Basics
What is partial care + what would the nurse do in this instance
For the most part, a patient can take of themselves. The nurse would be spot cleaning, setting wash-clothes etc. at bedside, clean places patient they cannot reach
what are older adult considerations?
-higher risk of infection
-dentures
-dry mouth
-poor nutritional status
What do we want to before starting a patient's hygiene routine.
-gather supplies needed
-provide privacy
-get a bath blanket
-make sure wheels on bed are locked
- bed should be in high position with rails down.
-often bed pan / urinal
What should we take into consideration if a patient is a diabetic?
are they performing foot care
what is glossitis and what causes it
inflammation of the tongue, decreases vit d levels
What do we do for the Hours of Sleep (HS) care?
give back massage if needed, make sure call and everything pt. needs is in their reach.
when do we change a bed
per policy at facility and when the bed is soiled.
What way do we perform hygiene care, such as a bed bath
side to side going down the body. leaving the dirty areas of the body last.
What should we consider when examining skin / hair / nails
-how long they've had this problem?
-any pain?
-dry / oily hair
-care for nails
-presence of piercings
-diabetic patient?
What is important to think about when a patient has NG tube that is inserted through the nose and into the stomach?
They are often NPO
By allowing the patient to perform tasks on their own they are....
-fostering independence
-decreasing dependence
what are the benefits of providing a back massage
-skin breakdown
-relaxation
what are the types of pans for urination or deification
- bed pan
-fracture pan
-urinal
If a patient is going to have a mastectomy or mammogram what should they not do and why?
put deodorant on as it clogs the ducts in the lymphatic system.
What should we do for a patient with matted eyelashes
put a warm washcloth on the eye for 5 minutes
-increasing self-esteem
-relaxation
-coveys "caring" to patient
what are the factors the influence personal hygiene (7)
-culture
-socioeconomic class
-spiritual practices
-developmental and knowledge level
-health status
-personal preference
-allow them to have as much control as possible
what parts of the body should be exposed during a bed bath
only the parts that are being washed at that time.
What do we never want to do to a diabetic patients feet? why?
let them soak because it will cause a breakdown of the skin
How do we position a patient when cleaning their face and why?
on their side so the water does not run through the lacrimal gland and spreads through the body.
Therapeutic benefits
-helps to prevent contraction and contractors (stiff joints)
-improve circulation and respiration
-removed sweat, oil, bacterial
-stimulates relaxation
-bed in low position when you are not at the immediate side
-call bell w/ in reach at all times
-risk for aspiration
mitt
-immunocompromised patients and patients on anticoagulants.
-they would be at risk for cuts which can let infections in
what are do we need to take into considerations when performing mouth care on a patient
-unconscious?
-mouth breather
-O2
-NG tubes
-NPO