Podcast
Questions and Answers
What is the maximum safe bathing temperature for patients aged 12 years and younger?
What is the maximum safe bathing temperature for patients aged 12 years and younger?
- 40 degrees
- 38 degrees (correct)
- 43 degrees
- 37 degrees
How often is preferred bathing recommended for patients in continuing care homes?
How often is preferred bathing recommended for patients in continuing care homes?
- Three times a week
- Twice a week (correct)
- Daily
- Once a week
When measuring bathing water temperature, what is the first step staff must take?
When measuring bathing water temperature, what is the first step staff must take?
- Monitor the temperature with a tent thermometer
- Ask the patient if the temperature feels right
- Adjust the water until it feels comfortable
- Use a thermometer provided in the environment (correct)
Which of the following is a key reason for the safe bathing temperature policy?
Which of the following is a key reason for the safe bathing temperature policy?
Which practice ensures patient comfort and dignity during bathing?
Which practice ensures patient comfort and dignity during bathing?
What skin condition commonly affects older adults, necessitating the use of moisturizers?
What skin condition commonly affects older adults, necessitating the use of moisturizers?
What might trigger more frequent bathing for a patient?
What might trigger more frequent bathing for a patient?
What is the appropriate method for cleansing during a bath?
What is the appropriate method for cleansing during a bath?
When should gloves be used during patient bathing?
When should gloves be used during patient bathing?
What type of care product might be used for perineal care?
What type of care product might be used for perineal care?
Why is it important to anticipate a patient's needs before bathing?
Why is it important to anticipate a patient's needs before bathing?
How do moisturizers benefit the skin of older adults?
How do moisturizers benefit the skin of older adults?
What technique should be used when washing limbs to promote circulation?
What technique should be used when washing limbs to promote circulation?
What should be done if the washcloth or water becomes cold or dirty?
What should be done if the washcloth or water becomes cold or dirty?
What is a key benefit of using pre-moistened washcloths in patient bathing?
What is a key benefit of using pre-moistened washcloths in patient bathing?
How should communication be handled during the bathing process?
How should communication be handled during the bathing process?
What is the primary function of emollients?
What is the primary function of emollients?
How do humectants function in skin care?
How do humectants function in skin care?
Which factor is crucial for nurses to consider when monitoring urinary elimination in older adults?
Which factor is crucial for nurses to consider when monitoring urinary elimination in older adults?
What could decreased muscle tone in the perineal floor indicate?
What could decreased muscle tone in the perineal floor indicate?
What color should normal urine ideally be?
What color should normal urine ideally be?
What abnormal characteristic of urine could indicate a potential health issue?
What abnormal characteristic of urine could indicate a potential health issue?
What role does the reduction in lumbar filtration rate have in urinary elimination for older adults?
What role does the reduction in lumbar filtration rate have in urinary elimination for older adults?
Which of the following findings might be considered unexpected in older adults regarding urinary elimination?
Which of the following findings might be considered unexpected in older adults regarding urinary elimination?
What is typically included in early morning care?
What is typically included in early morning care?
Which of the following hygiene care routines is emphasized in the afternoon?
Which of the following hygiene care routines is emphasized in the afternoon?
What is the primary goal of HS care?
What is the primary goal of HS care?
When might a partial bed bath be particularly necessary?
When might a partial bed bath be particularly necessary?
What is one reason for providing hygiene care to patients, besides cleanliness?
What is one reason for providing hygiene care to patients, besides cleanliness?
In routine care settings, how often might morning care occur?
In routine care settings, how often might morning care occur?
What is one principle related to hygiene care that should be applied?
What is one principle related to hygiene care that should be applied?
What might be included in HS care besides washing and oral care?
What might be included in HS care besides washing and oral care?
What is the best approach if a patient feels cold during a bath?
What is the best approach if a patient feels cold during a bath?
Which area is specifically advised against using soap during a bed bath?
Which area is specifically advised against using soap during a bed bath?
What should be particularly assessed for a patient wearing an incontinence brief?
What should be particularly assessed for a patient wearing an incontinence brief?
What is one reason why the patient may not be able to mobilize effectively?
