Chapter 22 - Facilitating Hygiene Flashcards
Activities of daily living (ADLs)
- bathing
- showering
- combing hair
What patients should you take special considerations when bathing?
- a patient who has dementia
Patients who have dementia tend to become agitated when told it is time to bathe, and they often yell or scream at their caregivers or pinch or hit them. The reason for agitation is usually that they experience pain, cold, fear, and loss of control.
- patient who is obese
Be sure to obtain adequate assistance to reposition the patient during the bath and skin exam so that you do not miss any areas.
Hygiene and Personal care contributes to:
psychological and physical wellbeing
What are some things ADLs promotes?
- increased activity
- independence
- self- esteem
AM care includes:
- bathing
- toileting
- mouth care
- grooming hair
- dressing
- making the bed
PM care includes:
- toileting
- handwashing
- oral care
HS (hours of sleep) includes:
- relaxation activities
- getting the environment ready to facilitate sleep
When dressing a patient with a weak side, what side should you dress first?
weak side
What are some benefits when bathing a patient?
- clean patient
- relaxes patient
- can observe skin
- increases circulation
- can preform range of motion exercises
Partial bed bath consists of cleaning:
- hands
- face
- axile
- peri care
If patients are tired or in pain what two bathing techniques can you offer?
partial or towel bath
In what direction should you clean/wipe when performing peri care on females?
front to back
What type of patients would be ideal for a tub bath?
not a fall risk
When bathing/showering, patients with dementia can easily become agitated from?
- being cold
- loss of control
- being in pain
- fear
When bathing patients that are morbidly obese, why is it important to not let moisture build up underneath skin folds?
it can cause skin breakdown
What are some things you can do to reduce aggressive behavior when bathing a patient with dementia?
- adjust water temperature
- take special care when washing joints
What patients are susceptible to peripheral neuropathy?
patients with diabetes
(may not be able to feel the water temperature on lower extremities)
When bathing, what areas should you avoid?
areas with redness
You should not provide a patient with a back rub if they have?
- fracture of ribs or vertebral column
- burns
- pulmonary embolism
- open wounds
Excessively dry skin can lead to?
infection
When giving a patient a back rub, what position should they be in?
prone position
What is excoriation?
red, scaly areas with surface loss of tissue (occurs when skin is exposed to bodily fluids or when skin rests on skin)
ex: stool, urine, or gastric juices
ex: axilla, breasts, abdominal folds
When should you provide a patient with a Sitz bath?
after having rectal and vaginal surgery or childbirth
What does oral care promotes?
*better appetite
*reduces the incidence of healthcare acquired pneumonia in older and critically ill
What should you look for when assessing the oral cavity?
*cavities
*condition of teeth
*gingivitis
*oral lesions
When should you offer oral care?
before and after all meals
When preforming oral care on an unconscious patient, what position should they be in?
lying on their side with head lower than stomach
When should oral care be done on an unconscious patient?
every 2 hours
When cleaning dentures, what temperature should the water be?
warm
store in container with cool water
When shampooing in bed, what position should the bed be in?
flat
What type of razor should you use on a patient who has a bleeding disorder or is on antiocoagulants?
electric razor
Why should you never soak a diabetic’s hands or feet?
it can cause skin breakdown
Why should you not cut a diabetic’s toe nails?
they can have neuropathy and may not be able to feel their extremities
When cleaning the eyes, what direction should you clean?
inner to outer
