Chapter 22 Facilitating Hygiene PDF

Chapter 22 Facilitating Hygiene General Concepts Activities involved in personal grooming and cleanliness ADLs-(Activities of Daily Living)- encourage self-care Maintenance of personal hygiene ○ Promotes comfort ○ Improves self-image ○ Decreases infection and disease Factors that In...

Chapter 22 Facilitating Hygiene General Concepts Activities involved in personal grooming and cleanliness ADLs-(Activities of Daily Living)- encourage self-care Maintenance of personal hygiene ○ Promotes comfort ○ Improves self-image ○ Decreases infection and disease Factors that Influence Hygiene Personal Preference Culture Economic Status Developmental Level Knowledge Level Physical Factors Nursing Process:Self Care Assessment ○ Analysis/ ND ○ Planning Outcomes/Interventions ○ Implementation ○ Evaluation Types of Scheduled Care Hourly rounds (comfort rounds/safety rounds) Early Morning A.M. care P.M. care H.S care  Skin Care Anatomy and physiology Main functions Factors affecting the skin ○ Health status ○ Developmental level Types of Baths Assist Complete Partial Towel Packaged Shower Tub Therapeutic The confused client becomes distressed and agitated when the UAP attempts to give the morning bath. The nurse instructs the U AP to complete a A. Partial bath B. Help bath C. Bed bath D. Complete bath Major Areas of Care Oral-Conscious vs. unconscious Foot-Tinea pedis Nail-File, clean Hair-Razors; alopecia, dandruff, pediculosis Eyes-inward to outward, glasses Ears-Hearing aids Nose-clear secretions  During morning care, the patient asks the nurse to shave him with a disposable razor. Before shaving him, the nurse should: A. Have him sign a permission form B. Check to see whether the patient is taking anticoagulants C. Tell him that only a family member may shave a patient D.Position him flat in bed  For which patient can the nurse safely delegate morning care to the experienced nursing assistant? A. 32-year-old admitted with a closed head injury B. 76-year-old admitted with septic shock C. 62-year-old who underwent surgical repair of a bowel obstruction 2 days ago D.23-year-old admitted with an exacerbation of asthma with dyspnea on exertion  When leaving the patient room the nurse should ensure? A. The bed is left in a position comfortable to provide patient care. B. The call light is within the client’s reach. C. Food tray is left behind for later snacking D.Curtains are closed to ensure privacy.