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Chapter 53 Case Study in-class/ONLINE case study Mr. Thomas is a 59-year-old man who was seen at his dentist last week for a routine dental hygiene visit. His dentist performed an oral cancer screening. While inspecting and palpating the mouth for lesions, the dentist noted a red, raised eroded area in Mr. Thomas’s left cheek. Mr. Thomas stated that he had noticed it 3 weeks ago, but did not pay attention to it because he assumed he had bitten his cheek while chewing. The dentist referred Mr. Thomas to his primary care provider for further assessment Identify the risk factors that are associated with oral cancers, After a diagnostic workup, Mr. Thomas is diagnosed with oral cancer. His oncologist recommends nonsurgical management with a combination of radiation and chemotherapy 1. 2. What patient teaching should the nurse provide regarding oral hygiene while Mr. Thomas undergoes treatment? 3. What community resources exist that could benefit Mr. Thomas and his family while he is undergoing treatment? How can nurses teach adults how to maintain good oral health and prevent oral cancer while teaching patients with stomatitis how to preserve tissue integrity, promote digestion and nutrition and minimize disturbances in comfort?
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