Hygiene

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Hygiene
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Hygiene Schedule In Acute Care

• Early Morning or A.M. Care
• Morning or After Breakfast Care
• Afternoon Care
• HS Care

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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)

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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

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Skin Care

• Implementation
• Bathing
• Perineal Care
• Back Rubs

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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

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Back Rub

• Goal- Promote relaxation and stimulate
  circulation
• Cautions
• Contraindications
• Never massage arms and legs

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Nail and Foot Care

• Assessment
• Circulation
• Abnormalities or problems (Table 38-3,pg 1011)
• Gait
• Pulses
• Nails
• Special considerations- diabetic clients

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Nail and Foot Care

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

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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

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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

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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

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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

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Eye Care

• Implementation
• Basic care
• Unconscious client
• Eyeglasses
• Contact lenses
• Artificial eyes

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Ear Care

• Assessment
• Exam external ear
• Implementation
• Clean during bath
• Cautions
• Assess gross hearing

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Nose Care

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

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Clients 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)

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Summary

• Evaluation of clients hygiene is based on the
  clients expression of a sense of comfort,
  relaxation, well-being, and an understanding of
  personal hygiene techniques