Extensive oral mucosal ulcerations caused by misuse of a commercial mouthwash.

This case report describes severe mucosal injuries following misuse of an undiluted over-the-counter mouthwash with a high alcohol content (70%), oil of peppermint and arnica. The mouthwash was to be diluted 5:1 with water. The patient used undiluted solution to better treat her self-diagnosed "contagious gum infection.

The role of the cardiovascular social worker.

The clinical social worker is an integral component of the Integrated Care Model used in the Cardiovascular Program at Children's Hospital (Boston). This article provides the reader with an understanding of the social worker's role with families and as part of the interdisciplinary team. Case examples are used to illustrate the key components of clinical social work practice, including crisis intervention, solution-focused treatment, and grief counseling.