Podcast
Questions and Answers
What are the six basic Activities of Daily Living (ADLs)?
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?
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.
It is important to speak to patients even they are unconscious.
True (A)
What is a bed bath?
What is a bed bath?
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What is the ideal water temperature for bathing patients or washing their hair?
What is the ideal water temperature for bathing patients or washing their hair?
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How do you maintain privacy during a bed bath or toileting?
How do you maintain privacy during a bed bath or toileting?
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What should be protected from moisture during bathing to prevent infection?
What should be protected from moisture during bathing to prevent infection?
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What is the purpose of side rails on a bed?
What is the purpose of side rails on a bed?
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During a bed bath, what part of the patient should you wash first?
During a bed bath, what part of the patient should you wash first?
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What technique should be used to stimulate circulation while bathing a patient?
What technique should be used to stimulate circulation while bathing a patient?
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Why is it essential to wash all cleansers off the skin thoroughly after a bed bath?
Why is it essential to wash all cleansers off the skin thoroughly after a bed bath?
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How should you dry the skin after bathing?
How should you dry the skin after bathing?
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What is a partial bed bath?
What is a partial bed bath?
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What is perineal care?
What is perineal care?
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When should patients be offered oral care?
When should patients be offered oral care?
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What types of patients need oral care more frequently?
What types of patients need oral care more frequently?
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How should you position the head of the bed during oral care for a conscious patient?
How should you position the head of the bed during oral care for a conscious patient?
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Describe the correct method for brushing teeth.
Describe the correct method for brushing teeth.
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Besides teeth, what else should be cleaned during oral care?
Besides teeth, what else should be cleaned during oral care?
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What is the order for removing dentures?
What is the order for removing dentures?
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How should dentures be cleaned?
How should dentures be cleaned?
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What should be done to dentures before reinserting them into a patient's mouth?
What should be done to dentures before reinserting them into a patient's mouth?
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Describe the process of oral care for an unconscious patient.
Describe the process of oral care for an unconscious patient.
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When undressing a patient with an IV, which arm should you remove first?
When undressing a patient with an IV, which arm should you remove first?
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Where should you tie a patient's gown?
Where should you tie a patient's gown?
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Who is authorized to disconnect a patient's IV from the pump/tubing?
Who is authorized to disconnect a patient's IV from the pump/tubing?
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What types of patients should never be left alone in the restroom?
What types of patients should never be left alone in the restroom?
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How can patients who cannot get out of bed toilet?
How can patients who cannot get out of bed toilet?
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What is a urinal?
What is a urinal?
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When should you empty a bedpan or urinal?
When should you empty a bedpan or urinal?
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What is a bedside commode?
What is a bedside commode?
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What should the CPCT check with the nurse before assisting a patient with feeding?
What should the CPCT check with the nurse before assisting a patient with feeding?
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What might you need to do to thin liquids for patients with dysphagia?
What might you need to do to thin liquids for patients with dysphagia?
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How should you position a patient during feeding?
How should you position a patient during feeding?
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How should you assist a patient with a history of stroke with eating?
How should you assist a patient with a history of stroke with eating?
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When feeding a patient, should you use a spoon or a fork?
When feeding a patient, should you use a spoon or a fork?
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How should you leave the patient's bed when leaving the room?
How should you leave the patient's bed when leaving the room?
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What does it indicate if a patient has to use a lot of denture paste to secure their dentures?
What does it indicate if a patient has to use a lot of denture paste to secure their dentures?
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Where should you never apply lotion to a patient?
Where should you never apply lotion to a patient?
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If a patient is unconscious, how do you prevent them from aspirating water, saliva, or toothpaste after oral care?
If a patient is unconscious, how do you prevent them from aspirating water, saliva, or toothpaste after oral care?
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What is the definition of 'perineal'?
What is the definition of 'perineal'?
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What is the definition of 'aspiration'?
What is the definition of 'aspiration'?
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What is the meaning of 'NPO'?
What is the meaning of 'NPO'?
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What is the definition of 'dysphagia'?
What is the definition of 'dysphagia'?
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What is the definition of 'fasting'?
What is the definition of 'fasting'?
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What is the definition of 'postprandial'?
What is the definition of 'postprandial'?
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What is the definition of 'contraindication'?
What is the definition of 'contraindication'?
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What is the definition of 'ambulate'?
What is the definition of 'ambulate'?
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What is the definition of 'incision'?
What is the definition of 'incision'?
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Flashcards
Activities of Daily Living (ADLs)
Activities of Daily Living (ADLs)
Basic self-care tasks including bathing, dressing, eating, etc.
Patient Independence
Patient Independence
Encouraging patients to assist as much as possible.
Steps before ADLs
Steps before ADLs
Identify patient, introduce, explain, ensure understanding.
Talking to Unconscious Patient
Talking to Unconscious Patient
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Bed Bath Definition
Bed Bath Definition
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Water Temperature for Bathing
Water Temperature for Bathing
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Privacy Maintenance
Privacy Maintenance
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Call Light Importance
Call Light Importance
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Purpose of Side Rails
Purpose of Side Rails
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Moisture Protection
Moisture Protection
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Washing Order for Bed Bath
Washing Order for Bed Bath
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Perineum Care Order
Perineum Care Order
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Circulation Technique
Circulation Technique
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Skin Drying Method
Skin Drying Method
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Partial Bed Bath
Partial Bed Bath
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Sitz Bath Definition
Sitz Bath Definition
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Oral Care Frequency
Oral Care Frequency
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Dysphagia Explanation
Dysphagia Explanation
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Feeding Position for Patients
Feeding Position for Patients
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Adaptive Utensils Purpose
Adaptive Utensils Purpose
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Emesis Definition
Emesis Definition
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Aspiration Definition
Aspiration Definition
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NPO Meaning
NPO Meaning
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Fasting Definition
Fasting Definition
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Contraindication Meaning
Contraindication Meaning
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Postprandial Explanation
Postprandial Explanation
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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.