Skin care basics Flashcards

1
Q

What are some positioning interventions to prevent skin breakdown?

A
  • elevate heels on 2 pills off of bed surface
  • HOB less than 30
  • use knee gatch to prevent sliding
  • put pillows between knees and ankles
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2
Q

What are some dressing interventions to prevent skin breakdown?

A
  • use friction protecting devices on heels and elbows
  • PIP dressing
  • inter dry in folds of skin
  • powder on bed pans and BSC
  • limit pads and sheets under patient
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3
Q

What are moving interventions to prevent skin breakdown?

A
  • do not pull patients side to side
  • do not pull patients up
  • offer trapeze for patients with upper body strength
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4
Q

What should document for basic skin care?

A
  • hygiene provided
  • skin products applied
  • skin assessment
  • pressure ulcer risk
  • dressing applied
  • positioning
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5
Q

What are some basic guidelines for moisturizing?

A
  • after a bath
  • do not massage bony prominences
  • do not use between the toes
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6
Q

How often should bathing be offered to patients?

A

Daily

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7
Q

What are some incontinence interventions to prevent skin breakdown?

A
  • penile wraps
  • Purewick
  • condom catheters
  • rectal pouch
  • fecal pouch
  • bowel and bladder retraining
  • cleanse after each episode with pH balanced cleansers
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8
Q

What is patient and family education for proper skincare?

A
  • need for nutrition
  • need for hydration
  • need for proper hygiene
  • understanding pressure, friction, moisture
  • proper sleep surface
  • need for turning
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9
Q

Is it ok for patients to refuse hygiene?

A

Yes, if they are cognitively intact and not soiled.

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10
Q

What are basic rules for position change for at risk patients?

A
  • turn every 2 hours in bed
  • turn every hour in the chair
  • limit time in chair to 2 hours
  • use a proper cushion in the chair
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