Activities of Daily Living (ADLs) Overview
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Questions and Answers

What are the six basic Activities of Daily Living (ADLs)?

Bathing, Ambulation, Toileting, Transferring, Eating, Dressing

What should you do before assisting a patient with ADLs?

Identify the patient, Introduce yourself, Explain the procedure, Allow the patient to verbalize understanding

It is important to speak to patients even they are unconscious.

True (A)

What is a bed bath?

<p>A bath given to a patient in bed. It should only be used if the patient cannot get out of bed.</p> Signup and view all the answers

What is the ideal water temperature for bathing patients or washing their hair?

<p>105-110 degrees Fahrenheit</p> Signup and view all the answers

How do you maintain privacy during a bed bath or toileting?

<p>Close the curtain and door, only expose the body part being bathed.</p> Signup and view all the answers

What should be protected from moisture during bathing to prevent infection?

<p>IV sites, surgical incisions, wounds.</p> Signup and view all the answers

What is the purpose of side rails on a bed?

<p>To prevent the patient from falling out of bed.</p> Signup and view all the answers

During a bed bath, what part of the patient should you wash first?

<p>The face</p> Signup and view all the answers

What technique should be used to stimulate circulation while bathing a patient?

<p>Long, firm strokes.</p> Signup and view all the answers

Why is it essential to wash all cleansers off the skin thoroughly after a bed bath?

<p>To prevent skin irritation.</p> Signup and view all the answers

How should you dry the skin after bathing?

<p>Pat the skin dry, do not rub.</p> Signup and view all the answers

What is a partial bed bath?

<p>A bath in which only the body parts that might cause the patient discomfort if left unbathed (e.g., face, hands, axillary areas, back, and perineum) are washed in bed.</p> Signup and view all the answers

What is perineal care?

<p>Bathing or cleaning the area of the body which includes the genitals, groin, and rectal areas. Always clean from front (cleanest) to back (dirtiest).</p> Signup and view all the answers

When should patients be offered oral care?

<p>Morning, before bed, after meals.</p> Signup and view all the answers

What types of patients need oral care more frequently?

<p>Patients with conditions that cause dry mouth, such as those who are NPO, taking certain medications</p> Signup and view all the answers

How should you position the head of the bed during oral care for a conscious patient?

<p>Head of the bed elevated (High Fowler's)</p> Signup and view all the answers

Describe the correct method for brushing teeth.

<p>Brush at a 45-degree angle to the gums, clean teeth back to front.</p> Signup and view all the answers

Besides teeth, what else should be cleaned during oral care?

<p>Tongue, cheeks, floss in between teeth.</p> Signup and view all the answers

What is the order for removing dentures?

<p>Top dentures first, bottom dentures last.</p> Signup and view all the answers

How should dentures be cleaned?

<p>Never use toothpaste, as it will scratch the dentures. Use soap/water or denture cleaner. Use only warm water, as hot water will warp the dentures.</p> Signup and view all the answers

What should be done to dentures before reinserting them into a patient's mouth?

<p>Moistened them.</p> Signup and view all the answers

Describe the process of oral care for an unconscious patient.

<p>Head of the bed elevated, turn head to the side, emesis basin under their chin.</p> Signup and view all the answers

When undressing a patient with an IV, which arm should you remove first?

<p>The arm without the IV</p> Signup and view all the answers

Where should you tie a patient's gown?

<p>Neck and waist.</p> Signup and view all the answers

Who is authorized to disconnect a patient's IV from the pump/tubing?

<p>Only the nurse.</p> Signup and view all the answers

What types of patients should never be left alone in the restroom?

<p>Patients at high fall risk, confused patients, patients with weakness.</p> Signup and view all the answers

How can patients who cannot get out of bed toilet?

<p>Using a bedpan or urinal.</p> Signup and view all the answers

What is a urinal?

<p>A receptacle for urine.</p> Signup and view all the answers

When should you empty a bedpan or urinal?

<p>Immediately.</p> Signup and view all the answers

What is a bedside commode?

