Hygiene & Skin Integrity Flashcards
1
Q
Factors influencing hygiene practice
A
- culture
- religion
- income and social status
- physical environment
- developmental stage
- personal health practices
2
Q
Risk factors for pressure ulcers
A
- mechanical loads - friction and shearing force
- immobility
- inadequate nutrition
- fecal and urinary incontinence
- decreased mental status
- diminished sensation
- excessive body heat
- advance age or aging process
- chronic medical conditions
3
Q
Assessment
A
- skin alterations
- common problems
- hygiene practices
- hygiene needs
- self care abilities
- products used
- principles of skin care
4
Q
Diagnoses
A
- self care deficit of -
- knowledge deficit of -
- self esteem disturbance
- skin impairment (risk)
- risk for impaired skin integrity
- risk for infection
- risk for injuries
- body image disturbance
5
Q
Goals
A
- maintain skin cleanliness
- maintain clean clothed appearance
- maintain well groomed appearance
- maintain sense of wellbeing
6
Q
Nursing orders
A
- bathing
- perineal-genital care
- foot care
- nail care
- mouth care
- hair care
- eyes
- ears
- nose
- hygienic environment
7
Q
Skin functions
A
- protects inserting tissues
- regulates body temperature
- sebum prevents heat and water loss from the skin and also kills bacteria
- transmits sensations
- produces and absorbs vitamin D
