When should a nurse encourage a client to start using oral care interventions?

Encouraging a client to start using oral care interventions before and during chemotherapy treatment is essential for several reasons. Chemotherapy is known to cause a range of oral complications, including mucositis, dry mouth, and an increased risk of infections, due to its effect on rapidly dividing cells, including those in the oral cavity.

Starting oral care interventions proactively can help maintain oral hygiene and minimize the risk of these complications. By implementing an oral care routine prior to and throughout the treatment, clients can better manage any potential side effects, promote healing, and enhance their overall comfort during this period of treatment. This proactive approach is critical in oncology care, aiming not only to address symptoms as they arise but also to prevent them from occurring whenever possible.

Oral care should not be initiated only after a client reports mouth pain, as waiting until then can lead to more significant discomfort and complications that may impair their ability to maintain adequate nutrition and hydration. Additionally, delaying oral care until after treatment may not address issues that could arise during chemotherapy. Thus, establishing a routine of oral care during the treatment process is the best practice for improving patient outcomes.