Patient Hygiene

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Patient Hygiene. NEO111 M. Jorgenson, RN BSN. Personal Hygiene. Measures for personal cleanliness and grooming Promotes physical and psychological well-being Care must be carried out conveniently and frequently enough to promote personal hygiene and wellness
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Patient Hygiene NEO111M. Jorgenson, RN BSN Personal Hygiene
  • Measures for personal cleanliness and grooming
  • Promotes physical and psychological well-being
  • Care must be carried out conveniently and frequently enough to promote personal hygiene and wellness
  • Practices vary widely among people; nurses should respect individual patient preferences
  • Nurses should give only the care that patients cannot or should not provide for themselves
  • Bedside Cleansing and Skin Care Products
  • Bathing cloths
  • Bathing wipes
  • No-rinse body wash and shampoo
  • Body foam
  • Folding the Washcloth for a Bed Bath Meeting Bathing Needs of Patients With Dementia
  • Focus on comfort, safety, autonomy, and self-esteem, in addition to cleanliness.
  • Individualize patient care.
  • Consider what can be learned about the needs and preferences of the patient.
  • Consider other methods for bathing.
  • Maintain a relaxed demeanor; use calming language.
  • Assessments Made When Giving a Bed Bath
  • Patient’s knowledge of hygiene practices and bathing preferences
  • Frequency, time of day, type of hygiene products used
  • Any physical activity limitations
  • Patient’s ability to bathe himself or herself
  • Patient’s skin for dryness, redness, or areas of breakdown
  • Bathing (cont.)
  • Order of Bathing
  • Eyes/Face (rinsing wash cloth between eyes)
  • neck & ears
  • Arms
  • chest/abdomen
  • Legs
  • Back
  • buttocks
  • perineal area
  • If using a water basin to bath a patient, water should be changed:
  • After washing the front of the person and prior to cleaning the back and buttocks.
  • Change the water again prior to perineal care!!
  • Assessments Made When Providing Oral Care for a Patient
  • Patient’s oral hygiene preferences
  • Frequency, time of day, type of hygiene products
  • Patient’s oral cavity and dentition
  • Patient’s lips for dryness or cracking
  • Patient’s ability to perform own care
  • Any physical activity limitations
  • Oral Care (Dependent Patient)
  • Correct head position
  • On its side and tilted forward
  • Raised 30-45 degrees
  • Rinsing the mouth of a dependent person
  • Carefully squirt a small amount of water using an irrigating syringe being sure to avoid the back of the throat
  • Immediately suction water out with a yankaur suction device
  • Use of a toothette or suction toothette
  • Expected Outcomes When Performing Oral Care
  • The patient’s mouth and teeth will be clean.
  • The patient will not experience impaired oral mucous membranes.
  • The patient will participate as much as possible with oral care.
  • The patient will demonstrate improvement in body image.
  • The patient will verbalize an understanding about the importance of oral care.
  • Oral Hygiene for Patients With Cognitive Impairments
  • Choose a time of day when the patient is most calm.
  • Enlist the aid of a family member or significant other.
  • Break the task into small steps.
  • Provide distraction.
  • Allow the patient to participate.
  • If the patient strongly refuses care, withdraw.
  • Document effective and ineffective intervention.
  • Cleaning Dentures at the Sink Assessments Made When Providing Eye Care for a Patient With Contacts
  • Assess both eyes for contact lenses.
  • Assess eyes for any redness or drainage.
  • Assess for any eye injury.
  • If an injury is present, notify the physician about the presence of the contact lens.
  • Do not try to remove the contact lens in this situation due to the risk for additional eye injury.
  • Contact Storage Case Marked L and R Contacts Assisting with Shaving Contacts
  • Male facial hair—shave in the direction of hair growth (with the grain)
  • Female leg hair—shave against the direction of hair growth (against the grain)
  • When should shaving a patient with a straight edge razor be avoided and an electric razor used instead?
  • Significant immunocompromised (low WBC)
  • Anticoagulation therapy (blood thinners)
  • Bleeding disorders
  • Low platelet count
  • Unexpected Situations and Associated Interventions when Shaving a Patient
  • Patient is cut and bleeding during shave: Apply pressure with gauze or towel to injured area for 3 - 3 minutes. Resume shaving after bleeding has stopped.
  • Patient has large amount of hair to be shaved: It may need to be trimmed with scissors first.
  • Assessments Made When Making an Occupied Bed Shaving a Patient
  • Assess the patient’s preferences regarding linen changes.
  • Assess for precautions or activity restrictions for the patient.
  • Check for evidence of body secretions or fluids on the linens.
  • Check the bed for patient belongings.
  • Note the presence and position of any tubes or drains.
  • Fan-Folding Bottom Sheet When Making a Bed Shaving a Patient Providing Perineal Care for a Female Patient Shaving a Patient
  • Spread the labia and move the washcloth from the pubic area toward the anal area.
  • Always proceed from the least contaminated area to the most contaminated area.
  • Use a clean portion of the washcloth for each stroke.
  • Rinse the washed areas well with plain water.
  • Providing Perineal Care for a Male Patient Shaving a Patient
  • Clean the tip of the penis first, moving the washcloth in a circular motion from the meatus outward.
  • Wash the shaft of the penis using downward strokes toward the pubic area.
  • Always proceed from the least contaminated area to the most contaminated area.
  • Rinse the washed areas well with plain water.
  • Questions? Shaving a Patient
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