hygiene

usually within family/social structure, Influenced by parents as you grow up

social practices

don’t want a bath right now, come back later, want to clean themselves

personal preference

Have to look at all the factors going on to make a

clinical judgment

Alterations in a patient’s physical or mental health results in

impaired ability for self care

dark, warm and moist love bacterial growth > physical and psychological discomfort > skin breakdown and offensive odors

perineal area

certain care for particular thing: trach, stoma with ostomy bag

professional standard

When interviewing patient, let them be as —- as possible, Get history from patient, Learn how they take care of themselves 

independent

When pt goes to surgery make sure that they don’t have —- - can get in the way of intubation 

false teeth

hygiene problems pose a risk for

infection

examples of factors that will place a patient at risk for impaired skin integrity:

bed bound, diabetes, frostbites

Impaired circulation and increased risk for infection and poor healing, when the skin is

injured

not being able to feel, Diabetics have this in feet and hands, Can’t feel temperature and when something is poking them, Can end up being an amputee, Need lotion on their feet 

neuropathy

Ability to bear weight - can they push against

resistance

can also mean that they don’t have any hair on their body at all

alopecia

Sometimes people with chronic dandruff have to go to —— to alleviate it

dermatologists

If you feel a lump when washing the patient’s hair - could be a

tick

lice, body bugs, head, body, crabs

pediculosis

is the fastest healing place

oral mucous membranes

dry mouth, can come from chemotherapy or other medications, Mouthbreathing can dry out the mouth too

impaired salivation

For unconscious patients - turn to —— to check their oral mucous to make sure their saliva isn’t impaired

left side

According to the American College of Prosthodontist it is not recommended dentures to be wore

24/7

Wearing dentures too long can —- the gums, not wearing them for a long time can —- the gums

swell, shrink

dentures don’t go on the —— when patient is eating, put them in a small glass on the side table

tray table

suction attached to the wall, sucks up saliva for unconscious patients, Clean patients teeth with sponge and use the this to suck up the water

yanker

Neonates don’t really have —- because their skin is so supple

skin turgor

minimum side rails on the bed need to be up, Both by the head 

2

Before leaving a patient alone in the tub or shower area, have patient demonstrate how to use the

safety bars and nurse call system

bump on the corner of the mouth or other places around the mouth, when they’re licking their lips too much, can also be from malnutrition or vitamin D deficiency

cheilosis

inflammation of the gum tissue, red swollen, teeth bleed when brushing

gingivitis

receding gum, can happen from gingivitis, can happen when soft tissue is damaged from infection, can lead to bone loss, How older people start losing their teeth

periodontitis

swollen tongue, may have smooth appearance, can be from poor hygiene, decreased salivation, or infected tongue, Have low iron levels, Eating too much ice 

glosstitis

bad breath, bacteria, disease processes, medication effect - can smell like sulfur, Have to document specifics on the smell 

halitosis

canker sores, mouth ulcers, painful, can line all of the mucus membranes - going down all the way to the esophagus, fungus or certain drugs can cause this, Inflammation, dehydration

stomatitis

Clinical judgement requires application of critical thinking to

analyze assessment findings

is when the patient can clean themselves some

partial bath

Wipe the eye from the —-canthus toward the —- canthus

inner, outer

how often should you bathe a patient

PRN