Hygiene

1. Hygiene

2. Hygiene Schedule In Acute Care • Early Morning or A.M. Care • Morning or After Breakfast Care • Afternoon Care • HS Care

3. Skin Care • Assessment- Inspection/ Palpation • Determine need for hygiene • Observe color (Table 32-9,pg 689), texture, thickness, turgor, temperature, hydration • Skin Lesions (Box 32-8, pg.692) • Recognize common skin problems (Table 38-2, pg.1009)

4. Skin Care • Nursing Diagnoses • Impaired Skin Integrity • Altered Peripheral Tissue Perfusion • Bathing/Hygiene Self-Care Deficit • Planning • Goals- Cleanliness, stimulation of circulation, range of motion, improved self-esteem, and reduction of body odors

5. Skin Care • Implementation • Bathing • Perineal Care • Back Rubs

6. Perineal Care • Assessment- Listen for problems, smell, know at risk clients • Indications for Care- Urinary or fecal incontinence, excessive secretions, skin irritation, clients at risk because of indwelling catheters, perineal surgery, or childbirth • Goal of Care- Comfort, promote healing, prevent or eliminate odor or infection

7. Back Rub • Goal- Promote relaxation and stimulate circulation • Cautions • Contraindications • Never massage arms and legs

8. Nail and Foot Care • Assessment • Circulation • Abnormalities or problems (Table 38-3,pg 1011) • Gait • Pulses • Nails • Special considerations- diabetic clients

9. Nail and Foot Care • Nursing Diagnoses • Pain • Impaired Skin Integrity • Self-Care Deficit • Plan and Implementation • Foot and nail care given during bath

10. Diabetic Client Foot Care • Need meticulous care daily • Do not cut corns or calluses or use commercial removers • Always dry well between toes, use powder when necessary • Avoid doing or wearing anything that impairs circulation • Wear clean socks daily • Well fitting shoes, no bare feet

11. Hair Care • Assessment • Examine condition of hair and scalp • Determine ability to do self care • Problems/ abnormalities (Table 38-4, pg.1012) • Dandruff • Ticks • Pediculosis Capitis • Pediculosis Corporis • Pediculosis Pubis • Alopecia

12. Hair Care • Diagnosis • Dressing/ Self-Care Deficits • Impaired Skin Integrity • Pain • Body Image Disturbance • Planning and Implementation • Brushing and combing • Shampooing • Shaving • Mustache and beard care

13. Eye Care • Assessment • Scaliness underlying eyebrow • Eyelids- edema, lesions, secretions • Eyelashes- styes, irritating lashes (entropian,ectropian) • Lacrimal Sac- • Sclera or conjunctiva • Pupil- Size, shape, light response • Eye movement • Contacts, eyeglasses, or artificial eye

14. Eye Care • Implementation • Basic care • Unconscious client • Eyeglasses • Contact lenses • Artificial eyes

15. Ear Care • Assessment • Exam external ear • Implementation • Clean during bath • Cautions • Assess gross hearing

16. Nose Care • Assessment • Exam nasal mucosa • Position of nasal septum • Difficulty breathing from nose • Implementation • Nasal secretions • Suctioning

17. Client’s room • Maintain comfortable room environment • Temperature, ventilation, noises, lighting, controlling stimuli • Room equipment • Overbed table, night stand, chairs, bed, lights, special equip. • Common bed positions • Know common bed positions (Table 38-6, page 1054) • Room accessories • Water pitcher, glass, tissue, lotion, toothpaste, wash basin, etc • Bed-making • Basic principles of asepsis- Keep linen away from uniform, never fan linen, place nothing on the floor, if clean linen touches floor get new linen • Use good body mechanics • Be able to make occupied and unoccupied beds (open/closed)

18. Summary Evaluation of client’s hygiene is based on the client’s expression of a sense of comfort, relaxation, well-being, and an understanding of personal hygiene techniques