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7748340
Ch.40 P&P, Hygiene, Part 2
Description
Perry and Potter
Mind Map by
Michelle Arlotto
, updated more than 1 year ago
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Created by
Michelle Arlotto
over 7 years ago
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Resource summary
Ch.40 P&P, Hygiene, Part 2
Perineal care
1x day, more for urinary catheter
Risk factors for skin break down
Urinary/fecal incontinence
Rectal & perineal surgical dressings
Catheters
Morbid obesity
Back rub
Effleurage: long, slow, guiding strokes
Follows bath, promotes relaxation
Foot and nail care
Exception for Pts w/ diabetes Mellitus or vascular disease
Risk for ulcer/infection
Annotations:
Soaking causes skin softening or maceration of tissue. May need providers order in order to provide care
May need Dr order to provide care
Prevents infection and promotes circulation
Oral hygiene
Inadequate oral care, some meds diminish saliva
Less saliva= Reduction of fighting off pathogens
Pts w/ stoke, trauma to oral cavity, endotracheal tube oral care every 1-2 hrs
CHG rinse for increased risk Pts
Annotations:
Older adults, Pts with cognitive impairments or immunocomprimised
No wax floss for chemotherapy, radiation or anticoagulant Pts
Prevents bleeding
Patients with special needs
Diabetes mellitus, chemo, artificial airway
Teeth cleaned 3-4x day
Unconscious Pts
Provide hygiene & CHG
CHG protects from choking & aspiration
Stomatitis
Burning, pain, change in food & fluid tolerance
Chemo, immunosuppressive agents, head/neck radiation, nasogastric tubes= higher risk
Denture care
Avoids gingival infection, irritation
Denture-induced somatitis
Red, swelling under dentures
Red sores on roof of mouth
Yeast Candida albicans infection
Hair and scalp care
Brush, comb
Distributes oil, prevents tangling
Culture preferences
Annotations:
Learn as much as you can about their hair practices and whether or not it's okay to cut Always ask permission before styling
Lice shampoo
May have severe neurological side effects. Use properly
Shampooing
May need order for Pt w/ limited mobility
Can cause injury
Pts who are ambulatory/weight bearing, or become tired/could faint
Shower/tub chair
Pt unable to sit, can be moved
Transfer to stretcher to move to sink/shower w/ handheld nozzle
Pt unable to sit, or be transferred
Shampoo in bed
Pts prone to bleed need electric razor
Eyes, ears, nose
Prevents infection, maintains normal sensory Fxn
Clean under medical devices
Wash eye with wet wash cloth, ONLY water
Unconscious Pts
May need eye patch and eye drops to prevent drying of cornea/irritation
Contact lenses
Must be removed periodically
Prevents infection, ulcers resulting in pain, tearing, discomfort, refness
If not removed, severe cornea injury can result
Artificial eye removed & cleaned
Ear cleaning
Avoid history of perforated eardrum, assess red, swelling, drainage
Bulb irrigating syringe/ water pik
Ask Pt if dizzy, pain nausea, vertigo= solution too hot/too cold
Nasal care
Clean w/ suction, wash cloth, applicator
Change tape frequently, watch for moisture
Pt room environment
Clean, organize, all safety precautions
Bed making
Frequently, make sure clean, dry, free of wrinkles
Evaluation
Encourage Pt to verbalize any discomfort by asking questions
Were you please d with how we cared for your foot?
Inspect if spiking/drainage removed
Check rashes/ulcers
Teach back
If hygiene not met from Pt, ask how we can help or what kept them
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