Self Care Flashcards

1
Q

ways immobility causes lung changes

A
lower lung expansion
lower tidal volume
adelecticus
collapse of alveoli
pneumonia risk
pulmonary embolism d/t DVT
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2
Q

Psychosocial benefits of bathing

A
  • Promotes comfort
  • Promotes well-being
  • Promotes relaxation
  • Rapport with nurse
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3
Q

purpose of sitz bath

A

cleanse, soothe, reduce inflammation of perineal or vaginal area

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4
Q

when to use sitz bath

A

post childbirth, vaginal or rectal surgery,

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5
Q

factors affecting self-care

A

environment
motivation, mental health, cognitive ability
energy
acute illness, surgery
pain
neuromuscular function and sensory deficits

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6
Q

purpose of hot water bath

A

relieve muscle spasms and soreness by total immersion

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7
Q

warm water bath

A

typical bath

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8
Q

cool water bath

A

relieve muscle tension or decrease body temperature in febrile patients

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9
Q

soaks

A

soften and loosen secretions during dressing changes or reduce pan/swelling/itching of inflamed or irritated skin

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10
Q

what might indicate a problem with self care

A
  • dry, scaly, excoriated skin
  • oily, unwashed hair
  • dirty or broken nails
  • clothes that are inappropriate for weather (esp. bundled in summer)
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11
Q

self care level 0

A

independent

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12
Q

** self care level 0

A

independent

✘ equipment or devices
✘ person to assist

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13
Q

** self care level 1

A

uses equipment or devices but is independent

✔︎ equipment or devices
✘ person to assist

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14
Q

** self care level 2

A

assistance or supervision but no devices

✘ equipment or devices
✔︎ person to assist

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15
Q

** self care level 3

A

assistance from a person and devices

✔︎ equipment or devices
✔︎ person to assist

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16
Q

** self care level 4

A

completely dependent on another person

✔︎✔︎✔︎ person needed for all self care

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17
Q

it hurts too much to bathe/walk/do this dressing change

A

premedicate!!!!!!!!!!

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18
Q

t/f a bath decreases circulation

A

false, it increases circulation

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19
Q

t/f a bath maintains muscle tone

20
Q

cold and dusky feet indicate

A

poor circulation: decreased healing and increased risk of infection

21
Q

*** elements of foot care (5)

A
inspect daily
clean with warm water and soap
dry carefully between the toes
toenails cut straight across
no lotion between toes
22
Q

flattened thickening of epidermis, often on bottom or side of foot over a bony prominence

23
Q

cone shaped lesion (thickening of the epidermis) usually on the 4th or 5th toe over toe joint

24
Q

round or irregular, flattened by pressure, surrounded by cornified epithelium; often painful

A

plantar warts

25
inflammation and thickening of bursa of the great toe joint; enlargement of the joint and displacement of the toe
bunions (hallax valgus)
26
redness, scaling, and cracking of the skin especially between toes
tinea pedis (athlete's foot)
27
inflammation, swelling, and tissue pain at the edge of the nail
ingrown nails
28
excessive foul odor of the feet
foot odor
29
lice hair treatment
pyrethrin or permethrin once and then again 9-10 days later
30
lice clothing treatment
temperature extremes for at least 5 minutes, hot water and hot air cycles
31
contraindications for shaving
bleeding disorder, thrombocytopenia, anticoagulants
32
considerations for dentures
proper cup for dentures labelled
33
avoid using these for ears
q tips toothpicks bobby pins
34
when to use a separate washcloth to clean each eye
eye infection
35
yankauer
oral suction device
36
does an intubated pt need oral care more or less frequently?
more frequently
37
considerations for feeding
- ordered diet - is fasting required - is it the right tray for the right pt - promote optimal environment (raise head of bed, turn on lights)
38
check pt needs before feeding
- determine what assistance they need - assess pain - assess fatigue
39
what to do when a pt has trouble chewing and swallowing
- NPO - get order for a swallow eval - speech therapist performs swallow eval and determine problems/recommendations
40
3 ways to toilet (fecal)
- bathroom - bedside commode (privacy) - bedpan (assistance)
41
other discipline: motor function and strength
physical therapist
42
other discipline: activities of daily living assistance
occupational therapist
43
other discipline: ensures patient can swallow without danger of choking
speech therapist
44
other discipline: finds placement outside of home, finds resources for those at home
social worker
45
other discipline: assesses home environment for self care
home health nurse
46
other discipline: directs medical care and rehab in a program
rehabilitation physician
47
directs medical care and rehab in a program
rehabilitation physician