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20 Cards in this Set
- Front
- Back
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Describe personal hygiene as it relates to health and well-being
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Personal Hygienecontributes to our physical and psychological well being.
Activities of Daily Living (ADLs) such as taking a bath or shower, washing our hair, or brushing and flossing our teeth, promote comfort, improve self image, and decrease infection and disease |
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Identify Psychosocial factors influencing personal hygiene practices
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Personal preferences
Each individual has their own set of personal preferences regarding hygiene cares Culture and religion Protect their beliefs while sill maintaining appropriate nursing care values Economic status/Monetary constraints Availability of facilities Developmental level Parents, media, peers, age Knowledge level Must motivate people to change if current practices adversely effect their health |
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Identify Physical factors influencing personal hygiene practices
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Pain: Limits mobility and energy
Limited mobility: Decreased range of motion, weakness, bed rest Sensory deficits: Decreased independence and increased safety concerns |
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Identify factors influencing personal hygiene Self Care practices
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Cognitive impairments
Cannot determine need for hygiene Cannot problem-solve ADL processes Emotional disturbances Profound lack of energy for ADLs Altered reality does not include hygiene |
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Discuss delegation of hygiene activities to unlicensed assistive personnel (UAP)
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Assess prior to delegating
Instruct UAP regarding: Client’s limitations Amount of assistance needed Use of assistive devices Presence and care of tubes Observations to make during hygiene care |
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Discuss the nurse's role in determining a client's self-care ability
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Obtain a health history
Assess the patients cognitive ability, and physical functioning Identify other factors, such as cultural, and religious Assess for sensory disturbances Determine preferences and practices |
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Identify nursing diagnoses related to self-care ability and hygiene practices
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Bathing and Hygiene self care deficit
Dressing and grooming self care deficit Toileting self care deficit Total self care deficit |
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Describe normal and abnormal assessment findings of the skin
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Color:
Pallor (pale), erythema (redness), jaundice (yellowness) Conditions that affect the skin: Maceration (softening of the skin due to moisture - incontinence), pruritis (itching), acne Alterations in skin integrity: Abrasions (a rubbing away of the epidermal layer), pressure ulcers Pay special attention to areas around and/or under medical equipment |
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Describe normal and abnormal assessment findings of the feet
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Corns, cone shaped thickening of the skin due to preassure over the bony prominences
Calluses, found over bony prominences on the weight bearing part of the foot, cover a wider area than corns Tinea Pedis, (Athletes foot) fungal infection of the foot, agrivated by moisture Ingrown toenail, where the toenail grows inward into the soft tissue around it Foot odor, microorganisms on the feet interact with perspiration to produce foot odor Plantar Wart, painful growth caused by a virus Preassure Ulcers, lesion caused by unrelieved preassure that impairs the circulation |
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Describe abnormal assessment findings of the nails
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Assess for impaired tissue integrity due to related to ingrown nails, improper trimming, hangnails, loss of skin integrity that may cause infection
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Describe abnormal assessment findings of the mouth
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Halitosis (bad breath) results from poor oral hygiene, certain foods, denture care, tobacco useinfection, uncontrolled diabetes, or disease
Dental Caries, or cavities Gingivitis, inflamation of the gums Peridontal disease (pyorrhea), caracterized by bleeding of the inflamed gums. Tooth Loss, loose teeth Stomatitis, inflamation of the oral mucosa Glossitis, inflamation of the toung caused by deficiencies of B12, folic acid, and iron Cheilosis, cracking or ulceration of the lips Oral malignancies |
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Describe abnormal assessment findings of the hair
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Dandruff, excessive shedding of the skin on the scalp, itching and flaking
Pediculosis, infestation of head lice Alopecia, hair loss Remember • Special considerations for cultural variations in hair, and Care for mustaches and beards |
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Describe a bed baths
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Bed bath, is for patients who must remain in bed, but are able to bathe themselvs, nurse will gather supplies for patient and provide privacy
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Describe a Help Bath
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The nurse helps the patien with areas that are difficult to reach
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Partial bath
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Clean only necessary areas, peri area, under arms and breasts
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Complete bed bath
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Nurse will wash patient's entire body without help from the patient
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Towel Bath
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a variation of the bed bath, place a larde towel and a bath blanket in a plastic bag, saturate them with a comercially prepared solution, and water. Warm in microwave and use them to bathe patient. The solution dries quickly, so there is no need to dry patient
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Bag bath
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modification of the towel bath where you use 8 to 10 washcloths instead of a towel and bath blanket
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Packaged bath
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Commercially prepared wet wipes, used in the same way as a towel or bag bath
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Therapeutic Bath
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The physician may prescribe a therapeutic bath for certain conditions and may include Oatmeal, or coal tar bath for skin conditions
Sitz bath, is a Therapeutic Bath used to sooth and clean the perineal are |
