Ch 19 Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pr
Terms
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- Skin must be clean to prevent what
-
skin disorders
pressure ulcers - What promotes good health by protecting the body from infection & disease
-
Proper care of
skin
hair
teeth
nails - What are you responsible for maintaining when providing or assisting patients in hygiene practices
-
safety
privacy
warmth - When preforming hygiene, encourage pt to function how?
- at their highest level of independence
- Factors affecting hygiene
-
sociocultural background(most basic)
economic status(affects the pt hygiene d/t money for supplies my or may not be availble)
knowledge level
ability to perform self-care ( affected by mental & physical condition)
personal preference(prefer to bathe at night, while another may perfer to bathe every 2 days) - You assess your pt's ability to provide self-care by assessing what functions?
-
cognitve
physical - What other factors would you be looking for when assessing pt's self care?
-
poor vision
decreased sense of touch
limitations in ROM
coordiation
strength
balance adequate
NOTE: if they lack one of these, they may need total care or assistants in ADL's - pressure ulcer form from
- local interference w/ circulation
- NAME 3 BASIC PURPOSES FOR BATHING;
-
CLEANSE THE SKIN
PROMOTE COMFORT
STIMULATE CIRCULATION TO ALL AREAS OF THE BODY
REMOVE WASTE PRODUCTS SECREDTE THROUGH THE SKIN - DRAPING A PT DURING A BED BATH PREVENTS;
-
CHILLS
PROMOTES WARMTH
COMFORT - TYPES OF BATHS
-
COMPLETE OR PARTIAL BATH
THERAPUETIC OR CLEANSING - COMPLETE BATH MEANS WHAT
- IS WHEN ALL AREAS OF THE PT'S BODY ARE WASHED
- A PARTIAL BATH HAS TWO MEANINGS
-
- ONLY CERTAIN PARTS OF YOUR BODY ARE BATHED
-BATHED PARTIAL BY THE PT AND PARTIAL BY THE NS - WHAT ARE THE KEY POINTS OF BATHING A PT
-
MAINTAIN SAFETY
PROVIDE PRIVACY
PREVENT CHILS
ENCOURAGE INDEPENDENCE - THE MOST COMMON TYPE OF BED IS;
- CLEANSING BATH
- WHO ARE BED BATHS GIVEN TO
- TO PT WHO ARE UNABLE TO USE A TUB OR SHOWER
- BEFORE A BATH WHAT DO YOU OFFER
- THE USE OF THE TOILET
- WHAT ARE USED FOR A PT WHO IS WEAK OR NOT AMBULATORY DURING A BATH OR SHOWER
-
SHOWER CHAIR
BATH BENCH
GRAB BAR - WITH AN INDEPENDENT PT WHAT SHOULD BE IN REACH
- CALL BELL
- HOW OFTEN DO YOU CHECK THE INDEPENDENT PT WHO IN SHOWER OR BATHING
- EVERY 5 MINS
- A SHOWER OR BATH SHOULD NOT EXCEED WHAT
- 15 TO 20 MINS
-
TRUE OR FALSE
FOR ELDERLY PTS A FULL BATH IS REQUIRED DAILY -
FALSE
BECAUSE OF DECREASED SWEAT & SEBACEOUS GLANDS - WHY WILL A BATH BE MORE LIKELY TO CHILL A ELDERLY PT
- BECAUSE OF THINNER SKIN & DECREASED SUBCUTANEOUS FAT
- WHAT ACTIONS WOULD YOU DO TO PREVENT THE ELDERLY PT TO BECOME CHILLY
-
PREWARM AREA
PROVIDE ADEQUATE DRAPING - WHEN DO YOU APPLY LOTION OR CREAMS TO A PT
-
IMMEDIATELY AFTER SHOWER OR BATH WHILE SKIN IS STILL DAMP
RATIONALE TRAPS ADDITIONAL MOSITURE - WHAT DOES THERAPUETIC BATH MEAN
- HAVING HEALING OR MEDICATION QUALITIES
- EG OF THERAPUETIC BATHS
-
WHIRLPOOL BATHS
SITZ BATH - WHIRLPOOLS ARE USED FOR
-
CLEANSE
STIMULATE CIRCULATION
PROVIDE COMFORT - STARCH OR OATMEAL BATHS ARE USED FOR
- PTS W/ DERMATITIS
- SITZ BATH APPLY WHAT
- MOIST HEAT CLEAN THE PERINEAL OR ANAL AREA
- SITZ BATH PROMOTES WHAT
-
HEALING
RELIEVES PAIN & DISCOMFORT
COOLING SPONGE BATH
BODY SOAKS - SITZ BATH ARE COMMONLY USED
-
AFTER BIRTH
AFTER VAGINAL OR RECTAL SURGERY - COOLING SPONGE BATH AKA
- TEPID SPONGE BATH
- BODY SOAKS ARE USED
-
TO CLEANSE OPEN WOUNDS OR APPLY MEDICATED SOLUTIONS TO AN AREA
AREA MOST OFTEN USED IS FEET AND LEGS - COOLING SPONGE BATH IS USED TO
-
BRING DOWN FEVER
PHYSICIAN ORDER IS NEEDED FOR THIS TYPE - MAJOR DISADVANTAGE OF USING BAG BATH IS
- MORE COSTLY
- WHEN DO YOU CHANGED THE BATH WATER
-
WHEN IT COOLS
BECOMES SOILED
A SOAP FILM DEVELOPS - WASHING DISTAL TO PROXIMAL PROMOTES;
- CIRCULATION
- FOR THE UNCIRCUMCISED MALE
- RETRACT FORESKIN
- IF A PT HAS A WEAK OR PARALYZED SIDE YOU DRESS WHAT SIDE FIRST
- THE WEAK SIDE
-
TRUE OR FALSE
THE ELDERLY PT CAN USE THE SOAP ON ALTERNATE DAYS -
TRUE
USE SOAP ONLY ON VISIBLY SOILED - MOUTH CARE PREVENTS;
-
HALITOSIS
DENTAL CARIES - ORAL HYGIENE PROMOTES?
