Patient Care: Suctioning Oral Secretions

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Questions and Answers

What is the primary purpose of bed bathing?

To stimulate circulation

To assess joint mobility

To provide exercise

To remove dead skin cells and body secretions (correct)

What type of stroke is used when washing the extremities during bed bathing?

Long, firm strokes from proximal to distal

Short, light strokes from distal to proximal

Long, firm strokes from distal to proximal (correct)

Circular motions from proximal to distal

What is efflurage?

A type of massage (correct)

A type of soap

A type of bathing technique

A type of hygiene schedule

What is the primary purpose of positioning the head on a pillow during oral care?

To allow fluid/secretions to flow out of the mouth Signup and view all the answers

What is the recommended water temperature for bed bathing?

35.5-36.5°C (96-98°F) Signup and view all the answers

What is included in 'AM Care' in acute and long-term care settings?

Early morning care Signup and view all the answers

Why should you never place your hand in the patient's mouth or open with your fingers during oral care?

Because it may cause the patient to bite down and injure you Signup and view all the answers

Why is it important to wash the patient's hands and face during 'AM Care'?

To maintain personal hygiene and prevent infection Signup and view all the answers

What is the benefit of performing oral care every two hours on an unconscious patient?

It keeps the mouth and teeth clean and free of odors Signup and view all the answers

What is the main purpose of a back rub?

To relieve muscular tension and promote relaxation Signup and view all the answers

What is the purpose of using soap and soap dish or liquid chlorhexidine gluconate (CHG) during bed bathing?

To clean the patient's skin Signup and view all the answers

What type of massage movement is characterized by long, slow, gliding strokes with the palm of the hand?

Effleurage Signup and view all the answers

When is petrissage used in bed bathing?

When performing a back rub Signup and view all the answers

What should you report and document during oral care?

Any sores, redness, bleeding, pain, coating, or broken teeth/dentures Signup and view all the answers

Why is it important to use a padded tongue blade to open the patient's mouth during oral care?

To prevent injury to the patient Signup and view all the answers

How often should oral care be provided to a conscious patient?

Before and/or after meals, in the morning, and at night before sleep Signup and view all the answers

What is the primary goal of evening hygiene care?

To help patients relax and promote sleep Signup and view all the answers

What type of bath is suitable for dependent patients who need partial hygiene?

Partial bed bath Signup and view all the answers

Which type of bath is used to decrease the frequency of hospital-acquired infections?

Chlorhexidine gluconate (CHG) bath Signup and view all the answers

What is included in afternoon hygiene care?

Washing hands and face, helping with oral care, and offering a bedpan or urinal Signup and view all the answers

What is the purpose of providing oral care in hygiene care?

To maintain oral hygiene and prevent complications Signup and view all the answers

Which type of bath is more thorough than a bed bath but can cause fatigue?

Shower Signup and view all the answers

What is included in a partial bed bath?

Bathing only body parts that would cause discomfort if left unbathed Signup and view all the answers

What is the benefit of providing a back massage as part of hygiene care?

It helps patients relax and promotes sleep Signup and view all the answers

Study Notes

Oral Care

Position the patient's head on a pillow so that the face tips forward, allowing fluid/secretions to flow out of the mouth.
Keep a bulb syringe or suction machine nearby.
Never place your hand in the patient's mouth or open with your fingers, as this can cause the biting-down reflex and serious injuries.
Use a padded tongue blade to open the patient's mouth and separate the upper and lower teeth.
Provide oral care before and/or after meals, in the morning, and at night before sleep.
Report and document any sores, redness, bleeding, pain, coating, or bad breath during oral care.

Back Rub

A back rub or massage promotes relaxation, relieves muscular tension, and decreases perception of pain.
It involves massaging the patient's back, paying attention to pressure points.
Purposes of back rub include promoting circulation, reducing anxiety, relieving fatigue, pain, and stress, helping induce sleep, preventing bedsores, and providing comfort.

Types of Massage

Effleurage (Stroking) is a long sweeping movement with the palm of the hand, conforming to the contour of the surface treated.
Petriissage involves kneading or rolling movements.

Bed Bathing

Purposes of bed bathing include removing transient microorganisms, body secretions, and dead skin cells, stimulating circulation, producing a sense of well-being, promoting relaxation and comfort, preventing unpleasant odors, and providing mild exercise.
Water temperature should be between 35.5-36.5°C (96-98°F).
Place the bed in a high position and ask the client to move near you.
Begin from the face, then move to the extremities, using long, firm strokes from distal to proximal in the direction of venous flow.
Continue with the chest, abdomen, legs, and feet, and finally, the back and perineum.

Temperature Classification of Water

Very Cold: 1-13°C (34-55°F)
Cold: 13-18°C (55-65°F)
Cool: 18-27°C (65-80°F)
Tepid: 27-33.5°C (80-92°F)
Neutral: 33.5-35.5°C (92-96°F)
Warm: 35.5-36.5°C (96-98°F)
Hot: 36.5-40°C (98-104°F)
Very Hot: 40-60°C (104-140°F)

Materials for Bed Bathing

Basin or sink with warm water
Soap and soap dish or liquid chlorhexidine gluconate (CHG) cloths
Linens, bath blanket, two bath towels, washcloth, clean gown, pajamas, or clothes, and additional bed linen and towels
Gloves, personal hygiene articles, shaving equipment, table for bathing equipment, and laundry hamper

Hygiene Care Schedule

Early Morning Care: provide basic hygiene to patients, including offering a bedpan or urinal, washing hands and face, and helping with oral care.
Routine Morning Care: provide a full or partial bath, including perineal care and oral, foot, nail, and hair care, and change the patient's gown and bed linens.
Afternoon Care: provide washing of hands and face, helping with oral care, offering a bedpan or urinal, and straightening bed linen.
Evening or Hour-Before-Sleep Care (PM Care): provide personal hygiene care to help patients relax and promote sleep, including changing soiled linens, gowns, helping patients wash the face and hands, providing oral hygiene, and giving a back massage.

Types of Baths

Complete Bed Bath: bath administered to totally dependent patients in bed.
Partial Bed Bath: bath that consists of bathing only body parts that would cause discomfort if left unbathed.
Sponge Bath at the Sink: involves bathing from a bath basin or sink with the patient sitting in a chair.
Tub Bath: involves immersion in a tub of water that allows more thorough washing and rinsing.
Shower: provides more thorough cleaning than a bed bath but can cause fatigue.
Chlorhexidine Gluconate (CHG) Bath: an antimicrobial bath wipe used to decrease the frequency of hospital-acquired infections.

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Description

Learn how to safely suction oral secretions from a patient, including positioning and equipment preparation. Understand the importance of keeping the mouth open and avoiding injuries.