, trauma, and solar overexposure. This type is common in girls and female adolescents.
Acute herpetic stomatitis begins suddenly with mouth pain, malaise, lethargy, anorexia, irritability,
and fever, which may persist for 1 to 2 weeks. Gums are swollen and bleed easily, and the mucous
membrane is extremely tender.
Papulovesicular ulcers appear in the mouth and throat and eventually become punched-out lesions
with reddened areolae. Submaxillary lymphadenitis is common. Pain usually disappears 2 to 4 days before
healing of ulcers is complete. If the child with stomatitis sucks his thumb, these lesions spread to the hand.
The researchers decided to choose this case because they wanted to help the person behind this study. This
particular individual caught the researcher’s attention which encouraged them to provide relie. The researchers also
chose this case because of its rarity, thus taking the opportunity to discuss the disease and prove its content on why
they have chosen this case despite all the available cases present in their attended area.
C. Significance of the Study
This study will serve as a guide that will offer information for the nursing profession in conducting proper
management and care for Stomatitis. It can be useful for it will increase people’s awareness, increasing their knowledge
to help them prevent from acquiring the disease. It will be beneficial especially for the individuals who have the disease
to help prevent, control, manage, or cure the disease. This work will involve environmental aspects and life style issues
regarding the disease.
This study is confidential, and may only be used by the authors who created it and their educator. It may not be
redistributed without the authority of the said persons. This study focuses on giving relief for the particular person
behind the study. Its authors focused their attention on the diagnostic tests, medications, nursing care plan and the
background of the said disease.
PATIENT’S PROFILE
NAME: Manuel Colorina
AGE: 1 year and 4 months old
SEX: Male
BIRTHDAY: August 8, 2008
ADDRESS: Brgy. Dila, Bay, Laguna
CIVIL STATUS: Toddler
RELIGION: Roman Catholic
DATE OF ADMISSION: December 8, 2009
DIAGNOSIS: Stomatitis Oral Thrush r/o TF
CHIEF COMPLAINT:
Fever of 39.3 degree Celsius
The inflammation can caused by condition in the mouth itself, such as poor oral hygiene, poorly fitted dentures
or from mouth bums from hot food or drinks or by conditions that affect the entire body such as medications, allergic
reactions radiation therapy or infection.
The two main types of stomatitis are Acute herpetic stomatitisand Aphthous stomatitis. Acute herpetic stomatitis
is self limiting but may severe and fatal for neonates. There are other several types of stomatitis. Gingivostomatitis
involves the inflammation of the gingiva. Angular stomatitis involves the irritation and fissuring in the corners of the
lips, for children, it is frequently caused by repeated lip-licking. This is a sign of iron deficiency anemia or Vitamin B
deficiencies for adult. Periodorititis and Vincent’s angina are also types of stomatitis.
Acute herpetic stomatitis result from the herpes simplex virus It’s common in children ages 1 to 3. The cause of
aphthous stomatitis is unknown, but predisposing factors include stress, fatigue, anxiety, febrile states, trauma, and
solar overexposure. This type is common in girls and female adolescents.
Acute herpetic stomatitis begins suddenly with mouth pain, malaise, lethargy, anorexia, irritability, and fever,
which may persist for 1 to 2 weeks. Gums are swollen and bleed easily, and the mucous membrane is extremely
tender.
Papulovesicular ulcers appear in the mouth and throat and eventually become punched-out lesions with
reddened areolae. Submaxillary lymphadenitis is common. Pain usually disappears 2 to 4 days before healing of ulcers
is complete. If the child with stomatitis sucks his thumb, these lesions spread to the hand.
A patient with aphthous stomatitis typically reports burning, tingling, and slight swelling of the mucous
membrane. Single or multiple shallow ulcers with whitish centers and red borders appear and heal at one site and then
reappear at another
Diagnosis is based on the physical examination; in Vincent’s angina, a smear of ulcer exudate allows for
identification of the causative organism.
For acute herpetic stomatitis, treatment is conservative. For local symptoms, supportive measures include warm
salt-water mouth rinses (antiseptic mouthwashes are contraindicated because they are irritating) and a topical
anesthetic to relieve mouth ulcer pain. Topical antihistamines, antacids, or corticosteroids may also be recommended.
Supplementary treatment includes a bland or liquid diet and, in severe cases, I.V. fluids and bed rest.
For aphthous stomatitis, primary treatment is application of a topical anesthetic. Effective long-term treatment
requires alleviation or prevention of precipitating factors.
PATHOPHYSIOLOGY
Mechanical
Factors
– Poor oral
hygiene
– Mouth
burns (hot
food or
drinks)
– Poor eating
ANATOMY AND PHYSIOLOGY
Chemical Factors
– Medications
Mouth-Buccal/Oral Cavity Biological Factors – Allergic
Iron deficiency anemia reaction
1. Lips and Cheeks – Radiation
• made up of skeletal muscles covered by a skin
therapy
• keep food in mouth while chewing
1. Palate – Infection
a. Hard
• Covers bone and provides hard surface against which the tongue forces food
a. Soft
• Ends at uvula
• When food is swallowed, soft palate rises as a reflex to close oropharynx
1. Tongue
• Contains mucus and serous glands, taste buds
• Mixes food and saliva during chewing, forms the food into a mass (bolus)
STOMATITIS
• Initiates swallowing
Signs and
Saliva Symptoms
• Produced
- halitosis by the salivary gland
- soreness
• Moistens of mouth
food to form bolus
- excessive
• Dissolves food salivation
substances that begin chemical breakdown of starches
-mouth bleeding
1. Teeth
• Used to chew (masticate)
• 32 permanent
• embedded at the gingiva
NURSIING CARE PLAN
– Applied – To
topical decrease
ointment the
(Rowagel) presence
to mouth of mouth
ulcers sores
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION