Madeleine Kerkhof Wellhuner
Kennisinstituut Complementaire Zorg in de Zorg,Netherlands
Keynote: J Nurs Care
In a variety of clinical settings, many patients and especially the very ill
suffer from mouth problems. More often than not, various problems
occur simultaneously. This can vary from dryness of the mouth, pain
and an unpleasant odor from the mouth to extensive candidiasis or other
infections. Mouth problems can greatly reduce the quality of life, both in a
physical and psychological sense as well as in a social sense. The effects are
still underestimated and so far there are little answers in standard nursing
care. The overall condition may deteriorate and mouth problems can even
be the cause of death. In social life, eating and drinking is an important
part of our social interaction, which is hampered by mouth problems. There
are also psychological consequences such as despondency and feelings of
shame and inadequacy.
Causes can include not eating or drinking, breathing with open mouth,
dehydration, infection and psychological factors such as anxiety or
depression. These are not necessarily connected to any primary disease, but
there can be. Think of local tumour growth, graft-versus-host disease, renal
failure, underactive thyroid (hypothyroidism) or diabetes, AIDS, Sjögrenâ??s
syndrome, and neurological diseases which occur in dementia and after
a CVA. In case of cancer, mouth problems are usually associated with
treatment, such as medication, radiotherapy and/or surgical procedures in
the area. Sometimes, a combination of factors is involved. In this session
expert on integrative nursing the author discusses several cases in which
(often well founded) essential oils and CO2 extracts have shown extremely
beneficial, and offer often better results than standard care, for mouth
problems in clinical settings.
Madeleine Kerkhof is a former RN, Clinical Aromatherapist, Global Expert, Speaker and Educator on Integrative and Complementary Therapies in Clinical Nursing. She is the Author of “Complementary Nursing in End of Life Care” (2015) and “CO2 extracts in Clinical Aromatherapy” (2018). She is the Director of Kicozo, Knowledge Institute for Integrative & Complementary (Nursing) Care; The Netherlands.
E-mail: info@kicozo.nl
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