X Foundations - 18, Hygiene and Care Flashcards
Hygiene
The science of health and care of hearing aids and eyeglasses
Personal Hygiene
Self care measures people take to maintain their health
Factors that influence patient personal hygiene
Social practices Body Image Socioeconomic Status Knowledge Personal preference physical condition Cultural variables
Hygiene Care Schedule
Eary morning care
morning care/after breakfast care
afternoon care
evening care/hour before sleep (HS)
recommended room temp
68 - 74 degrees
Sitz Bath for ?
cleanses and aids in reducing inflammation of perineal and anal area
110F to apply heat to affected area
98 - 102F to promote healing/relaxation
AP
Assistive Personell
Cool water tub bath temp (Tepid)
relieve tension, febrile patients
tepid not cold
98.6F
Warm water tub bath
reduce muscle tension, 109.4F
Hot water tub bath
relieve muscle soreness and spasms
not for children or patients w neurological disorders or circulatory impairment (risk of burns)
113 - 115F
Canthus
corner of eye
Never massage lower extremities on patients w history of
DVT
Bed Bath temp
110 - 115F
Towel Bath temp
115 - 120F
Shearing Force
then tissue layers of skin slide on each other causing subcutaneous blood vessels to kink or stretch and resulting in interruption of blood flow to skin.
Friction
rubbing of skin against another surface
signs of deep tissue injury
painful, firm, mushy, boggy, warm or cool compared to adjacent tissue.
Assessment of skin is nursing responsibility not
not assistive personell
Stage I ulcer
non blanched redness
Stage II ulcer
partial thickness loss of dermis. appears shallow, open ulcer, usually shiny or dry w red-pink wound bed w/out slough or bruising
Stage III ulcer
full thickness tissue loss in which subcutaneous fate is sometimes visible, but NO exposed bone, tendon and muscle
Stage IV ulcer
full thickness tissue loss w exposed bone, tendon or muscle. Sometimes slough or eschar present
Unstageable ulcer
full thickness tissue loss, wound base covered by slough (yellow, tan, gray, green, brown) and/or eschar in the would bed (tan/brown/black)
30* lateral position for
preventing pressure ulcer on trochanter.