Chapter 22 Flashcards
Daily Hygiene & Bath
1
Q
bath blanket
A
covering used for privacy / warmth during bath / hygiene / other care
2
Q
factors affecting hygiene
A
- perspiration
- elimination
- vomiting
- wound drainage
- body opening
- bed rest
- activity level
- illness / age
- culture / personal choice
2
Q
east indian hindus believe in at least how many baths a day ?
A
1 is required
BE MINDFUL OF BELIEFS
3
Q
why would older persons resist hygiene efforts ?
A
extremely common
- illness
- disability
- dementia
- personal choice
follow care plan to accomodate
4
Q
promoting safety while giving hygiene care ?
A
- allow person to assist as safely as possible
- use assistive devices for person as needed
- always keep call light within reach
- person always needs to be able to call for help
USE GLOVES AS NEEDED
5
Q
what must be reported at once when giving a bath ?
A
- bleeding
- signs of skin breakdown
- discharge from privates / butt
- unusal odor
- changes from last report
6
Q
when is care usually given ?
A
- after waking up
- before / after meal
- before sleeping
assisting as needed
7
Q
what is the point of bathing ?
A
- cleans the skin of microbes, dead skin, perspiration, excess oil
- refreshing / relaxing for the person
- circulation is promoted
- body parts are moved (exercised)
- opportunity to talk to someone
8
Q
what type of bath is given ?
A
depends on the person condition / abilites / choice
- complete bath
- partial bed bath
- tub bath
- shower
9
Q
when are baths usually given in a hospital ?
A
usually after breakfast
10
Q
when are baths usually given in nursing centers ?
A
- before / after breakfast
- after evening meal
11
Q
how often is bathing done in a week ?
A
personal matter
some bathe daily, 1-2x a week, illness / dry skin leave it to 1-2x a week
12
Q
before breakfast care (early morning / AM care) consists of ?
A
- prep for breakfast / morning tests
- assist w/ elimination
- clean / change incontinent people
- assist w/ hygiene care / self-care
- position for breakfast
- make bed / room
13
Q
after breakfast care (morning care) consists of ?
A
- assist w/ elimination
- clean / change incontinent people
- assist w/ hygiene care / self-care
- assist w/ range-of-motion exercise
- make bed / room
14
Q
afternoon care consists of ?
A
- prep persons for nap / visitors / activities
- assist w/ elimination
- clean / change incontinent people
- assist w/ hygiene care / self-care
- assist w/ range-of-motion exercise
- provide comfort
- straighten bed / room
15
Q
evening care consists of ?
A
- prep persons for sleep
- assist w/ elimination
- clean / change incontinent people
- assist w/ hygiene / oral care / self-care
- assist w/ range-of-motion exercise
- provide comfort
- store assistive devices
- straighten bed / room
16
Q
usual water temp for a bed bath ?
A
110-115°F
at least 105°F
17
Q
usual temp for a tub bath / shower ?
A
110°-115°F; atleast 105°F
18
Q
usual temp for perineal care ?
A
105-109°F
19
Q
how to clean persons ?
A
- clean from “clean to dirty” (head to toe)
- perineal / butt always last
- rinse thoroughly
- pat dry emphasis on skin folds (breasts, abdomen, genitals, etc.)
20
Q
bathing when it comes to older persons ?
A
- complete bed / tub bath / shower only twice a week to avoid damage to skin
- partial baths other days
- lower water temps; fragile skin
21
Q
bathing persons w/ dementia ?
A
- can cause confusion / increase fear / agitation
- give bath during “calm times”
ALWAYS remain calm / patient / soothing
22
Q
who decides the bathing procedures ?
A
the nurse;
- what bath to give
- how much help is needed
- activity / position limits
- water temp.
- skin care preferences
- observations to report
- skin texture
- bruises / discolored / bony areas
- wounds / swelling / calluses
- complaints / discomfort
23
Q
how to apply powder correctly ?
A
1) turn away from person
2) apply powder to hands / towel; NEVER directly onto skin
3) apply powder in thin layer
avoid getting powder on floor
24
when should person eliminate ?
before bathing; bathing stimulates need to eliminate
25
complete bed baths
wash person's entire body in bed; explain procedure and provide for privacy
26
complete bed baths are for persons who are ?
- unconscious
- paralyzed
- in cast / traction
- weak from illness / surgery
- unable to bathe themselves
27
complete bed bath procedure ?
