.ORAL_EXAM

Lips/mucosa [moist/intact or lesions/plaques]; tongue [normal/findings]; gingiva [no bleeding/bleeding]; dentition/dentures [functional/sore spots]; pharynx [clear/findings]; [unchanged].

.ORAL_CANDIDA

White curd-like plaques [location] [wiping to raw base]; soreness [described]; intake effect [described]; assessment candidiasis; [action] (see Nutrition).

.ORAL_LESION

Oral lesion [location/size], duration [time], [healing/non-healing]; character [described]; assessment [benign/concerning]; [action].

.ORAL_AIRWAY

Airway-relevant: swelling [none/described], drooling [yes/no], secretion management [described]; assessment [no concern/airway threat]; [action].

.ORAL_HYGIENE

Oral hygiene [adequate/assisted]; dry mouth [none/described]; denture care [described]; [teaching].

.ORAL_TEACH

Taught [oral/denture hygiene/thrush care/dry-mouth measures/lesions to report]; [patient/caregiver] return-demonstrated [result]; gaps [none/described].

.ORAL_NOTIFY

Provider notified at [time] of [finding]; orders received: [orders]; follow-through [completed/scheduled]; reassess [parameter] next visit.