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Hygiene. Nurse assists with basic hygiene. Assesses the needs of patient Respects individual preferences Administers only the amount of care necessary. Functions of skin. Protects the body Regulates body temperature Senses stimuli Excretes waste Maintains fluid and electrolytes
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Nurse assists with basic hygiene • Assesses the needs of patient • Respects individual preferences • Administers only the amount of care necessary
Functions of skin • Protects the body • Regulates body temperature • Senses stimuli • Excretes waste • Maintains fluid and electrolytes • Produces and absorbs vitamin D
Principles of Skin Care • Unbroken skin is firsts line of defense • Resistance varies among people • Health cells resist injury • Circulation needed for cell life
Factors affecting skin condition • Developmental considerations • Illness
Factors affecting personal hygiene • Culture • Health state • Personal preferences
Providing Scheduled Hygiene • Early morning • Morning care • Afternoon care (PM care) • HS care • PRN care
Cleanses skin Skin conditioner Relaxes patient Promotes circulation Exercise Stimulates respirations Comfort Sensory input Improves self-image Establish rapport Physical assessment teach Purposes of bathing
Bed Baths • Provide supplies • Provide privacy • Provide Mirror • Assist as necessary
Oral Care • Supply equipment for self care • Provide care or assistance as necessary
Cleaning the Eyes • No soap • Clean wash cloth • Water runs away from eyes • Clean inside to outside
Hair Care • Shampoo requires a doctor’s order • Wash as often as necessary
Perineal care • Always proceed from least contaminated area to most • Females – front to back • Males – wash tip of penis and then down shaft • Turn patient over and clean anal area
Anti-embolism stockings • Apply while the person is lying down • Do not massage the legs • Be sure heel is positioned correctly • Pull toes to relieve pressure • Launder PRN
Massaging the back • Relaxation • Circulation • Inspection
Safety features of beds • Locks on wheels • Side rails • Removable head board