Safe Environment- Hygiene
Card Set Information
Safe Environment- Hygiene
Inflammation of the gums
crack in the lip caused by lack of riboflavin
an individual who wears complete or partial dentures
Factors that affect hygienic care include...
physical or mental disability
illness or injury
Usual hygienic schedule in a healthcare facility include...
early morning, morning, afternoon care, evening care
will be tailored to fit the patients normal routine
Assessment factors for a pt's ability to perform personal hygienic care include...
*in assessing hygiene practices, the pt should be asked what is typically done to care for skin, teeth, hair and feet
Complete Bed Bath
for patients who are totally dependent and require total hygiene care
Partial Bed Bath
involves bathing only body parts that would cause discomfort or odor if left unbathed
Tub/ Shower Bath
gives a more thorough bath
Guidelines for bathing include...
provide privacy (close door or curtain)
maintain safety (call light)
maintain warmth (keep covered, expose only what is being washed)
anticipate needs (clean clothes or toiletries)
Pts who need perineal care include...
those at risk for acquiring and infection (uncircumcised males, rectal/genital sx)
those with indwelling urinary catheters
Purpose of a back rub is...
to promote relaxation
relieve muscular tension
stimulate skin circulation
Nurses responsibility in oral hygiene is as follows...
must insure that pt maintains proper oral hygiene bc it promotes a healthy state of gums, teeth, mouth and lips.
we assist by teaching the importance of oral hygiene and correct technique
assisting in providing oral care to those pts who are weak or disabled
Relationship between oral hygiene and nursing interventions include...
diet- exclude foods that promote plaque formation and tooth decay
brushing- cleans teeth of food particles, plaque and bacteria
fluoride use- strengthens enamel
flossing- removes plaque and tartar from bt teeth
denture care- to avoid gingival infection and irritation
Why nurses brush,comb and shampoo hair...
helps keep it clean
helps distribute oils along the hair shafts
shampoo removes excess perspiration, blood, or solutions left in hair
Factors that the nurse can control to create a comfortable environment include...
ventilation- reduce lingering odors
noise- pts not familiar w noises
odor- pts not familiar w odors
Patients who are at risk for hygiene problems include...
those who suffer from side effects of medication
those who lack knowledge of proper hygiene
those with the inability to perform hygiene
Aspects of hygiene that may be delegated include...
administering a back rub
nail/foot care of a non-diabetic pt
brushing teeth (for an unconscious pt u must check gag reflex, inform assistant abt proper position, suction technique and to recognize impaired mucosa)
caring for eye prosthesis
cleansing of the eyes involves washing w a clean washcloth moistened with water.
soap may cause irritation
do not place pressure on the eyeball
clean from the inner eye toward the outside
cleansing the ear with a moistened washcloth which is gently rotated in the ear canal
when cerumen is visible, gentle downward pressure at the entrance of the ear canal can cause it to come out
excessive or impacted cerumen can only be removed by irrigation
hx of perforated eardrum= ears should not be cleaned
the pt usually cares for their own nose by blowing out secretions
assistance w a wet washcloth or moistened cotton tipped applicator
excessive nasal secretions can be removed by gentle suctioning
nasal tubes should have tape changed once a day
Pts and their families:
family members can assist w hygienic measures after receiving guidance in adapting techniques to fit the pt
the families schedule should be matched w the pts schedule
the pt must be comfortable with the helper
the head of the bed is raised to 45* or more
a semi-sitting position, the knee may be raised slightly
promoted lung expansion, eating etc
the head of the bed is raised approx 30*
knee may be raised
promotes lung expansion
used for people w feeding tubes so they dont aspirate
the entire bed frame is tilted with the head down
used for postural drainage
facilitates venous return
the entire bed frame is tilted with the foot down
used with gastric emptying, gastric reflux
used for vertebral injury, hypotension and sleeping
the pts bed should be kept clean and comfortable
includes frequent inspections to ensure the linens are clean dry and free of wrinkles
when changing linens use techniques for medical asepsis
use proper mechanics should be used when making bed