Hygiene Flashcards
What are factor’s that influence hygiene practices?
- Culture
- socioeconomic class
- religion
-developmental level (physical and cognitive), -psychosocial health - health & energy
- personal preference
What are the components of taking hygiene history?
-Daily and weekly bath habits
-Barriers to patient maintaining hygiene
-Pain and movement disorders
-Special Hygiene practices used or needed (mouth, EENT, hair, feet, perineum)
What are the types of care?
Early morning, morning, afternoon, evening
What does skin do for the body?
-Protects, provides barrier
-Regulates temp
-Secretes sebum
-Transmits sensation
-Produces Vitamin D
What does bathing do for patients?
-Removes accumulated oil, perspiration, dead skin cells, some bacteria
-Increases circulation
-Enhances sense of well being
-Provides opportunity to assess skin
What are the basic principles for hygiene?
-Clean to dirty
-Change water as needed
-Keep client covered for warmth and privacy
-Dry gently (patting, not rubbing)
When you are providing a bath what level should the bed be at?
Elevate the bed to height that prevents you from stooping over (bed level with your hips at least)
When you leave the patient’s bedside what level should you have it?
At the lowest level
How many side rails can be up while you are giving a bath?
Leave the side rail up on the opposite side
What is a complete bed bath?
Wash entire body in bed with basin of water and wash cloth
What is a “bag bath”?
Wash entire body in bed with warmed, disposable wipes
What is a partial bed bath?
Face, hands, ancillary, groin and perineal area, under breasts and other “folds” and back
What types of showers are there?
Shower with chair & hand held shower head
When doing hair care what should you be looking for?
Note any history of hair or scalp problems such as dandruff, hair loss or baldness; if hair is matted, start combing gently at the tip and provide any special needs
How should you wipe the eye when cleaning?
Wipe from inner to outer canthus
What type of solutions should you use for eye?
Water or normal saline
What should you assess for during eye care?
Contacts/glasses/prosthesis and drainage, redness, dryness
What should you assess during nose care?
For drainage/latency, if has an NG tube or receiving oxygen look for breakdown
How do you do nose care?
Cleanse nose by having patient blow nose if both nares are patent, cleanse with wash cloth, remove crusted sections around nose with warm, moist compress
What do you assess for during Ear Care?
For drainage/cerumen, hearing aids, if receiving O2 assess behind ears
What do you assess for during mouth care?
Open sores, plaque, gingivitis
How do you remove dentures?
Remove with gloves, use paper towel and put it in cup stored with water
Why do you fill sink with water and put towel when cleaning dentures?
If they happen to fall out of hands they wont break when falling into sink
Are we allowed to cut nails?
Not without doctor’s order; only file carefully
What is the most important thing to do with foot care?
Pay special attention to between the toes, and make sure they are clean and dry
What are the bed making principles ?
-Done daily, and as needed
-Wear gloves if soiled
-Hold linen away from uniform
-Never place linen on another bed or floor
-Place in hamper or in pillow case
-Never shake linen
-Gather all supplies prior to beginning
What is the foot are for diabetic patients?
-Inspect food daily
-Wash feet with lukewarm water and dry
-Appropriate shoe size and dry socks
-Do not smoke
-Do not cross legs for long periods of time
-When sitting wiggle your toes and move ankles up and down for 5 minutes 2 or 3 times day
How does the bed look if left open?
Linens folded back to allow client to get in
How does bed look closed?
Linen up
The nurse performs the bath for the patient rather than delegating it to the nursing assistant. What benefits does that have for the patient?
Allows for nurse-patient relationship
