Skin Deep
Name one CAUSE of skin breakdown
Age related changes: loss of fat layer, decreases in sensation, decreased mobility, fragile and weak capillaries
- Dryness
- Poor nutrition and hydration
- Incontinence
- Moisture
- Pressure on bony parts
BOX 24-1
Name three pieces of equipment needed for brushing teeth
Tooth brush, tooth paste, kidney basin, floss, mouthwash
What is the best way to dry skin after bathing?
A.) Clean to dirtiest areas
B.) Pat the skin dry
C.) Rub the towel head to the toes
B.) Pat the skin dry, this avoids shearing, friction and skin tears. This is most comfortable for the client too!
Alopecia
hair loss
Nocturia
Frequent urination at night
What is shearing?
Tearing of skin tissue caused when the skin sticks to a surface like a bed/chair
Name a finding that you would report to the nurse if you observed in a patient's mouth as an abnormal finding
Missing teeth (new)
Loose teeth
dry, cracked swollen blistered lips
sores, white patches on tongue
Foul breathe
Difficulty swallowing
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What parts of the body do we wash when completing a PARTIAL BATH?
Face, hands, underarms,, back, buttocks,, peri area
PAGE 633
Hirsutism
Excessive hair growth
Hematuria
Blood in the urine **This is definitely NOT a normal finding - be sure to report this right away. Be able to also tell your supervisor how much if possible!
Name one way to PREVENT skin breakdown
Follow care plan!
Skin needs to be moisturized, hydrated
Dress and undress carefully
Prevent friction and shearing
Use turning sheets
BOX 24-3
What can happen to teeth with tartar buildup?
Can lead to periodontal disease: bleeding gums, redness, swelling, easily can bleed
TRUE or FALSE
When a resident refuses a tub or shower, we will make them have a partial bath instead.
FALSE: respect the client's right to autonomy!
DIPPS
Pediculosis
Infestation with Lice
Dysuria
Painful urination
Another name for a pressure ulcer
Decubitus ulcer
Bedsore
Pressure sore
Why do we perform oral hygiene on an unconscious patient when they are side-lying?
This prevents aspiration
List some observations the PSW can make during bath/shower
skin condition: colour, rashes, bruises, dryness, wounds, skin tears, skin temperature
Complaints of pain discomfort
How did the resident tolerate this?
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Dandruff
Excessive amount of dry, white flakes on the scalp, in the hair, on the shoulders etc.
Name three assistive devices used to help someone in the bathroom, or to help with elimination
Urinal
Bed pan
Commode
Catheters
What is a bony prominence?
Area on the body where the underlying bone seems to "stick out"
Page 465
Bonus: Name on area on the body that would have a bony prominence .....
True or false: There is a link between oral health/hygiene and certain diseases and conditions
TRUE!
There is a link between heart disease, diabetes, increased infection, RA
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When using soap on the skin for shower/bath, what are some considerations to think about?
They can dry out the skin, causing irritation - leading to scratching, further breakdown.
BUT: they clean the skin, remove dirt and oil, remove dead skin cells, remove microbes and perspiration
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Stoma
Surgically created opening from a portion of the body cavity to the outside of the body.
The inability to control urination, loss of bladder control
Urinary incontinence