chap 31 Flashcards
1
Q
factors affecting personal hygiene
A
- culture
- socioeconomic class
- spiritual practices
- developmental level
- health state
- personal preferences
2
Q
physical factors to assess about hygiene
A
- daily/weekly bathing habits
- factors interfering w/ hygiene
- pain
- exposure history
- history of skin/mucous membrane
- special hygiene
3
Q
assessing patient hair
A
- identify usual hair/scalp care
- note history of hair/scalp problems
- possible causes of changes
4
Q
assessing patient nails/feet
A
- identify normal nail/feet care
- history of foot/nail problems
- note footwear worn
- identify any variables that cause problems
5
Q
assessing patient perineal/vaginal areas
A
- note history of problems/treatments
- identify variables that cause problems
6
Q
assessing patient skin
A
- question about past/current skin problems
- changes in skin
- recent surgeries, tattoos, piercings
- COLDSPA if visible problems
7
Q
assessing patient oral cavity
A
- identify normal oral hygiene
- note history of oral problems/treatments
- identify variables that cause problems
8
Q
hygiene nursing diagnoses
A
- bathing self-care deficit related to postoperative weakness
- impaired oral mucous membrane related to dehydration/altered nutrition
- impaired social interaction related to negative body image
9
Q
priorities early morning care
A
- assist w/ toileting
- washing face/hands
- oral care
10
Q
priorities morning care (AM care)
A
- assist w/ toileting
- oral care
- bathing
- back massage
- special skin measures
- hair care
- cosmetics
- dressings
- positioning for comfort
11
Q
priorities afternoon care (PM care)
A
- assist w/ toileting
- oral care
- hand washing
12
Q
priorities of hour of sleep care (HS care)
A
- assist w/ toileting
- wash face/hands
- oral care
- may need clothing/bed linens changed
- back massage
- position comfortably
13
Q
priorities of as needed care (PRN care)
A
-offer individual hygiene needs as needed
14
Q
bathing purposes
A
- cleaning skin
- skin conditioning
- relax restless person
- promote circulation
- musculoskeletal exercise
- joint mobility
- muscle relaxation
- sensory input
- improve self image
- strengthen nurse-client relationship
15
Q
types of bathing
A
- shower/tub baths
- bed bath
- disposable bath