<p>A device used for toileting when a person is able to get out of bed but unable to walk to the bathroom. It consists of a chair-like frame with a toilet seat and a removable collection bucket.</p> Signup and view all the answers

What should the CPCT check with the nurse before assisting a patient with feeding?

<p>Dietary restrictions (NPO, clear liquids, etc.), precautions (aspiration precautions, one-sided paralysis), if the nurse needs to check blood sugar and/or give insulin or other medications before eating.</p> Signup and view all the answers

What might you need to do to thin liquids for patients with dysphagia?

<p>Thicken them. It can be thickened to nectar thick, honey thick, or pudding thick according to doctor's orders.</p> Signup and view all the answers

How should you position a patient during feeding?

<p>High Fowler's.</p> Signup and view all the answers

How should you assist a patient with a history of stroke with eating?

<p>Direct food to the unaffected (normal) side of the mouth.</p> Signup and view all the answers

When feeding a patient, should you use a spoon or a fork?

<p>A spoon.</p> Signup and view all the answers

How should you leave the patient's bed when leaving the room?

<p>Lowest position, two side rails up, call light within reach, patient in a comfortable position, wheels locked.</p> Signup and view all the answers

What does it indicate if a patient has to use a lot of denture paste to secure their dentures?

<p>The dentures do not fit properly and may cause sores.</p> Signup and view all the answers

Where should you never apply lotion to a patient?

<p>In skin folds or moist areas, including the axilla, perineum, and under breasts.</p> Signup and view all the answers

If a patient is unconscious, how do you prevent them from aspirating water, saliva, or toothpaste after oral care?

<p>Suction them out of their mouth using a Yanker.</p> Signup and view all the answers

What is the definition of 'perineal'?

<p>The region between the anus and external genitalia.</p> Signup and view all the answers

What is the definition of 'aspiration'?

<p>Breathing fluid, food, vomitus, or an object into the lungs.</p> Signup and view all the answers

What is the meaning of 'NPO'?

<p>Nothing by mouth.</p> Signup and view all the answers

What is the definition of 'dysphagia'?

<p>Difficulty swallowing</p> Signup and view all the answers

What is the definition of 'fasting'?

<p>Going without food for a period of time</p> Signup and view all the answers

What is the definition of 'postprandial'?

<p>After a meal</p> Signup and view all the answers

What is the definition of 'contraindication'?

<p>A reason why something is not advisable or should not be done</p> Signup and view all the answers

What is the definition of 'ambulate'?

<p>To walk from place to place</p> Signup and view all the answers

What is the definition of 'incision'?

<p>A surgical cut made in skin or flesh</p> Signup and view all the answers

Flashcards

Activities of Daily Living (ADLs)

Basic self-care tasks including bathing, dressing, eating, etc.

Patient Independence

Encouraging patients to assist as much as possible.

Steps before ADLs

Identify patient, introduce, explain, ensure understanding.

Talking to Unconscious Patient

Always talk to the patient, even if unconscious.

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Bed Bath Definition

A bath given to a patient unable to get out of bed.

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Water Temperature for Bathing

Ideal range is 105-110°F.

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Privacy Maintenance

Close curtains, expose only what’s necessary.

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Call Light Importance

Always leave call light within reach of the patient.

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Purpose of Side Rails

To prevent patient falls from the bed.

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Moisture Protection

Keep IV sites, surgical incisions, and wounds dry.

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Washing Order for Bed Bath

Wash cleanest areas first, like the face.

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Perineum Care Order

Always wash from cleanest (front) to dirtiest (back).

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Circulation Technique

Use long firm strokes while bathing.

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Skin Drying Method

Pat dry the skin after bathing to avoid tears.

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Partial Bed Bath

Washing parts of the body that need attention.

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Sitz Bath Definition

Warm soak for perineal area, aids healing.

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Oral Care Frequency

Offer oral care in the morning, before bed, and after meals.

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Dysphagia Explanation

Difficulty swallowing, requires special care.

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Feeding Position for Patients

Head of the bed should be elevated (High Fowler's).

