65 terms

P&P Ch 39: Hygiene

active inflammation of the sebaceous glands accompanied by pimples
hair loss
tooth decay caused by food interacting with bacteria in the mouth
caries is ___ caused by ___
ear wax
complete bed bath p. 783
hidden fold of skin at nail bed
without teeth
effleurage p. 785
enucleation p. 790
epidermis p. 769
inflammation of the gum
inflamed tongue
foul-smelling breath
musositis p. 779
partial bed bath p. 783
head lice
pediculosis capitis
perineal care p. 784
stomatitis p. 786
dry mouth
Acrocrine gland
resistance from deformation in skin
skin turgor
nitrogenous waste
normal tension in a cell
vasoconstriction LOC
List at least 4 to xxx principles of giving a bed bath
(1) personal preferences, cultural influences
(2) self-care ability
(3) skin
(3) Feet & Nails
(4) oral cavity
(5) Ears, Eyes, Nose
(6) sensory aids
(7) Risks for Hygiene Problems (e.g. side effects from medications or therapies that might raise a risk of infection, or cause ulcerations, or other side effects)
Identify 4 (up to 7) areas to be assessed while providing personal hygiene of the
1) refreshing and relaxing
2) clean the skin
3) increase circulation
4) prevent skin breakdown
5) conserve client's energy
6) opportunity for therapeutic relationship
7) assess skin
8) opportunity to assess ROM, LOC, effects of exertion
9) enhance self image
List 4 to 9 purposes of the bed bath
social, cultural, body image, socioeconomic, health beliefs, motivation, developmental stage, physical and mental condition, personal preferences
identify factors that influence personal hygiene (there are many, name up to 9)
mental disability
physical disability
weakness, malaise
physicians orders for bed rest
casts, splints, caths
List 4 to 7 reasons why a patient my be unable to meet own hygiene needs
How does fever alter the body and its need for cleanliness?
How does wound drainage alter the body and its need for clenliness?
How does kidney disorders alter the body and its need for cleanliness?
fungal infections of the oral cavity are common
explain how early signs of AIDS impacts hygiene
eliminates the blink reflex causing risk of corneal drying
explain how paralysis of the trigeminal nerve (cranial nerve V) impacts hygiene
often results in chronic vascular changes that impair healing of the skin and mucosa ESPECIALLY in the feet
explain how diabetes mellitus impacts hygiene
just deep to the skin (dermis and epidermis)
the hypodermis (aka ___) is located __.
the outer most layer of the skin, exposed to the air, is called the ___
elastic and collegen
___ fibers make up the dermis
(1) sebum, does not
(2) hair follicles
(1) sebaceous glands secrete ___ that DOES?/ DOES NOT? have an odor.
(2) sebum is secreted into the ___
(1) bactericidal
(2) softens and lubricates the skin
(3) slows water loss in low humidity
the function of sebum is ___ (give three functions)
skin has a ACID?/ ALKALINE?/ NEUTRAL? pH
soao should be ACID?/ ALKALINE?/ NEUTRAL? pH
almost completely inhibits the release of saliva and results in dry mouth
strong SYMPATHETIC stimulation of the nervous system has what effect on the oral cavity
shaft, follicle
The hair ___ is lifeless, however many factors can affect the hair ___ and is an indication of a health issue
(A) In older adults:
(1) epidermal cell replacement slows,
(2) the skins thins and loses resiliency,
(3) Moisture leaves the skin
(4) lubricating substances of the skin glands decreases causing dry itchy skin

(B) older adults bruise more easily and are more sentisive to too frequent, too hot and too much soap in their bathing
(A) How is the SKIN for older adults different from younger patients? AND
(B) how does this affect hygiene practices
(A) older adults:
(1) lack strength, flexibility, visual acuity or manual dexterity to care for their feet and nails
(2) have less sebacous gland secretion and drier epidermal cells
(3) congenital deformities, weak structures and diseases of older age such as diabetes or rheumatoid arthritis
(4) develop corns, calluses, bunions, hammertoe and fungal infections

(B) older adults need extra assistance with nail and foot care
(A) How are the FEET and NAILS for older adults different from younger patients? AND
(B) how does this affect hygiene practices
(A) older adults:
(1) chronic diseases such as diabetes affects mouth
(2) physical disabilities involving hand grasping (such as rheumatoid arthritis or stroke) and general lack of strength with old age
(3) prescribed medications with oral side effects
(4) gums loose vascularity and tissue elasticity causing dentures to fit poorly
(B) older adults need extra assistance and care with oral hygiene
(A) How is the ORAL CAVITY for older adults different from younger patients? AND
(B) how does this affect hygiene practices
with age the scalp and hair becomes thinner and drier and needs less frequent washing.
How does old age effect hair and how does this effect hair hygiene?
(1) sensory deficit can lead to water that is too hot and can burn.
(2) pain, weakened grasp, limited mobility or general lack of energy can impede washing and cause a fall or lead to inadequate washing
(3) mental disorders can cause confusion and lead to injury
(NOTE: mental disorders can lead to fear and aggressive behavior during hygiene care)
Give three reasons why an older patient can get hurt when self bathing.
foot ulcerations
___ is the most common single precursor to lower-extremity amputations among people with diabetes
a bath that cleans and reduces pain and inflammation of perineal and anal areas
What is a sitz bath