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