1) hand hygiene
2) fill wash basin 2/3 full w/ water; have person check temp (110-115°F)
2) basin on barrier placed on over-bed table
4) lower head of bed; bed as flat as possible
5) hand hygiene and don gloves
6) "mitt" washcloth
7) clean far eye then close eye; inner to outer corner
8) clean / dry body in sections; giving cover to chest and abdomen when cleaning
- hands / feet can be washed in basin / wiped
- lotion feet directly after drying if-need
9) clean up supplies and hand hygiene
10) massage back; lotion / powder / deodorant as requested
11) dress person / do hair
12) remake bed and clean / dry over-bed w/ paper towel
28
mitted washcloth
1) fold washcloth into thirds, with hand wrapped inside
2) fold half way towards your thumb and tuck underneath
29
partial bed bath
wash face, hands, underwarms, perineal
30
partial bed bath procedure ?
1) hand hygiene
2) fill wash basin 2/3 full w/ water; have person check temp (110-115°F)
3) basin on barrier placed on over-bed table
4) position person in fowlers / dangling bedside w/ over-bed in reach
5) help person undress
6) hand-hygiene and leave room
7) when signaled come back in wash hands / change water
8) ask what was washed; wash everything not done
9) clean up supplies and hand hygiene
10) massage back; lotion / powder / deodorant as requested
11) dress person / do hair
12) remake bed and clean / dry over-bed w/ paper towel
31
tub bath / shower
relaxing but can make people feel weak / faint; should not last longer then 20min
32
how to get in tub
- use tub w/ side entry
- bathing lift; lift person into tub
- mechanical lift
33
tub bath procedure ?
34
shower chair
- chair w/ and opening to let water drain
- used to assist w/ transfers
wheels always locked while transferring / showering
35
shower benches
benches already attached to shower
36
shower trolleys (portable tub)
shower person lying down; lower rail to let person in and raise rail to transport / shower
37
tub / bath safety
- clean / dry / disinfect before / after use
- safety aids / bath mats are working / in-place
- turning on cold water first than hot
- turning off hot water first then cold
- keep bar soap in soap dish when not in-use
- no bath oils
- do not leave unattended / leave hearing distance
- fill tub before person get in and drain after person get out
- shower nozzle away from person when adjusting temp / pressure
- keep shower nozzle spraying at person for warmth
- never spray shower nozzle at face
- turn shower off before person gets out
38
perineal care (pericare)
cleaning the genitals / anal area daily during bath / when dirty if person is unable; prevents infection / odor
39
who is perineal care really important for ?
- urinary catheters
- rectal / genital surgery
- menstruating
- incontinent
- uncircumsiced
40
circumcised
surgically had foreskin removed
41
uncircumcised
still has foreskin
42
direction of cleaning perineal area ?
cleanest to dirtiest, front to back, urethral to anus; prevent bacteria from anus infecting urinary system in vagina
43
perineal care equipment ?
- warm water; never hot
- washcloth, towelette, swabs as needed (at least 4 washcloths)
- no-rinse perineal cleansers
44
promoting safety while giving perineal care ?
- ask if they want same gender to give care
- obtain persons consent for perineal care
- let person have someone present if wanted
- call light within person's reach at all times
45
draping for perineal care of person in bed ?
1) bath blanket draped like diamond over person (one corner at persons face)
2) wrap both side corners under leg to keep blanket in place
3) corner between legs is able to be moved out of the way for care
46
female perineal care procedure ?
1) drape for perineal care w/ persons legs flexed
2) use mitted washcloth and squeeze out excess soap, etc.
3) separate labia and clean 1 labia, the other labia, and vaginal opening using downward, front-to-back motion; use one new side of washcloth for each part
4) change wash cloth and rinse using new mitted washcloth
5) repeat cleaning movements using one new side of washcloth for each part
6) pat dry
7) person lays on their side
8) use new clean mitted washcloth and squeeze out excess soap, etc.
9) clean from vagina to anus in 1 swipe; repeating as many times as needed using new clean part of washcloth
10) rinse rectal area w/ new clean mitted washcloth
11) pat dry
47
male perineal care procedure ?
similar to female perineal care procedure
1) if uncircumcised retract foreskin
2) use soap mitted wash cloth and use circular motions around meatus using clean part of wash cloth each swipe until clean
2) rinse using another mitted wash cloth using circular motion
3) clean shaft using downward motions with new clean mitted washcloth
4) clean / rinse scrotum w/ clean part of washcloth
5) pat dry penis and scrotum
6) clean rectal area front-to-back
7) pat dry
48
partial bed bath washes ?
- face
- hands
- underarms
- back
- butt
- perineal
