Hygiene, Activity, Rest & Sleep, Comfort & Pain Flashcards
Where to take care of hygiene
eyes
ears
nose
mouth
feet
hands
hair
pernieal and vaginal areas
factors affecting hygiene
culture
socioeconomic status
spiritual status
developmental stage
state of health
personal preferences
HAI
Hospital Aquired Infection
hygiene for patients
general skin care
perineal care
body piercings
oral hygiene
types of care
body peircings
oral hygiene
eye care
ear care
nose care
hair care
foot care
enviornmental care
how to clean eyes, ears, etc
if NPO moisturize mouth every hour
eye- clean from inner corner to outside
ear - around the ear, nothing inside
bed movements
raise bed to working height
when finished lower bed to lowest postion, lock and put up both rails
ADL check off
Bathing (bath self completrly missing 1 area or less)
dressing (pick out clothes, dress with little to no help)
toiliting (on and off toilet, can clean theirself)
transferring (moving unassisted by a person)
continance (complete control of bowel and bladder)
feeding (can feed theirself)
Supine
facing up
Prone
facing down
Fowlers
sitting up
concerns with body positions
foot drop
how to prevent injury when moving
keep object/person close to you
face direction of movement
Sleep
resting with altered consiouness
Rest
decreased state of activity
sleep health
multidimensional pattern of multiple sleep chareteristics
recommended amount of sleep for adults
7 hrs
carcadian rhythm
every 24 hours
NREM Stage 1
can be aroused easily
lasts a few minutes
invoulantary jerking
5%
NREM Stage 2
50-55%
NREM Stage 3
10%
NREM Stage 4
deepest sleep
called delta sleep
10%
REM
rapid eye movement
dreaming stage of sleep
insomnia
disruption of carcadian rhythm, cant fall asleep or stay asleep
Factors affecting sleep
motivation
lifestyle
enviornement
stress
illness
medication
acute pain
pain less than 6 months
chronic pain
over 6 months, can be episodic
locations of pain
cutaneous - skin
somatic - bones, ligaments, tendons
visceral - organs
referred
responses to pain
physiological - invoulantary (blood pressure, pulse, respirations)
behavioral - crying, gaurding
affective - emotions, mood
how to describe pain
quality - sharp, dull, diffused, shiftign pain
severity - pain scale 0-10
periodicity - continious, intermittent, transient (comes and goes)
factors affecting pain
culture/ethnicity - affect how they report pain
enviornment/support people
anxiety/stressors
past pain
Pain assesment
location?
severity?
quality?
duration?
aggravating and alleviating factors?
contributing factors?
assess physiological, behavioral, and affective responses
