Hygiene
Page 1: Physiological Integrity - Basic Care and Comfort
Hygiene
Personal hygiene needs vary according to:
Clients' health status
Social and cultural practices
Daily routines at home
Common personal hygiene practices include:
Bathing, oral care, nail/foot care, perineal care, hair care, and shaving.
Impact on Health: Personal hygiene significantly affects overall health, comfort, and well-being, making it an essential part of individualized nursing care.
Nurse's Role: When clients are unable to manage hygiene due to illness or injury, nursing staff must meet these needs.
Client Participation: Evaluate the client's ability to participate in personal hygiene and encourage involvement.
Integrated Care: Incorporate assessment, range-of-motion exercises, and dressing changes while providing hygiene care.
Bathing
Purpose: To cleanse, stimulate circulation, provide relaxation, and enhance healing.
Delegation: Bathing is often delegated to assistive personnel, but nurses remain responsible for data collection and overall client care.
Types of Baths:
Complete Bath: For clients who can tolerate full bathing.
Partial Bath: Useful for clients too weak for a complete bath or those needing specific cleansing.
Therapeutic Baths: Promote comfort (e.g. soothing itchy skin).
Eye and Ear Care
Use a clean, moist washcloth without soap for eyelids (inner to outer canthus).
Gently rotate a clean, moist washcloth into the ear canal.
Oral Hygiene
Proper oral hygiene is critical in long-term care to reduce the risk of infections, such as pneumonia.
At-risk populations include the seriously ill, injured, unconscious, dehydrated, or those with altered mental status or limited mobility.
Foot Care
Prevents skin breakdown, pain, and infection.
Especially important for clients with diabetes mellitus; must be performed by a qualified professional.
Perineal Care
Maintains skin integrity, relieves discomfort, and prevents infection (especially important for catheter care).
Cultural and Social Practices
Hygiene preferences and practices may vary depending on:
Culture: Unique hygiene customs exist, requiring respect and awareness.
Personal preferences and socioeconomic status can affect hygiene practices.
Respect Dignity: Acknowledge and reassure clients who may feel a loss of control over personal hygiene.
Safety Considerations
Understand proper techniques and equipment use to avoid client injury.
Never leave clients at risk of injury unattended during hygiene care.
Adjust the bed to a comfortable height before and after tasks.
Page 2: Considerations for Older Adults and Patient-Centered Care
Considerations for Older Adults
Skin Changes:
Thinner, drier skin; reduced tolerance to bathing.
Decreased perspiration; slower nail growth.
Increased Risks:
Higher incidence of infections and periodontal disease due to weakened periodontal membranes.
Dentures: Must fit correctly to avoid digestive issues; handle with care to avoid damage.
Dry Mouth: Common due to decreased saliva production and certain medications.
Assessment/Data Collection
Inspect skin for color, hydration, texture, and lesions.
Check gums and teeth for dryness or inflammation; assess for pain.
Monitor skin surfaces, including feet, for lesions and dryness indicating possible conditions.
Identify hygiene preferences to tailor care and education.
Monitor for safety issues, altering care plans according to clients' abilities.
Nursing Considerations: Giving a Bed Bath
Collect supplies, ensure privacy, and explain the procedure.
Offer the client assistance with urination before bathing.
Use clean gloves, lock the bed, and adjust to a comfortable height.
Cover each area after cleaning to maintain warmth.
Document skin assessments and the client's responses.
Changing Linens on an Occupied Bed
Explain procedure, close curtains for privacy, don gloves.
Utilize safe techniques to roll linens and apply clean linens while ensuring client's safety and comfort.
Foot Care
Crucial for preventing infections and pain; must be performed by professionals in high-risk clients.
Daily inspection and specific care tips are vital for high-risk individuals.
Page 3: Perineal Care, Oral Hygiene, Nail Care, Hair Care, Shaving
Perineal Care Principles
Ensure privacy and professionalism; remove fecal material.
Cleanse from front to back for hygiene.
Emphasize skin integrity maintenance to prevent infections.
Oral Hygiene
Assess for risks including aspiration and impaired swallowing.
Use a gentle approach for clients with fragile oral mucosa.
For unconscious clients, position properly to avoid aspiration risk.
Nail Care
Observe nail condition and integrity; check for issues.
Facility policies may dictate nail cutting procedures.
Special considerations for clients with diabetes/pvd: no soaking or cutting of nails.
Hair Care
Important for appearance and well-being; respect cultural preferences.
Daily brushing/care promotes scalp health and distributes natural oils.
Various methods are necessary depending on client abilities.
Shaving
Prioritize safety; use electric razors for clients prone to bleeding.
Prepare skin and communicate shaving preferences with clients.