Inc, Hygiene, Inc, Skin, Function Protection Secretion Excretion Temperature regulation Sensation Structure and appearance

Download this Presentation

0

Presentation Transcript

  • 1.Mosby items and derived items © 2005 by Mosby, Inc. Chapter 38 Hygiene
  • 2.Mosby items and derived items © 2005 by Mosby, Inc. Skin Function Protection Secretion Excretion Temperature regulation Sensation Structure and appearance
  • 3.Mosby items and derived items © 2005 by Mosby, Inc. Feet, Hands, and Nails Function Mobility Weight bearing Structure and appearance: nails
  • 4.Mosby items and derived items © 2005 by Mosby, Inc. Oral Cavity Function/appearance Mucous membranes Salivary glands Teeth Gums
  • 5.Mosby items and derived items © 2005 by Mosby, Inc. Hair Growth Distribution Pattern
  • 6.Mosby items and derived items © 2005 by Mosby, Inc. Eyes, Ears, and Nose Structure and function Prevention of injury and discomfort during hygienic care
  • 7.Mosby items and derived items © 2005 by Mosby, Inc. Individual Factors Social practices Personal preferences Body image Socioeconomic status Health beliefs and motivation Cultural variables Physical condition
  • 8.Mosby items and derived items © 2005 by Mosby, Inc. Assessment Physical examination Integument: skin, hair, nails Oral cavity Eyes, ears, and nose
  • 9.Mosby items and derived items © 2005 by Mosby, Inc. Common Skin Problems Dryness Acne Rashes Contact dermatitis Abrasions
  • 10.Mosby items and derived items © 2005 by Mosby, Inc. Common Foot and Nail Problems Callus Corns Plantar warts Tinea pedis (Athlete’s foot) Ingrown nails Ram’s horn nails Paronychia Odors
  • 11.Mosby items and derived items © 2005 by Mosby, Inc. Hair and Scalp Problems Dandruff Ticks Lice Pediculosis capitis Pediculosis corporis Pediculosis pubis Alopecia
  • 12.Mosby items and derived items © 2005 by Mosby, Inc. Risk Factors for Skin Impairment Immobilization Reduced sensation Nutrition and hydration alterations Secretions and excretions on the skin Vascular insufficiency External devices
  • 13.Mosby items and derived items © 2005 by Mosby, Inc. Developmental Changes Condition of the integument and hygienic practices Infant Toddler Adolescent Adult Older adult
  • 14.Mosby items and derived items © 2005 by Mosby, Inc. Use of Sensory Aids Eyeglasses Contact lenses Artificial eyes Hearing aids
  • 15.Mosby items and derived items © 2005 by Mosby, Inc. Assessment Self-care ability Hygiene practices Cultural factors Clients at risk for problems Special considerations Client expectations
  • 16.Mosby items and derived items © 2005 by Mosby, Inc. Nursing Diagnoses Ineffective health maintenance Impaired mobility Bathing/hygiene self-care deficit Risk for impaired skin integrity
  • 17.Mosby items and derived items © 2005 by Mosby, Inc. Planning Goals and outcomes Client’s skin is clean, dry, and intact Client tolerates bathing without excessive fatigue Setting priorities Continuity of care
  • 18.Mosby items and derived items © 2005 by Mosby, Inc. Implementation Teaching hygiene techniques Relevant to client’s situation Adapted to client’s bathing facilities Incorporating injury prevention and infection control measures
  • 19.Mosby items and derived items © 2005 by Mosby, Inc. Bathing and Skin Care Complete bed bath Partial bed bath Tub bath or shower Bag bath
  • 20.Mosby items and derived items © 2005 by Mosby, Inc. Guidelines for Bathing Provide privacy Maintain safety Maintain warmth Promote independence Anticipate needs
  • 21.Mosby items and derived items © 2005 by Mosby, Inc. Additional Hygienic Care Considerations Perineal care Self-care ability of client Reduction of embarrassment Asepsis Back rubs Benefits Contraindications
  • 22.Mosby items and derived items © 2005 by Mosby, Inc. Foot and Nail Care Guidelines Careful inspection Lukewarm water temperature No soaking Cutting of nails, if indicated Application of lotions Proper socks, stockings, and shoes
  • 23.Mosby items and derived items © 2005 by Mosby, Inc. Oral Hygiene Brushing and flossing Clients with special needs Presence of stomatitis Use of oxygen therapy Unconscious state Denture care
  • 24.Mosby items and derived items © 2005 by Mosby, Inc. Hair and Scalp Care Brushing and combing Shampooing Shaving Mustache and beard care
  • 25.Mosby items and derived items © 2005 by Mosby, Inc. Eye Care Basic eye care Eyeglasses Contac lenses Artificial eyes
  • 26.Mosby items and derived items © 2005 by Mosby, Inc. Ear Care Cleansing Cerumen removal Hearing aid care
  • 27.Mosby items and derived items © 2005 by Mosby, Inc. Nasal Care Cleansing Special care for clients with nasal oxygen or GI tubes
  • 28.Mosby items and derived items © 2005 by Mosby, Inc. Client’s Room Environment Maintaining comfort – Temperature, ventilation, noise, light Room equipment – Chairs, beds, other equipment – Bed making
  • 29.Mosby items and derived items © 2005 by Mosby, Inc. Evaluation Client care Client expectations