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48 Cards in this Set
- Front
- Back
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Hygiene |
Is the term used to describe ways to keep bodies clean and healthy. Bathing and brushing teeth are two examples. |
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Grooming |
Refers to practices like caring for fingernails and hair. |
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A.M. Care |
Assisting with a.m. care includes: - Offering a bedpan or urinal or helping the resident to the bathroom and helping with perennial care as needed. - Helping the resident wash face and hands. - assisting with hair care, dressing, and shaving - assisting with mouth care before or after breakfast |
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P.m. care |
Assisting with p.m. Care includes: - Offering a bedpan urinal are helping the resident to the bathroom. - Helping the resident watch face and hands. - Giving a snack. - assisting with mouth care - assisting with changing into night clothes - Giving a back rub. |
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Immobility |
Immobility reduces the amount of blood that circulates to the skin. Residents who have restricted Mobility are at a greater risk of skin deterioration at pressure points. |
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Pressure points |
Are areas of the body that bear much of its weight. Pressure points are mainly located at bony prominences. |
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Bony prominences |
Are areas of the body where the bone lies close to the skin. The skin here is at a much higher risk for skin breakdown. These areas include elbows, shoulder blades, the tailbone, hips and knees, ankles, heels, toes, and the back of the head. |
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Other areas at risk for skin breakdown include... |
The ears, the area under the breast or scrotum, the area between the folds of the buttocks or abdomen, and the skin between the legs. |
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Explain pressure injuries and shearing |
Pressure on these areas reduced circulation, decreasing the amount of oxygen the cells receive. Warmth and moisture also add to skin breakdown. Once the surface of the skin is weekend, injuries can occur and may become infected this can cause damage to the underlying tissue. The injuries that result from skin deterioration and shearing are called pressure injuries ( Also called pressure ulcers, pressure sores, decubitus ulcers, or bed sores). Sharing is rubbing or friction that results from the skin moving one way in the bone underneath it remaining fixed or moving in the opposite direction. |
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Describe the lateral, prone, and supine positions. |
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Explain the stages of pressure injuries. |
Stage 1: Skin is intact, but it may look red, and the redness is not relieved after removing pressure. Stage 2: There is partial-thickness skin loss involving the outer and/or inner layers of the skin. The injury is pink or red and moist, and may look like a blister. Stage 3: There is full thickness skin lost in which fat is visible in the injury. Slough and/or eschar may be present. Slough Is yellow, tan, gray, green, or brown tissue that is usually moist. Eschar Is dead tissue that is hard or soft and texture and black, brown, or tan, and may be similar to a scab. The damage may extend down to, but not through, the tissue that covers muscle. Stage 4: There is full thickness skin loss extending through all layers of the skin, tissue, muscle, bone, and other structures, such as tendons. The injury will look like a deep crater and slough and/or eschar may be visible. Deep tissue pressure injury: The skin area is intact or non-intact and is deep red, purple, or maroon. The wound may appear as a blood-filled blister. The area may be painful and may be warmer or cooler than the surrounding tissue. Discoloration may be different and darker skin. |
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Observing and Reporting residents skin |
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Guidelines for basic skin care |
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Positioning devices |
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Guidelines for bathing |
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Skill: complete bed bath |
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Skill: back rub |
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Skill: Shampooing hair in bed |
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Safety guidelines for showers and tub baths |
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Skill: giving a shower or tub bath |
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Skill: fingernail care |
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Skill: foot care |
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Skill: combing or brushing hair |
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Skill: shaving a resident |
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Skill: dressing a resident |
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Guidelines for dressing a resident with an IV |
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Skill: applying knee-high elastic stockings |
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Skill: providing Oral Care |
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Skill: providing Oral Care for the unconscious resident |
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Skill: flossing |
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Skill: cleaning and storing dentures |
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Skill: removing and reinserting dentures |
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Bedpans, fracture pan, urinals, and commodes |
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Skill: assisting a resident with the use of a bedpan |
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Skill: assisting a male resident with a urinal |
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Skill: assisting a resident to use a portable commode or toilet |
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Positioning |
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Skill: moving a resident up in bed |
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Skill: moving a resident to the side of the bed |
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Skill: positioning a resident on his side |
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Skill: logrolling a resident |
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Skill: assisting resident to sit up on side of bed dangling |
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Transfer/gait belt |
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Guidelines for wheelchairs |
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Guidelines for Falls |
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Skill: transferring a resident from bed to wheelchair |
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Mechanical Lifts |
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Skill: transferring a resident using a mechanical lift |
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