What is one reason why the patient may not be able to mobilize effectively?
What is an important consideration when treating a patient with arthritis in terms of bath temperature?
What is an important consideration when treating a patient with arthritis in terms of bath temperature?
When collaborating with physiotherapy for an arthritis patient, what could be a beneficial treatment option?
When collaborating with physiotherapy for an arthritis patient, what could be a beneficial treatment option?
Why is it important for the patient to have privacy during bowel movements?
Why is it important for the patient to have privacy during bowel movements?
During a bath, what approach ensures patient privacy and comfort?
During a bath, what approach ensures patient privacy and comfort?
What dietary consideration might affect the patient's mobility?
What dietary consideration might affect the patient's mobility?
If a patient's bath water has cooled off significantly, what is the appropriate action?
If a patient's bath water has cooled off significantly, what is the appropriate action?
What action should the nurse take if the patient is suffering from constipation?
What action should the nurse take if the patient is suffering from constipation?
How can the nurse assist the patient in achieving a proper squat position?
How can the nurse assist the patient in achieving a proper squat position?
What would be an inappropriate method for warming a patient still in the bath?
What would be an inappropriate method for warming a patient still in the bath?
What is one possible effect of not managing the patient's pain adequately?
What is one possible effect of not managing the patient's pain adequately?
Which of the following strategies may help reduce the patient's risk of constipation?
Which of the following strategies may help reduce the patient's risk of constipation?
When Mrs. Hicks requests hotter water during her tub bath, what is the nurse's appropriate response?
When Mrs. Hicks requests hotter water during her tub bath, what is the nurse's appropriate response?
Flashcards
Hygiene Care Routine
Hygiene Care Routine
A routine in care settings that includes early morning, morning, afternoon, and evening care.
Morning Care
Morning Care
Scheduled care that may include a bath, changing clothes/linen, and ensuring daily cleanliness.
Afternoon Care
Afternoon Care
Care that focuses on oral care, handwashing, meeting elimination needs, and adjusting linens.
Evening Care (HS Care)
Evening Care (HS Care)
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Bed Baths
Bed Baths
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Skin Integrity Assessment
Skin Integrity Assessment
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MSK Assessment
MSK Assessment
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Resource Access for Hygiene
Resource Access for Hygiene
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Patient Bathing Principles
Patient Bathing Principles
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Privacy and Safety in Bathing
Privacy and Safety in Bathing
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Promote Independence in Bathing
Promote Independence in Bathing
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Anticipate Needs During Bathing
Anticipate Needs During Bathing
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Safe Bathing Practices
Safe Bathing Practices
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Cleanse From Clean to Dirty
Cleanse From Clean to Dirty
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Circulation and Venous Return
Circulation and Venous Return
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Dry the Patient Thoroughly
Dry the Patient Thoroughly
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Safe bathing temperatures
Safe bathing temperatures
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Bathing frequency policy
Bathing frequency policy
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Adult bathing temperature
Adult bathing temperature
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Child bathing temperature
Child bathing temperature
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Bathing temperature monitoring
Bathing temperature monitoring
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Skin integrity products
Skin integrity products
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Xerosis
Xerosis
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Continuing care bathing frequency
Continuing care bathing frequency
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Emollients
Emollients
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Humectants
Humectants
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Occlusives
Occlusives
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Urinary and Bowel Elimination Factors
Urinary and Bowel Elimination Factors
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Urinary Assessment
Urinary Assessment
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Unexpected Urine Findings
Unexpected Urine Findings
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Older Adult Urinary Considerations
Older Adult Urinary Considerations
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Normal Urine Characteristics
Normal Urine Characteristics
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Increasing mobilization
Increasing mobilization
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Bowel movement privacy
Bowel movement privacy
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Squat position for bowel movements
Squat position for bowel movements
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Monitoring intake and output
Monitoring intake and output
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Importance of fluids for bowel health
Importance of fluids for bowel health
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Stool softeners/laxatives
Stool softeners/laxatives
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Tub bath water temperature
Tub bath water temperature
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Patient hygiene and elimination
Patient hygiene and elimination
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Maintaining temperature in patient baths
Maintaining temperature in patient baths
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Patient skin assessment
Patient skin assessment
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Skin care for dependent areas
Skin care for dependent areas
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Patient Privacy during bathing
Patient Privacy during bathing
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Soap for eye area
Soap for eye area
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Alternative arthritis treatments
Alternative arthritis treatments
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Bed bath eye cleaning
Bed bath eye cleaning
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Patient discomfort during baths
Patient discomfort during baths
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Study Notes
Promotions and Integrity, Hygiene Care and Elimination and Continence Care
- Patient Exemplar: Case study of 82-year-old female (Mrs. Hicks) resident in a long-term care facility with advancing dementia and osteoarthritis. She experiences urinary incontinence and dry, flaky skin.
