Module 4

Purpose of providing hygiene

  • Removing transient microorganisms, body secretions and excretions, and dead skin cells

  • Stimulate circulation of skin

  • Prevent and eliminate unpleasant body odors

  • Promote sense of well-being

  • Produce comfort and relaxation

Safety Measures while Providing a Bath

-2 rails up on opposite side of the nurse

-Suctioning available for oral care

-Providing privacy

-Assistive devices

-Gloves and Hand Hygiene

Normal Assessment Findings

-SKIN: intact, dry, no lesions, abrasions, abnormalities, no excessive dryness

-HAIR: clean, smooth texture, no alopecia, dandruff, infestations, pediculosis

Aspects of Patient Hygiene

Oral Care, Eye Care, Hearing-Aid Care, Feet Care, Nail Care, Peri Care, Hair Care

Remove Contact Lenses

Hard: gently hold eye open and give a gentle lateral tug on the outer acanthus

Soft: Hold eye open, pinch the lens between finger and thumb and pull out gently

Diabetic Foot Care

Non-perfumed lotion, avoid putting lotion in between toes, dry feet thoroughly, avoid soaking the feet, File the toenails DO NOT cut

Prevent Skin Breakdown

Clean NO WRINKLED bed linens, perform checks q2h, Lift the patient instead of pulling

Hearing Aid Care

Clean and Check Regularly, Readjusted every 2/3 years, Do not use alcohol based products

Changing Linens

Wear Gloves, hold the linens away from uniform, place soiled linens immediately in the portable linen hamper, DO NOT shake

Removing a Tick

Blunt tweezers or gloved fingers

Pull the tick away perpendicularly

DON”T twist or squeeze the ticks body

Clean the area with soap and save the tick in a bottle of rubbing alcohol

Shaving

Gloves, Shaving Cream, Soap, Water

Hold skin taut and the razor at a 45 degree angle

Shave in short firm strokes in the direction of hair growth and dry the face well afterward

Denture Care

Gloves, Remove bottom then top denture, place in appropriate container

For cleaning, place towel down in bottom of sink, Tepid water

TOP then BOTTOM for insertion

Baths

  • Complete Bed Bath

  • Self Help (Assisted) Bath

  • Partial Bath

  • Bag Bath

  • Towel Bath

  • Tub Bath

  • Sponge Bath

  • Shower

  • Sitz Bath

  • Med Therapeutic Bath

Influence Hygiene

Culture, Religion, Environment, Developmental Level, Health, Privacy, Personal Preferences

Skin Conditions

  • Abrasions

  • Excessive Dryness

  • Acne

  • Ammonia Dermatitis

  • Erythema

  • Hirsutism

Hearing Aids

  • Behind the Ear open fit

  • Behind the Ear with ear-mold

  • In the Ear

  • In the Canal (not suitable for clients with progressive hearing loss)

  • Completely in the Canal

Bathing a client with DEMENTIA
If patient becomes agitated, stop the bath. Change the approach and start again in 30 minutes

Gather everything before the procedure, provide privacy at all times, speak pleasantly

Shower Chair

Has a commode seat to facilitate cleaning peri area and provide relief periods

Ensure Safety with Linen Change

Call light in reach

NEVER have all 4 bed rails up at one time

Bed in lowest position

Functional Ability

Individuals ability to perform normal daily activities that are required to meet basic needs; fulfilling usual roles in the family, workplace, and community while maintaining health and well-being

Chapter 33 Fundamentals: https://quizlet.com/422131689/chapter-33-hygiene-flash-cards/