-
BETTER APPETITE
MAINTAINS HEALTHY STATE OF GUMS, MOUTH. TEETH, LIPS - AFTER DENTAL CARE; WHAT WOULD YOU REPORT AFTER FLOSSING
- ANY EXCESSIVE BLEEDING OF THE GUMS
-
FOR AN UNCONSCIOUS PT HOW OFTEN DO YOU DO DENTAL CARE
IF MOUTH BREATHING HOW OFTEN -
8 HRS
4 HRS - HOW OFTEN DO YOU SWAB THE MOUTH OF A UNCONSCIOUS PT
- Q 2 HRS
- WHERE ARE DENTURES KEPT IF NOT IN MOUTH
- IN A LABELED DENTURE CONTAINER CONTAINING WATER OR NORMAL SALINE
- HAIR CARE CONSIST OF
-
BRUSHING,
COMBING,
SHAMPOOING,
SHAVING, &
MUSTACHE & BEARD CARE - BACK RUB; USE _____ PRESSURE ON THE ______STROKES TOWARD______ , _______PRESSURE ON _________STROKES
-
MORE
UP
HEAD
LESS
DOWN - WHEN PUTTING DENTURES BACK IN DO THE REVERSAL OF REMOVAL
-
LOWER DENTURES TILT SLIGHTLY AND PUSH UP
UPPER DENTURES TILT SLIGHTLY AND PUSH UP - IF A TANGLE IS SO MATTED UP CAN YOU CUT IT OUT
- A WRITTEN INFORMED CONSENT IS NEEDED
- ARE GLOVES REQUIRED TO SHAMPOO THE HAIR
- YES IF PT HAS LESIONS, CUTS, INFESTATIONS OR DRIED BLOOD IN HAIR
- CAN YOU SHAVE OFF A BEARD OR MUSTACHE
- YES WITH A WRITTEN INFORMAL CONSENT
- WHEN SHAVING WHAT REDUCES THE CHANCE OF A CUT
-
AN APPLICATION OF WARM WASHCLOTH,IT SOFTENS THE SKIN
PULLING THE SKIN TIGHT (TAUT)
SHORT DOWNWARD STROKES OF THE UPPER LIP AREA - YOU NEED A DR ORDER WHEN YOU CUT THE TOE NAILS FOR WHO
-
DIABETIC PT
CIRCULATORY DISEASE OF LOWER EXTREMETIES - WHEN IS NAIL POLISH REMOVED
-
AFTER SURGERY
DRUING TRACTION
PT IN A CAST
DETECT A FAILURE IN THE GENERAL SYSTEMIC CIRCULATION - HOW LONG DO YOU SOAK THE EYELID
- 2 TO 3 MINS
- WHAT DO YOU USE TO CLEAN PLASTIC LENS
- SOFT CLOTH & CLEAN WARM WATER
-
TRUE OR FALSE
AN EYE THAT IS NOT IMPLANTED NEEDS TO BE REMOVED ON A DAILY BASIS FOR CLEANING - TRUE
-
TRUE OR FALSE
A DR ORDER NEED TO IRRIGATE THE EAR - TRUE
- NAME 5 HEARING AIDS
-
BODY WORN
BEHIND THE EAR
ATTACHED TO THE EYEGLASSES
IN THE EAR
IN THE EAR CANAL