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Adaptive Utensils Purpose

Designed to assist those with motor skill challenges.

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Emesis Definition

The act of vomiting.

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Aspiration Definition

Breathing in food, liquid, or objects into lungs.

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NPO Meaning

Nothing by mouth; no food or drink.

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Fasting Definition

Going without food for a set period.

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Contraindication Meaning

A reason something should not be done.

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Postprandial Explanation

Refers to the period after a meal.

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Study Notes

Activities of Daily Living (ADLs)

  • ADLs include: bathing, ambulation, toileting, transferring, eating, and dressing
  • Patient assistance with ADLs should be maximized while ensuring safety
  • Before assisting with ADLs, identify the patient, introduce yourself, explain the procedure, and confirm the patient's understanding
  • Communicate with unconscious patients
  • Bed baths are for patients unable to get out of bed
  • Water temperature for bathing/washing hair should be 105-110°F
  • Maintain patient privacy during hygiene procedures
  • Ensure a call light is within reach of the patient
  • Use side rails to prevent falls
  • Protect IV sites, surgical incisions, and wounds from moisture during bathing
  • Wash the cleanest part of the body first (Face) and the dirtiest last (perineum) during a bed bath
  • Use long, firm strokes while bathing to stimulate circulation
  • Thoroughly rinse all cleansers to prevent irritation
  • Pat skin dry gently to avoid tearing
  • Partial bed baths involve washing only specific body areas in bed
  • Perineal care involves cleaning the genital, groin, and rectal areas, from front to back
  • Sitz baths are used to cleanse/soothe the perineal area
  • Offer oral care in the morning, before bed, and after meals
  • Patients with conditions causing dry mouth need more frequent oral care
  • Position a conscious patient in High Fowler's position for oral care
  • Brush teeth at a 45-degree angle to the gums, cleaning back to front
  • Clean teeth, tongue, cheeks, and floss between teeth during oral care
  • Remove dentures; top first, bottom last
  • Clean dentures with soap/water or a denture cleaner, not toothpaste
  • Store dentures in a denture cup with warm water
  • Moisten dentures before reinserting
  • For unconscious patients, elevate the head of the bed, turn the head to the side, and place an emesis basin under the chin during oral care
  • Disconnect IVs only by the nurse
  • Never leave patients who are at high fall risk, confused, or weak alone in the bathroom
  • Use bedpans or urinals for patients who cannot get out of bed to urinate or defecate
  • Empty bedpans and urinals immediately after use
  • A bedside commode is used for toileting when a patient can get up but cannot walk to the bathroom

Feeding Patients

  • Before assisting with feeding, check for dietary restrictions, any precautions (aspiration, paralysis), and if any medications, blood sugar check, or insulin administration is required.
  • Thickening liquids may be needed for patients with dysphagia
  • Position the patient in High Fowler's position during feeding
  • Direct food toward the unaffected side of the mouth for stroke patients
  • Use a spoon to feed patients
  • Ensure the bed is in the lowest position, side rails are up, and call light is accessible before leaving a patient's room

Dressing and Other Aids

  • Remove the arm without the IV first, then the arm with the IV during dressing
  • Tie a patient's gown at the neck and waist
  • Adaptive utensils (e.g., buttonholer, long-handled devices, stocking aids) may be needed for patients with limitations
  • Ensure safety by locking the bed wheels and keeping the call light accessible

Oral Health

  • If patients require a lot of denture paste to secure dentures, it suggests a poor denture fit and can lead to sores.
  • Oral care for unconscious patients should include head elevation, head turned to the side, and an emesis basin beneath the chin

General Considerations

  • Never apply lotion to skin folds or moist areas (axilla, perineum, under breasts)
  • Suction unconscious patients' mouths after oral care, if needed, to prevent aspiration
  • Always follow proper hygiene practices and patient safety protocols

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Description

This quiz covers essential concepts and techniques related to Activities of Daily Living (ADLs) for patient care. It addresses the procedures for assisting patients with personal care tasks while ensuring safety and maintaining patient dignity. Test your knowledge on best practices and safety measures in providing ADLs.

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