funds ch. 22

physical hygiene is necessary for what?

comfort. safety, well being

ill patients require ______ with personal hygiene

assistance

what needs to be made when caring for patients of different culture, ages, and patients comfort levels?

special considerations

what do hygiene practices include?

skin, hair, nails, eyes, ears, nose, mouth, feet, and perineal area

hygiene is never ____

routine

use _______ skills to promote the therapeutic relationship

communication

while providing hygiene care, assess what?

emotional status

health promotion practices

health care education needs

when you’re performing hygiene care, what should you also perform?

good time to perform an assessment

cultures practice different ….

hygiene rituals

avoid forcing _____ unless hygiene affect health

changes

a person’s _____ belief might go against standard hygiene practices

religious

hygiene varies based on a patient’s ____

needs

why is therapeutic communication needed during hygiene?

the patient may be self conscious

what assessment will most likely be given during hygiene care?

skin

what do we have to look out for in elderly patients during hygiene care?

pressure ulcers, other ailments that nursing homes miss, differentiating what pt came in with vs. what they developed inside the hospital

how does socioeconomic class influence the type and extent of hygiene practices used?

wealthier people may have more of an ability to take care of themselves hygiene wise

let ______ preference dictate hygiene practice

personal

what does bariatric mean?

obese

for bariatric patients, why do you need to lift and separate folds when cleaning the skin?

moisture and bacteria settles under folds and skin will be irritated

for bariatric patients, use ____-_____ cleansers and dry skin thoroughly

non soap

how often should you be assessing an incontinent patient hygiene wise?

frequently, especially if they can’t verbalized if they’re soiled or not

what should you avoid using during the hygiene care of a incontinent patient?

soap and excessive force

how should you handle the hygiene care of a young child or infant?

never leave child unattended and have supplies within easy reach

why do older adults require less frequent bathing?

their skin integrity is weaker and thinner. the more you wash their skin, the more irritated it gets

what should you avoid when cleaning an older patient?

hot water and drying cleaning products

what is unique to the hygiene care of older patients?

their dentures. dentures get lost or haven’t been cleaned in a very long time

who might a bed bath be delegated to within the hospital?

PCAs or LPN / LVN

during a bed bath, do not disconnect….

IV tubing

during a bed bath, do not remove or manipulate…

medical devices

when should a bed bath be provided?

early morning care, morning care, afternoon care, hour of sleep care, and as needed (PRN)

when patient is being cleaned, we as nurses should be assessing what?

wounds and injuries

what is priority during a bath?

maintaining safety

what should be provided during a bath?

privacy

maintain ____ during the bath

warmth

during baths, you should promote patient _________

independence

during baths we should be anticipating the ____ of the patient

needs

during hygiene, always perform ____ ____ first and foremost

hand hygiene

during hygiene move from ____ to ____ areas

cleanest to dirtiest

during hygiene, always use clean _____

gloves

during hygiene, ensure the water _____ is appropriate

temperature

when doing hygiene care, use which tactics to ensure safety of ourselves and our patients?

body mechanics and safe patient handling

what are the most common nursing injuries?

back injuries

what should we be sensitive to when handling a patient’s hygiene?

privacy

we should incorporate the patient’s _____ level and ____ preferences when performing hygiene care

comfort level and cultural preferences

when making a bed, whether unoccupied or occupied, ______ bed to working height

raise

what should we do with soiled linens?

keep it away and stored appropriately. don’t hold onto it, put on the floor

where should soiled linen go?

straight into the hamper

why should we not fan linen?

by fanning linen, bacteria is flying all over the room and infection spreads quickly

when making an occupied bed, ____ and _____ the patient properly

turn; reposition

when making an occupied bed, assess for physical activity _____ for the patient

limitations

when making an occupied bed, assess the patient’s ____ ability

cognitive

when making an occupied bed, note the presence and position of any _____ or ____

tubes; drains

when making an occupied bed, assess the need for _____/_____ of patient

lifting and repositioning

when making an occupied bed, assess ____ and any interventions needed

skin