Ch. 32 (Hygiene) Flashcards
According to Florence Nightingale’s Environmental theory, what were the five environmental characteristics that influence health?
- pure water
- pure air
- efficient drainage
- cleanliness
- light
What holistic approach focuses on maintaining autonomy over self-care processes?
Dorothy Orem’s Self-Care Deficit Theory
According to Dorothy Orem’s Self-Care Deficit Theory, what characteristics would a pt have to display for a self-care deficit nursing diagnosis?
- inability to maintain proper hygiene
- inability to dress oneself
What are the six factors affecting personal hygiene?
- culture
- socioeconomic class
- spiritual practices
- developmental level
- health state
- personal preferences
What are factors to consider when examining skin?
- cleanliness
- color
- temperature
- turgor
- moisture
- sensation
- vascularity
- evidence of lesions
What are some benefits to nurses performing a pt’s hygiene?
- promotes ROM
- play into an assessment
- prevent infection
Who is at risk for skin alteration?
- lifestyle factors
- changes in health state
- illness
- diagnostic measures
- therapeutic measures
When a pt has a self-care deficit diagnosis, what should nurses focus on?
- feeding
- bathing & hygiene
- dressing & grooming
- toileting
What are some things nurses can do during early morning care for pt hygiene?
- assist pt with toileting
- provide comfort measures to refresh pt to prepare for day
- wash face & hands
- provide mouth care
What are some things nurses can do before pts retire or go to sleep?
hygiene care
- offer assistance w/toileting, washing, and oral care
- offer back massage
- change soiled linens or clothing
- position pt comfortably
- ensure that call light & other objects pt requires are within reach
When cleaning the eyes what direction do we go with a wet, warm cloth, cotton ball, or compress?
start from the inner (glands) to outer canthus
When cleaning, what kind of area do you go from and where do you go to?
1. dirty
2. clean
clean to dirty
How do you wash the ears?
wash external ear w/washcloth-covered finger finger (never use cotton-tipped swabs)
What do you do with crusted secretions around the nose?
apply warm, moist compress to remove
What do you use when providing vaginal care cleaning?
with plain soap and water
When shaving a pt, what do you do before shaving the pt?
- check to make sure whether or not pt takes anticoagulants
- soften (with warm, moist compress)
Before applying anything changed by temperature, what should you do before applying said thing to the patient?
check temperature
How do you ensure bedside safety?
- lowest position
- wheels are locked
