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Hygiene and Personal Care - Coggle Diagram
Hygiene and Personal Care
Many considerations when providing hygiene and personal care
Safety measures :warning:
Bed
Ensure it's locked before any hygiene care
Raise to appropriate height for caregiver
Reduce risk of injury
Side rails up at head of bed when in raised position. Lower rail on side you are working from.
Return bed to lowest position when finished.
Ensure call light is accessible to patient when care is complete
Get assistance from additional caregiver when patient is unable to assist with rollover. Prevents injury to nurse and patient.
Special considerations for certain patients
Decreased sensation
Ensure water is not too cold or hot :fire:
Diabetes
Never soak feet - decreased ability of skin healing
Blood clots
No deep tissue massage on reddened areas of skin or legs.
Can cause further skin breakdown and dislodge clot
Therapeutic responses
Sample response to quadriplegic patient who asks, "Why do I need a bed bath every day while I am in the hospital?
"We provide bed baths to you each day in order to keep your skin healthy, provide you comfort, and to prevent infection. Keeping sklin clean and dry reduces the risk of skin breakdown on some of the pressure points on your body. This is especially important since your movement is now limited from your injury. Cleansing also reduces microorganisms on your skin that cause infection and odor. It's importnat for us to do this every day for your health.
Cultural Considerations :silhouettes:
Certain cultures may not allow for opposite gender nurses whether for perineal care, or otherwise
Not all cultures bathe daily
Consider patient's cultural bathing practices
Not all hair is alike. Ask how frequently the patient likes to wash their hair.
Armpit and leg hair is not shaved in all cultures
Beards and hair can be part of religious traditions
ASK permission before cutting hair or shaving beards. DON'T ASSUME.
Assess for ADLs (Self-Care)
Is infection present?
Skin
Redness, swelling, drainage?
Scalp
Infections, redness, itching, sores, lice?
Oral
Are gums, red and swollen? Sores present?
Document supporting data
SOB w/ activity; strong body odor, unkempt hair; unclean/dirty appearance; patient states he can't take care of himself
Oral Care
Oral care for unconscious patients
KWIPES
Place patient in left/right side position with head lowered
Ensure suction equipment is setup and working
Place waterproof pad/towel under cheek to keep bed dry
Emesis basin uder patient cheek/chin
Inspect mouth, teeth, gums for sores, redness
Rinse mouth with syringe filled with water
Perform oral hygiene with foam swab or chlorohexidine
Rinse mouth
Clean up
Apply moisturizer to patient's lips
Reposition patient into position of comfort
Assistive Medical devices for showers
Shower chairs
Hydraulic lift devices
Denture cleaning
-KWIPES
-place patient in Fowler’s or semi-Fowler’s position
-place towel on chest
-with a gauze pad, gently grasp top denture with index finger and thumb and move it up and down to release the seal
-with gauze pad, gently push up on the lower denture at the gum line to release the seal
-place dentures in denture cup
-inspect patient’s mouth and gums for any redness, lesions, irritation, or infection
-place a washcloth on the bottom of the sink to avoid breaking dentures if dropped
-use a denture or stiff bristled toothbrush, brush all surfaces of each denture
-rinse dentures and inspect them for any rough, worn, or sharp edges
-ask if patient would like mouthwash and denture adhesive
-put dentures back in place with gentle pressure and firmness to make sure they sit properly
-remove towel from patient’s chest
-reposition patient into a position of comfort
Oral Care Tools
Toothette
Flouride Toothpaste
