Hygiene - NRSG Fun Ch 22 Flashcards
What factors affect hygiene?
personal preferences culture and religion or spirituality economic status or living environment development level knowledge level
How does health status affect self-care ability?
pain - severely limits ability and motivation
limited mobility - decreases ability
sensory deficits - diminishes safety of self-hygiene, may not recognize injuries that need cleansing
cognitive impairments - may not remember to perform or how to perform hygiene
emotional disturbances - may interfere with knowledge of, or remembrance of necessity for hygiene due to altered state of consciousness
Parts of Assessing self-care abilities for hygiene
Obtain a health history
Assess the patient’s cognitive ability and physical functioning
Identify other factors (cultural, religious)
Assess for sensory disturbances (auditory, visual, tactile or olfactory)
Determine preferences and practices
Types of scheduled hygiene care
early morning care -
A.M. care
P.M. care
H.S. care
What is Pruritus?
itching
What is Maceration?
softening of the skin from prolonged moisture
What is excoriation?
a loss of the superficial layers of the skin caused by the digestive enzymes in feces
What is an abrasion?
rubbing away of the epidermal layer of the skin
Often caused by friction or shearing forces
What is a pressure ulcer?
lesions caused by tissue compression and inadequate perfusion
What is acne?
an inflammation of the sebaceous glands that is common among adolescents and young adults
Rationale for bathing
bathing removes the buildup of fatty acids, proteins and nitrogenous wastes upon which bacteria and odor can build.
The warmth of the water and friction increases circulation
Bathing stimulates depth of respirations and provides sensory input
Cleanliness promotes well-being and self-image
