2 Quarter Embalming Final Flashcards
The consideration given to the dead body prior to, during, and to prescribe and apply the proper embalming technique, and after the embalming procedure is completed; documentation is required.
Embalming analysis (case analysis) -
- Cause and Manner of death2. Body Condition3. Discoloration – possible to treat?4. Postmortem changes – chemical or physical changes5. Drugs – legal & otherwise
Intrinsic Factors
- Environmental (humidity, MO’s, vermin temperature).2. Postmortem interval – time posses who death occurred & embalming is preferred.3. Embalmer
Extrinsic Factors
records all information concerning the case, embalming procedure and other important information concerning the case.
Embalming case report
It is important to make certain that permission has been given for _____________.
embalming
Initial treatment of the body should INCLUDE the following, but NO SPECIFIC ORDER is required.
- Spray a disinfectant on the sheets before removing.2.The body should be positioned in the center of the embalming table with the head slightly higher than the rest of the body.3.Remove and record all clothing and personal effects, such as jewelry, (valuables should be securely stored until they can be returned to the family).4.Disinfect the clothing when necessary.5.Remove medical dressing, bandages or wrappings.6.Topical disinfecting (either spray or wash).7.Disinfect the oral and nasal cavities.8. Relieve rigor mortis. 9.Position the head on a head rest so the neck is aligned in such a way that it will not interfere with fluid distribution or drainage.10.The head may be tilted to the right, approximately 15 degrees (slightly), which is the generally preferred casketing position.11.Place the hands in the desired position.12.Use additional impermeable posing devices as needed to position the body correctly
The purpose of this is to create feature naturalness (order optional).
Posing the features
Posing the features include the following…
- Shaving2. Closing eyes3. Mouth closure4. Casketing
When treating the body we should __________ a __________ on the _______________ before removing.
spraydisinfectant sheet
The body should be _______ in the ________ of embalming table with the head ____________ than the rest of the body.
positionedcenterslightly higher
________ and _______ all clothing and personal effects, such as jewelry. Valuables should be securely stored until they can be returned to the family
removerecord
_________ the clothing when necessary
disinfect
_________ medical dressing, bandages, or wrappings
remove
____________ the oral and nasal cavities
disinfect
_____________ rigor mortis
relieve
___________ the head on a _____________ so the neck is aligned in such a way that it will not interfere with _________________ or ___________
positionhead restfluid distribution drainage
The _____ may be ______ to the ________, approximately _______ degrees (slightly), which is the generally preferred casketing position
headtiltedright15
Place the _________ in the desired positon
hands
Use additional _________________________ as needed to position the body correctly
impermeable posing devices
(if required) - in many cases, it improves the appearance of the deceased and assists in the application of cosmetics.
shaving
Note on shaving:
The embalmer should check with the family with respect to a mustache or beard. Also, check concerning facial hair on females and infants. It is easier to shave a body after embalming than it is to restore the hair.
Steps to know when shaving….
- Apply warm water to the face with a washcloth.2. Use shaving cream or soap to lather the face.3. Shave in the direction of hair growth.4. Use small short repeated strokes.5. Clean the razor frequently with warm water.6. Use a small piece of cotton, washcloth, or gauze to pull the skin taut and make an even surface for shaving.7. After shaving, wash the face and apply massage cream.
Massage cream will:
- Help retard dehydration.2. Provide a base for massage.3. Help to cleanse tissue pores.4. Provide a base for cosmetics.
Steps when Closing the eyes…
**Important note: do not manipulate the eyelids any more than necessary.1.If not already done so, disinfect the ocular cavity.2.Hint -a small amount of massage cream under the lid may help with closure and protection against dehydration. Place cream on eye caps.3. Eye caps may be used to help provide proper contour of the eyes.4. When closing the eye, the lids should meet in a gentle downward arc with the line of closure with the upper lid covering two-thirds of the eye; lower lidcovering one-third.5. Eyelids abut, not overlap.
Sunken eyes
- Place non-absorbent cotton and eye caps over the cotton.2. Inject massage cream or tissue builder behind the eyeball.3. Inject massage cream or tissue builder directly into the eyeball.
Enucleated eyes
- Remove any packing.2. Cauterize (to burn with a caustic material) the socket - this will close the small vessels to prevent leakage.3. Apply filler a. Mortuary putty and eyecap. b. Cotton and eyecap. c.Prosthesis
Excessive manipulation of the lip tissue may cause
distention.
Sharp teeth may cause injury to the
operator (embalmer).
Steps for Mouth closure
a. Relieve rigor mortis b. Disinfect and cleanse oral cavity.c. Remove, cleanse and disinfect dentures. d. Observe normal bite. I. Dentures II. Mouth formers III. Natural teeth
Mouth can be secured with one of these 4
I. Needle injectorII. Masculature sutureIII. Mandibular sutureIV. Wire through the bone (only in certain situations)
If the lips will not stay closed try one of these 6 things
I. Use creams to assist with closure.II. Use wet cotton strips.III. Use adhesives.IV. Hypodermic of masseter muscle.V. Subcutaneous sutureVI Wax
Observe the following points of natural expression
I. Slight protrusion of the upper lip.II. Corners of the mouth slightly raised.III. Five arcs in the line of the upper lip.
Things to do with Extreme prognathism (Buck Teeth)
I. Obtain written authorizationII. Realign teethIII. Extract teethIV Let teeth show
Casketing
- Bring casket as close to the table as possible.2. Prepare the casket prior to placing remains in it. Raise bed to highest point.3. Place head of the remains as close to the head of the casket as possible(except when the remains are short).4.Depress the right shoulder slightly - which turns the body slightly to the right.5 the head should be slightly higher than the hands.6. Adjust hands, clothing and any other item.
this was not adjustable and was very impractical. Was placed between the sternoclavicular articulation and the chin.
The Bone Separator
this form of mouth closure is used by many practicing embalmers. Operates on a principal of a trip hammer.
injector needle
This mouth closure is a suture made through the frenulum of the lower lip (close to the bony structure). MUSCULATURE
Frenulum to Septum Suture
The ultimate development of sutures. Threaded needle using long strong linen thread. Placed in center of the mouth directly behind the teeth and pointed downward.
Septum- Mandible Suture
Suture that may bee used ONLY on those whose teeth are firm. Secure two fine linen threads…one passed around the upper right incisor tooth and tied at the gum line, and second is passed around the corresponding lower tooth and tied at the gum line.
Dental tie
Due to disease or injury it may not be possible to use sutures or injector. Then pass a wire through small holes drilled into the mandible and maxilla.
wire through bone
commonly used on body whose lips have a tendency to part in spite the fact the jaw has been raised to its normal position. IS NOT A TRUE METHOD OF MOUTH CLOSURE. wet cotton strips
The cotton fold
hypodermic needle with concentrated fluid. insert into the masseter muscle with the entry through skin beneath lobe of the ear.
masseter hypodermic