| Term | Definition |
| aspiration | breathing in of fluids or object into lungs |
| perineal care | daily during baths or whenever soiled, blood borne pathogen, medical asepsis followed, water 105-109 Fcleaning the genital and areas areas (clean to dirty/front to back) aka pericare |
| order of care | elimination, incontinence needs/cleaning, change bedding, assist with personal & oral hygiene, groom, positionfor meal, make beds after meal repeat any pre-meal needs do ROM, straighten bed |
| Unconcious person oral care | on side, use padded tongue blade, dont insert fingers, MINIMIZE any moisture, repeat every 2 hours, assume they can hear |
| denture care | do not use hot water, wear gloves, dont put your hands in residents mouth, wash over sink that already has towel in it ans water, clean & rinse dentures and holding cup, remove at bedtime |
| baths | cleans skin, mucous membbranes of gential area, removes microbes, dead skin, perspiration, excess oils, refreshes, relaxes, stimulates circulation, exercises body parts, gives time for observations and interaction to talk. Have EVERYTHING you need before you start |
| complete bed bath | wash everything 110F |
| partial bed bath | face, hands, under arms, back, buttocks, perineal |
| back rubs | 3-5mins, follow care plan, observe skin, follow standard precautions, warm lotion, firm strokes, |
| pedioculosis | lice infestation |
| shaving | electric one is agencys clean between persons. DO NOT use blade razor if on blood thinners, anti blood clots/coagulants or dementia - heperin or cumadin, shave in direction of hair growth, pull skin taught and use creme |
| changing clothes | provide full privacy, undress or dress strong side first, let person choose from 2 things, support arm or leg at and under joints |
| PERSON | Provide comfort - grooming promotes comfort & body image, Ethics - do not judge by own standards REMAIN independent - promote making choices, OBRA - courteous dignified care, Nursing Team - communicate when you need shared equipment for grooming, retrun promptly |
| skin | first line of defense against disease |
| dentures | do not use hot water to clean, line sink with a towel |
| unconcious teeth cleaning | NEVER use hand to open, use padded stick to opn, absolute minimum moisture, prevent aspiration,lay on side, talk to person |
| tub bath | 20 mins, drain water before getting out, only use grab bars not towel rails, do not use oils, use a bath mat, clean before & after |
| oral hygiene | prevents mouth oder and pyorrhea, do more than once a day, every 2 hours for unconcious |
| back massage | one minute, even firm strokes, warm lotion, keep cntact with skin, wear gloves if skin broken, observe inspect skin |
| perineal care | pat dry after rinsing, clean urethra to anal, use 105F water in wash basin |
| powder | never shake powder directly onto person, sprinkle small amount in hand, apply thin layer, powder can irritate lungs - prevent aspiration |
| scissors | nursing assistants do not use them to cut toe nails |
| anticoagulant | anyone on this blood thinning drug cannot have any blade razor used on them and nurse must do all nail trimming |
| nail care | soak fingers & toes 15-20 mins before |
| dressing | clothes go on weak side first |
| medicated shampoos | at not kept at bedside |
| injured limbs | support the limb at joints by cupping when dressing, injured limb is last to under, first to dress for top or bottom |
| bathing | follow plan for skin care, follow BBP precautions, equipment, elimination, warthe, privacy, 110-115, clean to dirty |