Chapter 22: Cleanliness and Hygiene
when is HS care performed?
hour of sleep (toileting, oral care, changing to sleepwear, washing hands/face)
when is PRN care performed?
why is brushing a person's hair important?
keeps it soft and tangle free, increases feelings of well-being and self-esteem
describe how you would brush someone's hair.
what is a draw sheet?
half-sized sheet that is placed over the middle of the bottom sheet and has varied uses including repositioning and lifting a person in bed
name the order the linens will be put on the bed when making it
where are the sensory receptors located that are responsible for the special sense located?
eyes, ears, nose and taste buds
what type of receptors detect pain?
retinopathy
disease of the retina of the eye
retino- retina
-pathy - disease of
for safety, when providing mouth care to an unconscious person, what position should the person be placed in?
lateral with head tilted forward to prevent aspiration
what position should the person be placed in to provide oral care to a conscious person?
your patient previously had a stroke and currently has a weak left side. you are helping them to put on a cardigan sweater, which arm should you put in the sleeve first?
left arm
which arm would you take out first if changing their shirt?
what is a bed called that has a person in it?
occupied bed
how would you prepare a surgical bed?
your patient is wearing their hearing aides but they still appear to be having a difficult time hearing you- what is your next step as their nursing assistant?
make sure the hearing aide is turned on and volume is set appropriately/high enough
describe how you should help a person put their hearing aide in
periodontitis
inflammation and infection of the soft tissue and bones that support the teeth
peri- = around
odont/o = teeth
-itis = inflammation
why do you line the sink with a towel or washcloth when cleaning dentures?
to guard against breaking the dentures
describe denture care.
your patient has diabetes, why is it important to provide foot care for them?
their circulation is likely to be impaired so their risk for infection and other complications is increased
describe how you would provide foot care.
name a situation that you would change the bed linens
when they become wet or soiled, according to facility policy, when they become excessively wrinkled, after a person has a shower/bath/bed bath
name 2 guidelines to remember when caring for someone who is blind
talk in normal tone of voice, be descriptive, knock every time you enter the room and introduce yourself, explain procedures throughout performing them, don't rearrange the furniture, leave the door all the way open or closed, let them walk beside or slightly behind you when ambulating
hyperopia
farsightedness
hyper- excessive
-opia - vision
name 2 benefits of massage?
stimulates circulation, can be relaxing, opportunity for observation of skin, prevent development of pressure ulcers
what should you do soft a person's beard prior to shaving their face with shaving cream?
use warm water to soften the beard
what type of patient would you use an electric razor on instead of a manual razor?
name something that you should NOT do with dirty linens
throw them, place them on the floor, shake them, hold them against your uniform/body, not wear gloves when handling them
what receptors are stimulated when something comes in contact with the surface of the body and presses on them
tactile receptors, mechanoreceptors
what is radiating pain?
conjunctivitis
inflammation or infection of the conjunctiva of the eye
conjunctiva-the clear membrane that lines the inside of the eyelid
-itis - inflammation
while bathing a person, name 2 observations you would report to the nurse
new rashes, bruises, broken skin, bleeding, areas that are pale or red, areas that are tender or swollen, complaints of itching or burning, new hair loss, flaky/itchy scalp or presence of nits/head lice, changes in mental status or alertness
is trimming the toenails of a resident with diabetes within a nursing assistant's scope of practice?
NO
who can trim the toenails of a diabetic resident/patient?
what PPE should be worn when removing used bed linens
gloves
where should you put soiled or used bed linens?
what is the medical term for ringing in the ears?
tinnitus
what is another term for dizziness
otalgia
ear pain
oto- ear
-algia - pain