N10 Ch.18 Hygiene & Care of the Patient's Environment
the self-care measures people use to maintain their health
factors that influence a patient's personal hygiene
social practices, body image, socioeconomic status, knowledge, personal preference, physical condition, cultural variables
hygiene care schedule includes...
early morning care, morning or after-breakfast care, afternoon care, and evening or hour-before-sleep(HS) care
recommended room temp. for adult
68-74 F; infants, older adults and the acutely ill are likely to need warmer temperatures
what is a Sitz bath used for?
to cleanse and aid in reducing inflammation of the perineal and anal areas of the patient who has undergone rectal or vaginal surgery or childbirth; discomfort from hemorrhoids or fissures is also relieved by a sitz bath
how long does a sitz bath last?
when using a sitz bath to apply heat to the affected area what temp. is used?
using a sitz bath to promote healing or to produce relaxation keep temp. at...
when should you leave the patient alone during a sitz bath?
when you are sure the pt is safe; then a call signal should be placed within easy reach
what temp. is used for a cool water tub bath?
the water is tepid not cold at 98.6 F
when is a warm water tub bath and what temp. is used?
chiefly to reduce muscle tension; recommended water temp is 109.4 F
hot water tub bath temperature is?
for adults is 113-115 F
hot water tub bath helps...
helps relieve muscle soreness and muscle spasms; not recommended for children
an effective bath rub requires...
massage for 3-5 minutes
elastic and firm
when do pressure ulcers occur?
when there is sufficient pressure on the skin to cause the blood vessels in an area to collapse; the flow of blood and fluid to the cells is impaired, resulting in ischemia, or lack of oxygen and nutrients, to the cells
two mechanical factors that play a role in the development of pressure ulcers
shearing force and friction
occurs when the tissue layers of skin slide on each other, causing subcutaneous blood vessels to kink or stretch and resulting in an interruption of blood flow to the skin
the rubbing of skin against another surface produces friction, which may remove layers of tissue
who is ARF pressure ulcers?
chronically ill, debilitated, older, disabled, incontinent, and those with spinal cord injuries, limited mobility or poor overall nutrition, obese and underweight patients
stages of pressure ulcers
suspected deep tissue injury, Stage I, Stage II, Stage III, Stage IV & unstageable
pericare, or care of the genitalia
patients most in need of scrupulous pericare
those at risk for acquiring an infection, for example, pts with indwelling catheters, pts recovering from rectal or genital surgery, or postpartum pts
how many times should catheter care be given?
at least twice daily on pts with indwelling catheters unless otherwise ordered by the physician
circular area around the eye
device for receiving feces or urine from either male or female pts confined to bed