Flashcards in Personal Hygiene, Bed Baths, and Toileting Deck (33)
What factors influence personal hygiene?
Health and energy
What are the different kinds of hygienic care nurses provide to clients?
Shaving (when necessary)
What is a complete bed bath?
All parts of the body are bathed including oral hygiene
What is a partial bed bath?
Some parts of the body
"Sponge bath at the sink" - assistance with hard to reach areas
What is a tub bath or shower?
Provide towels and supplies
Prepare the tub or shower area
What is a bag bath?
Pre-moistened cloths in a solution of no rinse surfactant cleanser and emollient
What are intake and output measurements?
Measurement and recording of all fluid intake and output during a 24 hour period
All routes of fluid intake and all routes of fluid loss
What are some examples of intake?
-food (jello, ice cream, pudding)
More advanced - nurses responsibility
- tube feedings
How much mL is in 1 ounce?
How many mL in a pint?
How many mL in a quart
What are examples of output?
- tube and wound drainage
- Foley --> measured with graduated cylinder
What kind of important data does input and output provide?
Provides data about client's fluid and electrolyte balance
Helps determine patient's fluid status
- Are they hydrated/dehydrated?
-Are they in fluid overload
*generally measured for hospitalized at-risk clients*
How many mL are in a coffee cup (8 oz)?
How many mL are in a water pitcher?
How many mL are in a soup bowl?
How many mL are in jello?
Who can have a role in keeping accurate I&O records other than the nurse and healthcare staff?
If patient is incontinent of urine, how do you record the amount?
You estimate it, then record
If incontinence is frequent --> nursing intervention --> ostomy or a foley
What is a normal urinary output for an adult in 24 hours?
What is the normal adult liquid intake?
What is a therapeutic bath
a bath for physical effects to sooth irritated skin to promote healing of an area
i.e Sitz bath -->soothe and heal perineum --> for mothers after childbirth or clients after rectal surgery
What is a mediation bath?
taken in a tub of water with medication in it to sooth irritated or itchy skin (i.e sunburn, hives, and skin diseases)
No longer than 20 to 30 minute
What are some examples of Activities of Daily Living (ADLS)
What is personal hygiene?
Maintaining cleanliness and grooming of the external body
What happens when there is failure to keep up with personal hygiene?
increase risk of infection or illness
social and psychological aspects can be affected
Potential for violating cultural and religious considerations
DO NOT FORCE CHANGES IN HYGIENE PRACTICES UNLESS PRACTICES AFFECT PAITENT'S HEALTH
What are reasons for providing personal hygiene?
Promotes good habits of personal hygiene
Provides comfort and stimulates circulation
Helps improves self image
Opportunity to develop a good and caring relationship with patient
What are factors that depend on a patient's self-care ability?
Patient's mental status
Ability to detect thermal and tactile stimulus
How do you help a patient with their personal hygiene?
YOU ASK if they prefer
-shower vs. bath
-what type of hygiene or grooming products they use
-How do they care for their hearing aids and dentures, providing perineal care, hair care etc.
Teaching of new hygiene practices
- bariatric patients and adaptive bathing methods
-Diabetic foot care --> be careful d/t circulation in the legs