Class 5/Class 6 - Personal Care Skills

Question 1

partial bed bath

Answer 1

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

Question 2

perineal care

Answer 2

is usually part of a complete bed bath. patients most in need of perineal care are those at greatest risk of infection

Question 3

self care abilities

Answer 3

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`

Question 4

hygiene practices

Answer 4

a patients grooming preference

Question 5

health promotion

Answer 5

educate patients on appropriate hygiene techniques

Question 6

hygiene care schedule

Answer 6

early morning care, routine morning care, afternoon care, evening or hour-before-sleep care

Question 7

early morning care

Answer 7

offering bedpan or urinal, washing patients hands and face, assisting with oral care

Question 8

routine morning care

Answer 8

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

Question 9

afternoon care

Answer 9

washing hands and face, oral care, bedpan straightening bed linen

Question 10

evening or hour-before-sleep care

Answer 10

changing soiled bed linens, gowns, washing face and hands, oral hygiene, back rub, bed pan. ask if they want juice (or beverage) if permitted

Question 11

complete bed bath

Answer 11

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

Question 12

self care deficit

Answer 12

assess whether family can help. assess home environments that might affect hygiene

Question 13

purposes of personal care (besides hygiene)

Answer 13

• self confidence
• judge ability
• spirituality
• therapeutic
• assessment
• look at skin and feet

Question 14

things to consider when providing personal care

Answer 14

• organization
• asepsis
• body mechanics
• privacy
• assessment
• safety
• warmth
• independence
• make sure everything is labelled

Question 15

personal care includes

Answer 15

-oral care, denture care, hair care, foot care, shaving, perineal care, back rubs, am/pm care, bath/showers

Question 16

oral care

Answer 16

• 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

Question 17

denture care

Answer 17

• 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

Question 18

hair care

Answer 18

• 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

Question 19

foot care

Answer 19

“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

Question 20

shaving

Answer 20

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

Question 21

perineal care

Answer 21

assess self care ability

• clean to dirty principle
• asepsis
• privacy and dignity

Question 22

am/pm care

Answer 22

every morning and night

• includes oral care
• wash face, neck, axilla, hands, back and perineal area
• include back rub, especially for bed ridden patient

Question 23

complete/partial bed bath

Answer 23

• 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