Chapter 22 - Facilitating Hygiene

Question 1

Activities of daily living (ADLs)

Answer 1

• bathing
• showering
• combing hair

Question 2

What patients should you take special considerations when bathing?

Answer 2

• 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.

Question 3

Hygiene and Personal care contributes to:

Answer 3

psychological and physical wellbeing

Question 4

What are some things ADLs promotes?

Answer 4

• increased activity
• independence
• self- esteem

Question 5

AM care includes:

Answer 5

• bathing
• toileting
• mouth care
• grooming hair
• dressing
• making the bed

Question 6

PM care includes:

Answer 6

• toileting
• handwashing
• oral care

Question 7

HS (hours of sleep) includes:

Answer 7

• relaxation activities
• getting the environment ready to facilitate sleep

Question 8

When dressing a patient with a weak side, what side should you dress first?

Answer 8

weak side

Question 9

What are some benefits when bathing a patient?

Answer 9

• clean patient
• relaxes patient
• can observe skin
• increases circulation
• can preform range of motion exercises

Question 10

Partial bed bath consists of cleaning:

Answer 10

• hands
• face
• axile
• peri care

Question 11

If patients are tired or in pain what two bathing techniques can you offer?

Answer 11

partial or towel bath

Question 12

In what direction should you clean/wipe when performing peri care on females?

Answer 12

front to back

Question 13

What type of patients would be ideal for a tub bath?

Answer 13

not a fall risk

Question 14

When bathing/showering, patients with dementia can easily become agitated from?

Answer 14

• being cold
• loss of control
• being in pain
• fear

Question 15

When bathing patients that are morbidly obese, why is it important to not let moisture build up underneath skin folds?

Answer 15

it can cause skin breakdown

Question 16

What are some things you can do to reduce aggressive behavior when bathing a patient with dementia?

Answer 16

• adjust water temperature
• take special care when washing joints

Question 17

What patients are susceptible to peripheral neuropathy?

Answer 17

patients with diabetes
(may not be able to feel the water temperature on lower extremities)

Question 18

When bathing, what areas should you avoid?

Answer 18

areas with redness

Question 19

You should not provide a patient with a back rub if they have?

Answer 19

• fracture of ribs or vertebral column
• burns
• pulmonary embolism
• open wounds

Question 20

Excessively dry skin can lead to?

Answer 20

infection

Question 21

When giving a patient a back rub, what position should they be in?

Answer 21

prone position

Question 22

What is excoriation?

Answer 22

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

Question 23

When should you provide a patient with a Sitz bath?

Answer 23

after having rectal and vaginal surgery or childbirth

Question 24

What does oral care promotes?

Answer 24

*better appetite
*reduces the incidence of healthcare acquired pneumonia in older and critically ill

Question 25

What should you look for when assessing the oral cavity?

Answer 25

*cavities
*condition of teeth
*gingivitis
*oral lesions

Question 26

When should you offer oral care?

Answer 26

before and after all meals

Question 27

When preforming oral care on an unconscious patient, what position should they be in?

Answer 27

lying on their side with head lower than stomach

Question 28

When should oral care be done on an unconscious patient?

Answer 28

every 2 hours

Question 29

When cleaning dentures, what temperature should the water be?

Answer 29

warm
store in container with cool water

Question 30

When shampooing in bed, what position should the bed be in?

Answer 30

flat

Question 31

What type of razor should you use on a patient who has a bleeding disorder or is on antiocoagulants?

Answer 31

electric razor

Question 32

Why should you never soak a diabetic’s hands or feet?

Answer 32

it can cause skin breakdown

Question 33

Why should you not cut a diabetic’s toe nails?

Answer 33

they can have neuropathy and may not be able to feel their extremities

Question 34

When cleaning the eyes, what direction should you clean?

Answer 34

inner to outer