QUIZ 3 Flashcards
ADLs
Activies of Daily Living
grooming, bathing, dressing, eating, drinking, eliminating etc
NAs role in ADLs
ensure tasks are completed
Maintain resident self-esteem and dignity
Let them do as much as they can
Partial bed bath
Morning and evening if no shower is give
includes: washing face, underarms, hands, abdomen and breast folds, genitals and perineum.
Complete bed bath
1 to 2 times per week or as needed- or if bed-bound and unable to sit in bath chair
Wash face, under arms, hands, abdomen and breast folds, genitals, perineum, arms, legs, feet, back, fingernails, hair
Water protocol for bathing
water temp 105-110 F
touch inside of wrist to test water
Ask resident to test water
uncover one body part at a time
Using washcloth
use wash mitt or 4 square cloth
Change clean surface with every wipe
No soap on face
Whatever you wash, rinse.
Whatever you rinse, dry!!
Nails have bacteria so…
wear gloves when doing nails
Order of wash
Eyes, face, ears, neck
Arms, armpits, hands
Chest, torso, abdomen
legs, feet
back
perineum, buttocks
GI tract
Continuous tube from mouth to anus
Ingestion
taking in food
Digestive
break down food with acidic juices to a liquid slurry to be absorbed into the blood stream
Absorption
90% of food/fluid/nutrients are absorbed in small intestine
It is lined with little fingers(villi) to absorb food
elimination
remaining solids are considered wasted and compacted into feces/stool to be expelled from the body(rectum/anus)
NAs job
note and report stools to nurse
Abnormal feces/stool
size-small or copious amounts
Color-white/yellow/green black/red(blood/mucus
Consisting of hard/pellets
Diarrhea
pain
Help with Bowels
Encourage nutritious food
Encourage lots of fluids
Encourage physical activity
Acid reflux/heartburn
stomach acid moves up into esophagus
Often happens after meals
Acid reducers, antacid, sleeping upright may all help in treating this
GERD
Gastroesophageal reflux disease (chronic acid reflux)
Crohn’s Disease and Ulcerataive colitis
Inflammatory Bowel Diseases
Diverticula(small bulges in the large intestine)
If you have diverticula, and if they get inflamed it is diverticulitis
Swelling , can be very serious, even lead to death
Constipation and fecal impaction
common issue to have constipation, but if it is not dealt with, it could become impacted.
Fecal impaction is serious condition. It can cause death to the intestine and even to the resident.
Treatment for Fecal impaction
laxatives, suppoitories, enemas, and digital disimpectic
ostomy
surgical opening of the body
stoma
the opening
ileostomy
opening of the small intestine
colostomy
opening of the colon in the large intestine
Urinary system
eliminate waste products from blood
Regulates levels of electrolytes.
more water=higher blood pressure
incontinence
unable to hold urine
INDWELLING CATHETER(foley)
inserted and remains in place
integumentary system(skin)
protect our organs
Protect against pathogens
Prevents fluid loss
Helps us produce Vitamin D
Homeostasis
a balance of human body to function properly
1st degree burns
superficial but painful
2nd degree burns
partial thickness, most painful.
3rd degree
down to the bone-often less pain since nerve receptors are destroyed
4th degree
charred and all the way to the bone.
If you apply a hot or cold pack..
you are responsible for moving it in 20 min
