Class 5/Class 6 - Personal Care Skills Flashcards
partial bed bath
involves bathing a patient, only the body parts that would cause discomfort or odour if not cleaned, and those areas are not easily accessible by the patient
perineal care
is usually part of a complete bed bath. patients most in need of perineal care are those at greatest risk of infection
self care abilities
assessment to see which aspects of hygiene can be performed independently, which require some assistance, and which require total assistance. the assessment includes measurement of patients muscle strength, flexibility, and dexterity, balance, coordination, and activity tolerance`
hygiene practices
a patients grooming preference
health promotion
educate patients on appropriate hygiene techniques
hygiene care schedule
early morning care, routine morning care, afternoon care, evening or hour-before-sleep care
early morning care
offering bedpan or urinal, washing patients hands and face, assisting with oral care
routine morning care
offering bedpan or urinal, providing bath, peri care, oral hygiene and foot, nail and hair care, shaving, back rub, changing clothes, changing bed linens, straightening room
afternoon care
washing hands and face, oral care, bedpan straightening bed linen
evening or hour-before-sleep care
changing soiled bed linens, gowns, washing face and hands, oral hygiene, back rub, bed pan. ask if they want juice (or beverage) if permitted
complete bed bath
patients are totally dependant and require total hygiene care. must check with patient if they can physically tolerate it.
- prn or as per facility policy
- includes a complete bed linen change
self care deficit
assess whether family can help. assess home environments that might affect hygiene
purposes of personal care (besides hygiene)
- self confidence
- judge ability
- spirituality
- therapeutic
- assessment
- look at skin and feet
things to consider when providing personal care
- organization
- asepsis
- body mechanics
- privacy
- assessment
- safety
- warmth
- independence
- make sure everything is labelled
personal care includes
-oral care, denture care, hair care, foot care, shaving, perineal care, back rubs, am/pm care, bath/showers
oral care
- ensure person is sitting up, fowlers position
- bring them needed supplies
- wash hands/wear gloves
- introduce self/explain what you are doing
- protect clothing
- encourage/assist brushing of teeth and tongue
- rinse with water/mouth wash
- clean and dry areas around mouth
- observe and report unusual findings
denture care
- before oral care
- wash hands and wear gloves
- REMOVE UPPER FIRST THEN LOWER
- wash and rinse in cool/warm water
- store/soak in well labelled container
- observe for sores, redness, bleeding, pain, or ill fitting dentures, mucous membranes
hair care
- usually done with tub bath or shower
- with completely bedridden patients hair may have to be washed in bed
- various special bed trays are sometimes available
- waterless shampoos
foot care
“foot soaks”
- nail care: may see foot care nurse or podiatrist regularly
- dry well between toes
- DO NOT CUT TOENAILS OF RESIDENTS WITH DIABETES!!!!!!
- observe feet for skin integrity, colour, odour, redness, swelling, deformities and document unusual findings
shaving
patient/family choice
- assist/total shave
- razor may be electric or regular
- if regular, apply warm compress first to soften hair
- hold skin tight
- shave in direction that hair grows
- wash, dry and apply lotion to area after shave
perineal care
assess self care ability
- clean to dirty principle
- asepsis
- privacy and dignity
am/pm care
every morning and night
- includes oral care
- wash face, neck, axilla, hands, back and perineal area
- include back rub, especially for bed ridden patient
complete/partial bed bath
- gather supplies
- wash hands, ensure gloves available
- introduce self, explain procedure
- provide privacy
- raise bed to appropriate height
- raise opposite side bed rail and stay on one side of the bed
- remove gown and cover with bath blanket
- wash, rinse, and dry one body part at a time
- encourage clients participation and independence
- protect bed linen by placing a towel under each body part as it is being washed
- rinse cloth after each body part
- change water when dirty or cold
- always wash, CLEAN TO DIRTY, HEAD TO TOE
- start with eyes, WASH FROM INNER TO OUTER canthus, rinse cloth between eyes
- face, axilla, chest, or under breasts, hands, back, peri care
- once peri care has been provided, water and cloth must be changed if you are returning to other body areas
- be sure to dry all areas thoroughly
- provide back rub with gentle circular strokes, use lotion if possible
- assist with clean gown or clothing
