Managing saliva and secretions refers to techniques used to help clear excess mucus and saliva from the mouth and lungs, particularly in individuals with conditions that impair their ability to cough or clear secretions naturally. The goal is comfort, using a combination of gravity, physical clearing, and sometimes medicine, focusing on keeping the mouth moist and clear.
How to help:
- Repositioning: Turn the patient onto their side (left or right) to help secretions drain out naturally, sometimes with the head slightly lower than the body to bring fluid forward for easier removal.
- Oral Hygiene: Use moist swabs (like sodium bicarbonate or alcohol-free mouthwash) on a stick to gently clear the mouth, or apply lip balm/oil to keep lips moist.
- Suctioning: Gentle, oropharyngeal suctioning can remove pooled saliva, but avoid deep suctioning as it can be uncomfortable and stimulate more secretions.
- Fluid Management: Reducing IV fluids or oral intake (if appropriate) can decrease overall fluid production as death nears.
- Comfort Items: A small fan blowing gently across the face can sometimes help moisture evaporate.
