Far Eastern University

Institute of Nursing

Submitted by: GROUP 4

Name of Patient: A.Y.T; 4 years old

Section and Group: BSN701, Group 4

Age: 4 years old

Area: Legarda Elementary School

Nursing Problem
Cues
Subjective:
Objective:
17 teeth
Dental Caries on
the upper lateral
incisor, upper
central incisor
and canine
Dental Caries on
the lower lateral
incisor and lower
central incisor

Nursing
Diagnosis
Impaired Dentition
related to
ineffective oral
hygiene

Analysis
Tooth decay in
infants and very
young children is
often referred to as
baby bottle tooth
decay. Baby bottle
tooth decay
happens when
sweetened liquids
or those with
natural sugars (like
milk, formula, and
fruit juice) cling to
an infant's teeth for
a long time.
Bacteria in the
mouth thrive on
this sugar and
make acids that
attack the teeth.
Early childhood
caries (ECC) is the
most common
chronic disease
condition in
childhood and

Goal and
Objectives
Goal:
After 1 week of
nursing
intervention, the
client will be able
to have an
improved
dentition.
Objective:
Knowledge:
After 2 hours of
nursing
intervention, the
client will be able
to recall the
importance of
good oral hygiene.

Interventions

Rationale

Evaluation
Outcome has met.
- The client now
shows willingness
to follow all the
teachings given by
continuously
applying all of the
acquired
knowledge.

Give the client a

health teaching
about the
advantages and
disadvantages of
having a good oral
hygiene. The client
should know the
complications that
may occur if you
have ineffective
oral hygiene.

Good oral health

allows for healthy
eating habits and
may decrease the
childs chance of
having dental
caries.
(Continuing
Nursing
Education:
Pediatric Nursing
Page 9 by: Jo-Ann
Marrs)

Effectiveness:
Was the client able
to recall the
importance of
good oral hygiene.
- Yes. The client
was able to recall
the importance of
good oral hygiene.
Efficiency:
Were resources
available to the
nurse and the
client maximized?

involves the
presence of one or
more decayed,
missing (due to
caries), or filled
teeth in children
under 72 months
of age.
They can affect
our ability to eat,
the foods we
choose, how we
look, and the way
we communicate.
If the damage is
severe enough, the
child can lose front
teeth, resulting in
develop- mental
delays in speech,
delays in physical
growth, and
psychological
trauma.
(Continuing
Nursing
Education:
Pediatric Nursing
Page 9 by: Jo-Ann
Marrs, Sharon
Trumbley, Gaurav
Malik)
(American Dental
Association web
site: "Fact SheetChildren's Dental
Disease."
American Dental

Skills: After 1 day

of nursing
intervention, the
client will be able
to practice
brushing of teeth
three times a day
and apply proper
brushing
technique.

Demonstrate to the
client the proper
brushing technique
and encourage to
brush her teeth
three times a day
especially after
meals.

Baby bottle tooth

decay happens
when sweetened
liquids or those
with natural sugars
(like milk,
formula, and fruit
juice) cling to an
infant's teeth for a
long time. Bacteria
in the mouth thrive
on this sugar and
make acids that
attack the teeth.
If teeth are
infected or lost too
early due to baby
bottle tooth decay,
your child may
develop poor
eating habits,
speech problems,
crooked teeth, and
damaged adult
teeth. In addition,
the chances that
adult teeth will end
up being crooked
are greatly
increased.
(Centers for
Disease Control
and Prevention.
Infections
Associated with the
use of Powdered
Infant Formula

- Yes.The time set

is enough to do all
the interventions in
reaching the
desired goal.
Appropriateness:
Were interventions
appropriate to
clients situation?
- Yes. The client is
able to perform all
the instructions
given to attain the
goal and objective.
Acceptability:
Were all
intervention
acceptable to the
client?
- Yes. The client
has no doubt to
follow and
cooperate on the
given intervention.
Adequacy:
Were the number
of interventions
enough to solve
the health
problem?
- Yes. The
interventions had
been effective to
solve the clients
problem.

Association web
site: "Early
Childhood Tooth
Decay." Academy
of General
Dentistry web site:
"What is Baby
Bottle Tooth
Decay."?)

-Tennessee 2001.
MMWR. 2002;
51:297300.)
Attitude: After
nursing
intervention, the
client will be able
to continuously
apply her acquired
knowledge about
oral health

Encourage the
client to
continuously apply
her acquired
knowledge from
the health
teaching.

Baby teeth are

necessary for
chewing, speaking,
and smiling. They
also serve as
placeholders for
the adult teeth. If
baby bottle tooth
decay is left
untreated, pain and
infection can
result.
(Continuing
Nursing
Education:
Pediatric Nursing
Page 9 by: Jo-Ann
Mars)
Try to encourage
your baby to drink
from a softspouted, freeflowing beaker or
a cup, instead of a
bottle. If you want
to give your baby a
bottle of milk
before bed, don't
let him fall asleep
with it in his
mouth. Instead,
give him his
bedtime feed, and
then give his teeth

a clean.
(DH. 2009. Birth
to five. Chapter 1:
www.dh.gov.uk)