Hygiene and Comfort Lecture Review-1.pdf

Hygiene and Comfort Lecture Review  Effective Communication Demonstrate: Interest Beware of : Acceptance Bias Courtesy Tone of voice Kindness Distraction Sincerity...

Hygiene and Comfort Lecture Review  Effective Communication Demonstrate: Interest Beware of : Acceptance Bias Courtesy Tone of voice Kindness Distraction Sincerity Lack of eye contact Confidentiality Non-verbal communication Compassion  Bathing Why bathe your patient? Remove transient microorganisms, body secretions and excretions, dead skin cells. Self Stimulate circulation Produce a sense of well being Promote relaxation and comfort Partial Prevent or eliminate unpleasant body odors Create a positive rapport with assist from nurse Assessment Complete total nursing care  Bathing Infant Safety first Supervision Temperature control Teaching Clean to dirty Limbs first Obese patient/in a larger body Safety – in and out of shower Assistance Pannus Breasts and thighs Gowns Foot care Sensitivity  Bathing Elderly Patient Dry/fragile skin Lotion Water temperature Sensitivity to heat Safety Unconscious Patient Biting reflex Side lying and/or suctioning Aspiration Unable to express pain Communication Assistance Cultural/Religious/Other Considerations May bathe daily or weekly May use deodorant or not Differing degrees of privacy Personal hygiene not performed by opposite sex Previous traumatic events  Bed Positions Flat Low Fowlers (15°- 30°) Semi Fowlers (>30°-45°) High Fowlers (80°-90°) Trendelenburg- head down, feet up Reverse Trendelenburg – feet down, head up  Changing a Bed Don clean gloves Linens – fitted sheet, draw sheet, flat sheet, chux, pillow case, comforter Hospital corners/mitered corners Making an occupied bed ID patient Linens – fitted sheet, draw sheet, flat sheet, pillow case, comforter Bed position Don clean gloves Safety – proper use of bedrail and bed height Basic steps – see lab manual  Delegation Five Rights of Delegation: 1. Right task 2. Right circumstance 3. Right person 4. Right direction/communication 5. Right supervision/evaluation  Post mortem Assessment Pallor mortis Where skin pales due to blood pooling Algor mortis drop in body temperature Rigor mortis stiffening of muscles within a few hours after death; may last up to ~96 hours Livor mortis blood moves to lowest part of body secondary to lack of circulation; mottled or bruised appearance  Comfort To decrease pain, reduce fear and anxiety Distraction Guided imagery Reiki Clean linens Listening Restful environment Massage Touch Heat/Cold Bath  Care Without