TF unit 2 Flashcards
early morning care
oral hygiene, restroom, bath, dress for the day
ADL
activities of daily living
hygiene
keep oneself clean
benefits of bathing
cleans skin, circulation, sensation, and comfort, improves self esteem, nurse-patient relationship
maceration
softening of the skin
excoriation
rash on the top layer of skin, diaper rash
mottling
poor circulation, signs of no blood flow, purple skin
factors to consider during bath and ADL
patient abilities, concerns, culture,sex, timing decline, request,
when is it not delegated to bathing a patient?
when the patient unstable
back massage helps
circulation helps relax if the tumor or bump doesn’t
open bed
covers are halfway a few minutes before a new patient arrives
closed bed
all the way up waiting for the current patient
surgical bed
fan held to the side linen on the side
removing hearing aid
turn off, clean, store, moist free area
oral care assess
mouth white spots, aspiration, flat on side/head, suction
dentures
cool water, towel,
managing environment
furniture, noise, odors , clutter, equipment
nail care
assess, diabetic file only never clip, push
piercings
check for infection, can have sliver and titanium for testing purposes
fowler
head of bed 45 or greater, knees slightly bent
high fowler
head of bed 90 or greater
semi fowler
head of bed 30 knees slightly bent
Trendelenburg
head of bed down lower than flat, feet up, knees straight
reverse trendelenburg
the bed remains flat, head elevated up and feet down without bending at the waist or knees
