Lab 8 (am Care) Flashcards
Principles of personal care (3)
Top to bottom
Far to near
Clean to dirty
Inner canthus of the eye
Where you start the wipe from
AM care wash consists of
Face, hands, axilla, pericare
If patient has a weak side, how do you dress them
Remove clothes from strong side
Dress weak side first
Implications and interventions: dry skin
May become infected if cracked
Bathing should be less
Drink more water
Use creams
Acne
Inflammatory skin eruption involving bacterial breakdown of sebum
Implications and interventions: acne
Can spread if squeezed or picked
Wash hair and skin each day
Use less cosmetics
Skin rashes
Skin eruption from sun or moisture of allergies
- may be flat of raised
- local or systemic
Implications and interventions: skin rashes
Don’t scratch
Wash area and apply lotion
Contact dermatitis
Inflammation of skin with erythema, pain, and oozing lesions
Implications and interventions: contact dermatitis
Usually hard to find source
Avoid causative agents
Psoriasis
Chronic skin condition
- abnormal skin growth
- inflammation
Abrasion
Rubbing away for the epidermis
- bleeding
- wound weeping
Impetigo
Red sores that can break and ooze
Contagious
Caused by strep, staph, or eczema
Hand foot and mouth disease
Unless caused by enterovirus
- sores on hand feet and mouth
Risk factors for skin impairment
Immobilization
Reduced sensation
Hydration alterations
Secretions
Vascular problems
Skin assessment
Colour, temp, look for edema
Callus
Thickened portion of epidermis from rubbing or pressure
Keratosis
Caused by chronic friction
Cone shaped, known as “corns”
Athletes foot
Fungal infection
Scales and cracking between toes
Paronychia
Inflammation of tissue around the nail
Common with diabetes
Pediculosis capitis
Head lic
Pediculosis corporis
Body lice
Pediculosis pubis
Crab lice
Nursing history for skin assessment topics
Changes in skin
Determine is lots of time spent outside
Determine rashes or bruising
Frequency of bathing
Recent trauma to skin
Allergies
Topical medications
Family history
Skin colour variations
Cyanosis - loss of O2
Pale - reduced hemoglobin
Loss of pigment - vitiligo
Yellow - jaundice
Erythema - increased blood flow
Basal cell carcinoma
Least deadly
Small flat or raise lesions, somewhat scaled border
Squamous cell carcinoma
Can be bigger than basal, and grows faster
Sometimes crusted
More serious
Melanoma
Most deadly
Brown flat lesion
Irregular borders
Bed baths
Wash fast, behind ears neck, hands, axilla, folds, personal, genital areas
Avoid washing arms legs and feet (could lead to dryness)
Clothing removal/puttiing on
Put on weak side first, take off on strong side first
