Self Care Flashcards
ways immobility causes lung changes
lower lung expansion lower tidal volume adelecticus collapse of alveoli pneumonia risk pulmonary embolism d/t DVT
Psychosocial benefits of bathing
- Promotes comfort
- Promotes well-being
- Promotes relaxation
- Rapport with nurse
purpose of sitz bath
cleanse, soothe, reduce inflammation of perineal or vaginal area
when to use sitz bath
post childbirth, vaginal or rectal surgery,
factors affecting self-care
environment
motivation, mental health, cognitive ability
energy
acute illness, surgery
pain
neuromuscular function and sensory deficits
purpose of hot water bath
relieve muscle spasms and soreness by total immersion
warm water bath
typical bath
cool water bath
relieve muscle tension or decrease body temperature in febrile patients
soaks
soften and loosen secretions during dressing changes or reduce pan/swelling/itching of inflamed or irritated skin
what might indicate a problem with self care
- dry, scaly, excoriated skin
- oily, unwashed hair
- dirty or broken nails
- clothes that are inappropriate for weather (esp. bundled in summer)
self care level 0
independent
** self care level 0
independent
✘ equipment or devices
✘ person to assist
** self care level 1
uses equipment or devices but is independent
✔︎ equipment or devices
✘ person to assist
** self care level 2
assistance or supervision but no devices
✘ equipment or devices
✔︎ person to assist
** self care level 3
assistance from a person and devices
✔︎ equipment or devices
✔︎ person to assist
** self care level 4
completely dependent on another person
✔︎✔︎✔︎ person needed for all self care
it hurts too much to bathe/walk/do this dressing change
premedicate!!!!!!!!!!
t/f a bath decreases circulation
false, it increases circulation
t/f a bath maintains muscle tone
true
cold and dusky feet indicate
poor circulation: decreased healing and increased risk of infection
*** elements of foot care (5)
inspect daily clean with warm water and soap dry carefully between the toes toenails cut straight across no lotion between toes
flattened thickening of epidermis, often on bottom or side of foot over a bony prominence
calluses
cone shaped lesion (thickening of the epidermis) usually on the 4th or 5th toe over toe joint
corns
round or irregular, flattened by pressure, surrounded by cornified epithelium; often painful
plantar warts
inflammation and thickening of bursa of the great toe joint; enlargement of the joint and displacement of the toe
bunions (hallax valgus)
redness, scaling, and cracking of the skin especially between toes
tinea pedis (athlete’s foot)
inflammation, swelling, and tissue pain at the edge of the nail
ingrown nails
excessive foul odor of the feet
foot odor
lice hair treatment
pyrethrin or permethrin once and then again 9-10 days later
lice clothing treatment
temperature extremes for at least 5 minutes, hot water and hot air cycles
contraindications for shaving
bleeding disorder, thrombocytopenia, anticoagulants
considerations for dentures
proper cup for dentures labelled
avoid using these for ears
q tips
toothpicks
bobby pins
when to use a separate washcloth to clean each eye
eye infection
yankauer
oral suction device
does an intubated pt need oral care more or less frequently?
more frequently
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)
check pt needs before feeding
- determine what assistance they need
- assess pain
- assess fatigue
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
3 ways to toilet (fecal)
- bathroom
- bedside commode (privacy)
- bedpan (assistance)
other discipline: motor function and strength
physical therapist
other discipline: activities of daily living assistance
occupational therapist
other discipline: ensures patient can swallow without danger of choking
speech therapist
other discipline: finds placement outside of home, finds resources for those at home
social worker
other discipline: assesses home environment for self care
home health nurse
other discipline: directs medical care and rehab in a program
rehabilitation physician
directs medical care and rehab in a program
rehabilitation physician
