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Oral thrush is a yeast infection in the mouth, caused by a type of fungus called Candida albicans. It causes an unpleasant taste, soreness, a burning sensation on the tongue and difficulty swallowing. Oral thrush is not contagious, meaning it cannot be passed to others. Candida albicans fungus is naturally found in the mouth in small amounts. Oral thrush develops when these levels increase. This can be the result of a taking certain medications, particularly inhaled steroids, poor oral hygiene, smoking, or a weakened immune system, for example due to HIV or AIDS. Around 7 in 10 people who wear dentures will get oral thrush at some stage. Diabetics are also more at risk of developing thrush. Symptoms of oral thrush can include sore, white patches, plaques, in the mouth that can be wiped off, a painful burning sensation on the tongue, a bitter or salty taste in the mouth, redness and soreness on the inside of the mouth and throat, cracks at the corners of the mouth, difficulty swallowing

| Resident’s Issues |Consultation Assessment and Plan |Signature |Date |Review Date |

|And Objectives | | | | |

| |2. Note the resident’s and, or relative’s understanding of the condition and any concerns or anxieties they have: | | | |

| |…………………………………………………………………………………………………………………………….………………………………………………………………………………………………………………………………………………….……………… | | | |

| |3. Note any past history of oral thrush and the treatment prescribed: | | | |

| |…..............……………………………………………………………………………………………………..………..………………..………………………………………………………………………………………………………………………………………………..… | | | |

| |4. Highlight and discuss with the resident and/or the relatives any possible contributing factors: | | | |

| || poor dental hygiene | ill fitting dentures | POOR ORAL HYGIENE | infection | diabetes | cancer | | | | |

| || radiotherapy | chemotherapy | antibiotic therapy | MEDICATION, iNHALED STERIODS | smoking | | | | |

| || Iron deficiency anaemia | pernicious anaemia | ……………………………………………………….………………. | | | |

| |5. Note the agreed plan of care to address any of the contributing factors: | | | |

| |……………………………………………………………………………….......................................................................................................................| | | |

| |.....................................................................................................................................................| | | |

| |.................................................................................................................................................…………| | | |

| |………….…….………………….… | | | |

| |6. Highlight the symptoms experienced by the resident: | | | |

| || sore white or Yellow patches in the mouth that can be scraped off | patches on the tongue | | patches inside of the cheeks | burning sensation on | | | |

| |the tongue | difficulty swallowing | | | | |

| || bitter or salty taste | redness/soreness mouth and throat | cracks at corners of mouth | | | | |

| |…………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……………………………………………………….. | | | |

| |7. Consult with the resident’s General Practitioner. | | | |

| |8. Note the prescribed medication, dosage, and treatment regime: | | | |

| |…………………………………………………………………………………………………………………..……………………………………………………………………………………………………..……………………………………….….………………………..… | | | |

| |9. Monitor the effectiveness of the treatment and the condition of the resident’s mouth. | | | |

| |10. Highlight the agreed plan of care for good oral hygiene: | | | |

| || HEALTHY DIET | RINSE MOUTH AFTER MEALS | REGULAR DENTAL CHECKS | BRUSHING TEETH AFTER MEALS | | | | |

| || CLEANING DENTURES AFTER MEALS | REGULAR FLOSSING | USING MOUTHWASH REGULARLY | | | | |

| |Specify: …………………………..…………………………………………………………………………….………………………… | | | |

| |………………………………………………………………………………………………….…………………..……………………..… | | | |

| |10. Liaise with the resident’s General Practitioner as required. | | | |

| | | | | |

| |……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………| | | |

| |……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………| | | |

| |……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………| | | |

| |……………………………………………………………………………………………………………………………………………………………………………………………….............................................................................| | | |

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|Name |Resident/Relative Signature |Date |

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