Personal Hygiene Flashcards

0
Q

factors affecting hygiene

A
Perspiration
Elimination
Emesis (vomit)
Wound drainage
Bed rest
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1
Q

What does soap and aging do to skin?

A

Makes it dry and easy to damage

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2
Q

oral hygiene

A

Keep mouth clean
Prevent dental infection
Help food taste better
Prevent dry mouth

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3
Q

causes of dry mouth

A
Meds
Decreased fluid intake
O2 administration
Smoking
Mouth breathing
Anxiety (decreased secretions)
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4
Q

report and record

A
Sores in their mouth
Pain
Odour (unusual)
Discolouration
Bleeding, swelling and redness in gums
Dry mouth
Cracked, swollen lips
Missing teeth
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5
Q

Unconscious mouth care (every 2 hours)

A

use a sm amt of fluid
turn ct to the side so excess fluid runs out
even though they’re unconscious remember to tell them what you are doing

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6
Q

bathing clients

A
May be a shower, bath or bed bath
They have planned bath days in LTC
Soap and aging cause dry skin that is easily damaged
Ask about using soap on people many don't like it on their face
Collect all necessary items before starting. 
Cover for warmth and privacy
Check water temp
Don't leave soap in the H2O
Wash clean to dirtiest 
Encourage ct to help 
Rinse soap off 
Don't forget to wash under breasts 
Wash in the skin folds
Observe the ct's skin during bathing
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7
Q

Reporting rashes

A
Dry skin
Bruises
Open areas
Pale or red areas over the bony part (bony prominence)
Swelling of feet and and legs
Corns, calluses on feet 
c/o pain or discomfort
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8
Q

tub vs shower

A

ct preference
Check water temperature
Don’t leave the person in the tub for longer than 20mins
Make sure the mechanical lifts are working
Turn hot water off first
Never leave a person unattended

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9
Q

back massage

A

Stimulates circulation
Using lotion, reduces friction
Report red areas

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10
Q

female peri care

A
Wash your hands
Collect your supplies
Provide privacy
Lower bed rail closest to you
Adjust bed height
Position ct on their back
Flex knees and spread legs
Put gloves on
Separate labia clean straight down middle, use different side of cloth for sides
Cleaning rectal area
Clean buttocks first, then separate and then clean front to back
Rinse and dry
Remove gloves and wash hands
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11
Q

male peri care

A
-   Wash your hands
Collect your supplies
Provide privacy
Lower bed rail closest to you
Adjust bed height
Position ct on their back
Grasp penis (retract foreskin)
Clean the tip using a circular motion start at the urethral opening and work outward
If they have a foreskin return it to their natural position
Clean down the shaft
Around scrotum and rinse and dry
Cleaning rectal area
Clean buttocks first, then separate and then clean front to back
Rinse and dry
Remove gloves and wash hands
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12
Q

hair care

A
Alopecia - Hair loss
Could be thinning hair 
Causes include skin disorder stress, nutrition, pregnancy and medication
Hirsutism - Excessive and increased hair growth in women in locations where hair is normally minimal or absent
Dandruff - Excessive amt of dry white flakes on scalp
May cause itching
Medicated shampoos help
Pediculosis - Lice
Parasites that live on the human body
very difficult to get rid of
Use medicated shampoo 
Use comb to get rid of eggs
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13
Q

report and record hair care

A
Scalp sores
Flaking
Presence of lice
Hair loss
Very dry on very oily hair
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14
Q

why wear gloves when hair care

A

Open sores
Head lice
Medicated shampoo

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15
Q

shaving

A

Women’s legs, armpits, faces, mens faces
Use a different razor for different clients, and different parts of the body
Pull skin taut
Shave in the direction of the hair growth for face and armpits
Razors that have been used go in the sharps container
(If they are on blood thinners, may not want to use cheap razors)

16
Q

foot care

A

Is a very important part of daily personal care it prevents infection, injury and odour
Feet are easily injured
Shoes that fit properly are important because poor fitting shoes cause bunions, calluses, corns, blisters or ingrown nails
It’s your responsibility to check feet every day
Generally nails are easier to trim and clean when they have been softened
Cut straight across and file the corner

When someone has had a stroke dress the affected side first and then the unaffected.

17
Q

compression stockings

A

Can be thigh high or knee high, Wash by hand, Sized for each ct, Ensure no creases/wrinkles, Put on in the am before getting out of bed

18
Q

causes of skin breakdown

A
Sx
Trauma 
Pressure from unrelieved area
Decreased blood flow
Nerve Damage
19
Q

friction

A

two surfaces moving in opposite directions

20
Q

shearing

A

is a mixture of friction and pressure

21
Q

abrasion

A

scraping away/rubbing skin

22
Q

laceration

A

open wound with torn edges

23
Q

skin tear

A

Rip/tear in the skin
Skin tears are very common in older people with thin fragile skin
Most common places for tears are hands, arms and lower legs

24
Q

common causes of wounds

A
Friction and shearing from moving when transferred
Bumping lim or hand on hard surface
Holding leg too tight 
Bathing and dressing (buttons, zippers)
Jewellery
25
Q

pressure ulcer

A

decubitus ulcer

26
Q

decubitus ulcer

A
Occur over bony prominences called pressure points
* Places where pressure ulcers can develop:
Coccyx
Elbows
Spine
Behind ears
Hip
Between knee
Ribs (side lying)
Shoulder blades
Ankles
Ulcers can develop under folds in the skin b/w buttocks and b/w toes
People at risk for developing pressure ulcers:
Bed ridden
Confined to wc
Altered mental awareness 
Contractures 
Problems sensing pain
Circulatory problem 
Obese/Very thin people
27
Q

signs or pressure ulcer

A

Pale skin, warm, reddened are, c/o burning, tingling
Stages of Pressure Ulcers
Skin is intact - there is redness over bony prominence. Colour doesn’t return to normal when pressure is relieved. (Way to check for pressure ulcer, report!)
Particle thickness - Skin loss cracks, blisters and peeling
Full thickness skin loss - Area is open and the wound is draining
Full Thickness - Tissue loss visible bone and muscle
Stage X - Unable to stage because of black area covering the wound

28
Q

how to prevent pressure ulcers

A

repositioning clients, and moisturize bony prominence. Don’t put cream in a crack unless it is prescribed.

29
Q

protective devices for ct

A
*Bed cradles - devices used to keep blankets off residents feet. Used to relieve pressure.  
Trochanter rolls, under the legs
Special mattresses
Special gel pads
Booties on feet to protect heels
30
Q

circulatory ulcer

A

Caused by decrease blood flow through arteries or veins. (painful and difficult to heal)

31
Q

venous ulcer

A

Open sores on the lower leg