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Hygiene. Teresa Hurley, MSN, RN. Personal Hygiene. Promotes Cleanliness Psychological Well-being Does it matter what time of day, how often one bathes, washes their hair, changes linens or PJ’s?. Hygiene.
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Hygiene Teresa Hurley, MSN, RN
Personal Hygiene • Promotes • Cleanliness • Psychological Well-being Does it matter what time of day, how often one bathes, washes their hair, changes linens or PJ’s?
Hygiene • Provide only that care which the client can not do for themselves or should not do for themselves • Factors influencing hygiene -personal preferences -culture -spiritual practices -socioeconomic status -developmental level -knowledge -health status
Health Status Factors • Physiological • Limited Mobility • Sensory Deficits • Cognitive Impairments • Psychological • Circulatory • Integumentary
Assessment • Ability to bathe • Physical Restrictions • Physical and psychological limitations • Preferences • Therapeutic Modalities (NGTs, IVs, anti-emboletic stockings, casts, traction, oxygen etc)
Nursing Diagnosis • Bathing/Hygiene Self Care Deficit • Goal: Client will be clean and feeling fresh • Interventions • What are you going to do to achieve this goal?
Types of Bathing • Partial Bed Bath • Bed Bath • Complete Bed Bath • Tub Baths • Showers
Nursing Care • Provide individualized and organized care • Provide privacy • Adjust bed height and side rails • Position client • Offer bedpan or urinal • Prevent chilling • Wash using long strokes • Top to bottom • Inner to outer • Clean to dirty • Front to back
Nursing Care • Perineal Care • Back Massage Are there any contra-indications to giving a back massage?
Nursing Care • Foot Care • Nails • Hair/Shaving • Eye • Ears