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Personal Care ch. 15
Terms in this set (61)
Early morning a.m. care
Assists with: toileting, bathing, warm wet washcloth to wash hands and face, oral care, before breakfast care
morning a.m. care
after breakfast, bathing, oral care, toileting, shaving, hair care, back massage, changing, assist getting out of bed, have pat. sit in chair while changing linens
afternoon p.m. care
after lunch care: get patient comfortable for rest/ visitors, toileting, provide patient preference of oral fluids
Bedtime h.s care
assist patient for sleep, toileting, oral fluids, brush teeth/ dentures, remove glasses/hearing aids, put items in reach. Reduce fall risk
keeping oneself clean and well groomed
activities of daily living, such as bathing, dressing, eating, toileting, and transfer.
Benefits of bathing
-stimulates blood circulation
-produces sense of well-being for client
-gives nurse an opportunity to assess the skin
washing from distal to proximal to improve blood return from extremities back to heart
pooling of blood, redness hands and feet; red warm area in calf of leg, purplish blotching
Determining Abilities for patient bath
-understand and following directions
-move and turn enough
-tolerate phys. demands
types of care
self-care, assisted care, total care
refers to patients who able to perform ADLs w/ out assistance
some assistance with ADLs
-washing hard to reach areas
-obtaining necessary items for care
Patients who are able to do very little or nothing for themselves
types of baths
Complete bed bath
Partial bed bath
Sponge bath at the sink
Bag bath/travel bath
complete bed bath
patient is unable to be out of bed, bath is accomplished using a basin of water at the bedside. Nurse generally performs all care
assisted or help bath
may be done in bed or sitting in a chair. Patient participates as much as they can until they become fatigued and nurse finishes the rest
only selected areas are bathed: bath that includes washing the face, underarms, hands, and perineal area
patient is submerged, more thorough wash, can require some assistance from the RN
the patient can sit on a bench or shower chair or stand under the spray of the shower
usually a tub bath given for a specific reason. May be a whirlpool bath to remove infected tissue from wounds. Also can be used to soak patient in medication to soothe itching or skin disorders
towel or blanket bath
bath is done with the patient in bed. It includes a bath blanket, washcloths, and towels
technique for bathing that involves the use of 8 to 10 premoistened, warmed, disposable cloths contained in a plastic bag
The amount of blood returned to the heart by the veins
White patches on the tongue or lining of the mouth that may become cancerous.
special mouth care
Oral care for patients whose conditions result in a need for more frequent care and who require assistance for this care.
ringworm of the scalp, fungal infection, easily spread from one person to the next
thick oily scales on scalp, cradle cap
insertion of a tube into the trachea; diagnostic testing; MRI; catherization
complete removal of eye from socket
eye is intact, but blind
scleral cover shell
like thick contact fits against all eye
custom made to fit socket and is hand painted to match original eye
environment for patients
noise, odors, clutter, equipment
a bed made while no resident is in the bed; includes open bed, surgical bed, and closed bed
top linens are fan-folded back
top linens are fan folded to the edge of the bed so that the bed is ready to receive a person from a stretcher
acute care; only used when patient is discharge
a bed that is made while the patient is in bed
turning sheet that is placed under residents who are unable to assist with turning, lifting or moving up in bed
a corner that is made by folding and tucking the sheet so that it lies flat and neat against the mattress
toes pointed downward
foot is permanently fixed in plantar flexion
bed position: flat
Used for resting or sleeping and after certain procedures such as lumbar punctures and back surgery.
Knees slightly elevated to prevent sliding down; used when patients want to sit up to watch TV or converse with visitors.
Used for patients on continuous tube feedings to prevent aspiration and for comfort when patient does not wish to be completely flat
Used for patients who have very low blood pressure (shock) to return blood to the brain and vital organs. Keeping the head of the bed flat with the feet elevated is the preferred bed position for patients with breathing difficulty or head injury.
Reverse Trendelenburg's position
Used to elevate the patient's head without bending at the waist for patients who have returned from procedures requiring that the legs be kept straight at the groin, such as a cardiac catheterization.
The circulatory effect of venous return is accomplished by bathing?
the extremities in a distal-to-proximal direction.
The staff nurse says that your patient refused her bath yesterday and really needs one today. The patient says she is too exhausted to have a bed bath and just wants to sleep. Your best response would be?
You rest now, and I will come back in about an hour to do your bath."
You are giving evening care to your patient. What care will you provide?
assist with toileting, offer back massage, straighten linens, remove glasses, dentures, hearing aids, ensure items for night
In which situations would it be inappropriate for the nurse to delegate the patient's personal care to a CNA or UAP?
A patient whose vital signs are unstable, A patient whose capabilities to assist with personal care are unknown, A patient who has a worsening skin condition
You know a patient with diabetes needs more teaching about nail care when he says:
"My daughter can cut my toenails so they are rounded without any sharp edges
The nurse is taking care of a 78-year-old male patient who is bedridden. Which type of bath would be appropriate for the patient?
Complete bed bath
A patient receiving a nasogastric tube feeding will have which common bed position?
The bed-bath supplies the nurse would plan for when caring for a patient are:
When cleaning a hearing aid, you should do which of the following?
Turn off the hearing aid, Store the aid in its case
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