Hygiene and Comfort Flashcards
What are the 6 functions of the skin
- Protection
- Body temp regulation
- Sensation transmission
- Excression/secretion
- Maintain H2O and electrolyte balance
- Vitamin D production and absorption
Who is most susceptible to skin issues
Thin and very obese individuals
Eczema is an ______ disorder
autoimmune
What can be a skin consideration for older adult (what changes)
- Less sebum
- Cognitive impairment can affect ability for self care
What factors can affect personal hygiene
- Culture
- Socioeconomic status
- Religion
- Development and knowledge
- Health status/ energy level
What are some assessments we need to make for personal hygiene in dementia patients
Pain, potential needs (food, water), bath history, preferences, mood and timing
What are some interventions we can use when we are performing personal hygiene on a dementia patient
- Communication
- Be flexible
- Environment
- Be organized
- Willing to stop procedure
- Distraction/persuasion
- Family involvement
Whose responsibility is it to perform personal hygiene
Nurses, even if it gets delegated
What are some benefits of bathing?
- promotes circulation
- musculoskeletal exercise
- stimulates respirations
- sensory input
- improves self image
- strengthen relationship
What order should a bed bath happen
Front to back, distal to proximal
What can upward curvature of nails mean
Long term iron deficiency
What can clubbing of nails be caused by
Long term O2 deficiency
Who is at risk for altered mucous membrane?
- Undergoing chemo/radiation
- Malnourished
- Immunosuppressed
- Nasogastric tubes
- O2 therapy
What are 5 systemic issues that can be prevented by oral hygiene
- Aspiration pneumonia
- Endocarditis
- Cardio disease
- Parotitis
- Premature birth
What are some contraindications of a back massage
- Skin breakdown
- Infection
- Blood disorders
- Prone to fractures
What are the 3 strokes of back massages
- Effleurage: gliding
- Petrissage: kneading
- Tapotement: percussion
What is a sitz bath?
A client sits in warm water and soothes and heals perineum
What is pyorrhea?
Advanced periodontal disease, teeth are loose and pus is evident
How can dry mouth be aggravated
- poor fluid intake
- heavy smoking
- alcohol use
- high salt intake
- anxiety and other medications
What is Xerostomia?
Dry mouth
What is pediculosis
Lice
What is Hirsutism?
Growth of excess body hair
What is one thing we need to be careful with when performing foot care on those with peripheral vascular disease?
To not cut nails too short or cut calluses
