Chapter 17 Flashcards
Biofilm
A thin film that sticks to the teeth
Tarter
Hardened biofilm
What causes problems in the mouth
Diseases, medication, O2 treatment
Order of mouth care
Brushing, flossing, mouth wash
Observations to make in mouth
Dry, swelling,redness, white patches, loose teeth, pain and discomfort
How to brush teeth
Small circles at gum line then move up
When brushing an unconscious client
Lateral position
Use suctioning
Always talk to them
When performing denture care
Top first
Room tempature water
Inspect dentures and mouth
Bathing helps remove
Microbes, dead skin, perspiration, and excess oils
A complete bed bath
Involves cleaning the entire body while client is still in bed
Partial bath
Involves cleaning the face, hands, underarms, back, buttock, and perineal area
Water temperature should be
43.3C to 46.1C
Or as directed on care plan
The client has the right
Not to be seen by others
Before giving the bath you must
Get consent
Smegma
White or yellow substance as a accumulation of dead skin cells and oily secretions around the foreskin or clitoris
When performing perineal care you should always
Clean from cleanest area to the dirtiest
Deoderates
Control body odours and reduces the amount of perspiration
Skin should always be
Dry and intact
What’s the worst thing you can do well bathing a client
Be silent
Bathing is
Cleaning the whole body, not the hair
How to bath
Go from head to toe
Is the clients choice always respected
Yes
Complete bed bath
Washing entire body in bed
Key skills for bathing
Always work from clean to dry
Using soap, long strocks towards the heart
Rise soap off well
Pat dry
Order for bed bath
Eyes
Face
Arms and shoulders
Underarms
Hands
Feet
Chest
Abdomen
Legs
Feet
Back
Perineal area
What to remember when doing bed bathing
Wear gloves
Flip towel each time you clean a new area
Never double dip
Change water before perineal care
Partial bath
Face, underarms, hands, back, and perineal care, buttocks
When a client doesn’t want to have a bath
Use clear, simple, repetitive communication
Should you use powered
No
Cornstarch based is okay
Back message
Should be 5 mins
Put lotion on hands
Circular motions. Avoid the spine
Principles of perineal care
Clean to dirty
Inner to outer
Up to down
Far to near
Front to back
Hemorrhoids
Vains in the anus extend
When giving perineal care to a male client
Clean the shaft of the penis with firm downward strocks
Reasons for bed bath may be ordered
The client is weak from surgery
The client is paralyzed
The client is in a cast or traction
Back messages should not be given to clients with
Back surgeries
Certain heart diseases
Back injuries
Some lung disorders
Skin disease
