foundations hygiene

personal hygiene

promotes physical and psychological well-being

hospitalization presents a need to modify hygiene

nurses responsible for ensuring patient personal hygiene practices are carried out

respect patient preferences, provide privacy, assess level of assistance, social determinants of health, educate patient and caregivers

cleaning order

cleanest to dirtiest

face first and perineal last

social determinants of health

culture, socioeconomic status, spiritual practices

current state of health

developmental level, disease, surgery, personal preferences

assessment

identify patient’s usual pattern of hygiene

alterations in physical or mental health

self care deficit

the patient will:

participate fully in necessary hygiene measures every shift

maintain intact skin and mucous membranes

bathing/hygiene ADL deficit

the patient will:

perform 2 ADLs independently each shift

receive a daily full bath

impaired oral mucous membrane

the patient will:

demonstrate correct oral care measures by the end of shift

verbalize the importance of proper teeth-brushing habits

implementation

1. schedule hygiene care

2. assist with bathing

3. promote skin health

baths

shower- ambulatory patients

bed bath- total or partial assistance

full or partial- dependent on physical or mental deficits

disposable- prepackaged and no rinse

chlorohexidine gluconate (CHG)

antibacterial

for people who are at risk for infection and usually have an invasive device

no face or perineal area

promoting skin health

bathe with mild cleansers

apply topical moisturizers

use skin barriers

promoting bed comfort

bed changes at least daily. after bath and when soiled. occupied or unoccupied

ensure following: linens are free of crumbs and wrinkles, the patient feels comfortably warm, pressure areas protected, linens are clean and dry

evaluating

level of patient participation

changes related to specific skin problems

elimination or reduction of factors interfering with patient independence