- Hygiene: Hygiene refers to practices of cleanliness conducive to health and well-being. It's fundamental to care and comfort, and nurses usually manage this. It involves bathing, feeding, toileting, and dressing independently.
- Self-Care: A person's ability to perform personal care functions without assistance. Factors affecting self-care include illness, age, culture, mental health, and cognition.
- Factors Affecting Elimination: Skin integrity, elimination, both urinary and bowel, and bathing practices are affected by functional ability and expected/unexpected findings in relation to personal hygiene.
- Hygiene Practice Deficit: Mrs. Hicks has a hygiene deficit due to the impact of her urinary incontinence.
- Additional Information Needed: Understanding of Mrs. Hicks' bathing preferences, factors related to her ability to perform hygiene tasks, access to resources, cultural practices, and any specific needs related to her advancing dementia, osteoarthritis, and incontinence. Relevant health assessments, including skin integrity, hydration and nutrition are required.
- Bath Practices: Importance of regular bathing practices for healthy skin and its intimate nature. Considerations for personal preferences, independence, comfort, and safety. Different bathing environments, such as showers and bathtubs, may require adaptations due to health conditions. Patients' preferences for types of baths, such as sponge baths, or the use of particular equipment may also need to be considered.
- Hygiene Care in Healthcare: A routine for hygiene care (early morning care, morning care, afternoon care, and nighttime care). This typically includes oral care, handwashing, elimination needs, and linen changes and may be adjusted as needed.
- Patient Safety: Maintaining safety procedures during hygiene care, including maintaining warmth, providing privacy, and appropriately using gloves. Assessments and application of standard precautions are necessary.
- Hygiene for Different Patients Specific needs for those with, for example, medical conditions, wounds, or religious or cultural guidelines for practices need to be taken into account.
- Assessing Skin Integrity: Importance of skin integrity assessments before, during, and after bathing or other care procedures to detect any potential issues.
- Correct Water Temperature: Care settings must adhere to safe water temperatures (38–43 degrees Celcius for adults and not exceeding 38 degrees for those 12 or younger). Thermomters should be used to ensure compliance.
- Incontinence Products and Care: Using appropriate incontinence products to prevent or address hygiene issues may need to be part of a care plan, such as condom catheters or incontinence briefs.
- Factors Affecting Urinary and Bowel Elimination: Factors such as age, medical conditions, medications, cultural/religious beliefs, and other issues.
- Diagnostic Tests: Diagnostic tests when there are specific problems related to urination or bowels may include urinalysis, urine cultures, blood tests, x-rays, CT scans, and others. Keeping a bladder and bowel diary can help identify patterns.
- Bristol Stool Chart: Categorising stool consistency and frequency, which can further aid in diagnosis of and monitoring issues related to bowels in patients such as Mrs. Hicks.
- Safe Bathing Techniques: Providing correct techniques for different bathing situations including hand washing, body washing and perineal care for both males, females, and those with special needs. Ensuring proper cleansing techniques and rinsing to prevent the spread of infection.
- Skin Repair The importance of moisture and cream, the types of creams, and how they help in skin repair (especially in older adults).
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Description
This quiz explores essential concepts in hygiene care and elimination practices, focusing on Mrs. Hicks, an 82-year-old female with dementia. It discusses the importance of self-care, skin integrity, and hygiene management in a long-term care setting. Test your knowledge on how these factors impact patient care and comfort.
