pn 103. helps to maintain a healthy state of the mouth, teeth, gums and lips brushing the teeth...
TRANSCRIPT
Patient Hygiene and CarePN 103
Oral Care• Helps to maintain a healthy state of the mouth,
teeth, gums and lips• Brushing the teeth removes food particles, plaque
and bacteria -massages the gums -relieves discomfort from unpleasant odors and tastes -can stimulate the appetite -prevent oral disease such as gingivitis, periodontitis, and tooth destruction
Oral Care• Have the patient brush their teeth whenever
possible• If the patient is unable to do so the nurse/CAN will
need to do it for them -see FON pgs. 453-454• http://www.youtube.com/watch?v=AVsMmppYXrI• http://mcom.alexanderstreet.com/View/1665498/
Oral Care• Dentures • -are a patient’s personal property• -labeled denture cup with their name to store them when
not• being worn (at night, during surgery/diagnostic
procedures• -need to be handled with care• -easily broken• -reinsert after surgery/procedures to prevent patient • embarrassment• -cleaning• -patient can either do it themselves or soak overnight with• water and cleanser
Oral Care• Cleaning is usually twice a day, in the morning
and a bedtime• May be required more frequently secondary to the
patient’s condition• Comatose patients require oral care every 2 hours• - moistened toothette to the teeth and gums and
lubricant to • lips• Repeated cleaning is often needed• to remove tenacious, dried exudate• of the tongue and to restore the• mucousa’s hydration to normal
Hair care• Combing, brushing and shampooing are basic
measures needed by all patients -important to the patient’s self image• A bedfast patient’s hair soon becomes tangled• Preform hair care at least daily if the patient is
unable• Shampooing• -patient should be able to do this if allowed to
shower/bathe• -may need a shower chair or a chair in front of
the sink
Hair care• Shampooing• -if a patient is bedbound will need a bed
shampoo• -check the facilities policy to see if an MD order
is required• -shampoo boards• -FON pgs. 455-457
Shaving• FON pg. 456-457• http://
www.youtube.com/watch?v=ixM10qw_wTQ&nofeather=True
• http://mcom.alexanderstreet.com/View/1744970/
Hand,Foot, and Nail care• Prevents infection, odors and injury• Problems arise from abuse or poor care• -nail biting or wearing ill fitting shoes• Assessment• -all skin surfaces• -area between the toes• -circulation of the feet, especially if diabetic or
peripheral• vascular disease• Elderly are at increase risk secondary to poor
vision and decreased mobility
Hand,Foot, and Nail care• Get a podiatry consult if needed• Administer care of hands and feet during the
morning bath and• as needed
Eye care and hygiene• Eye care is usually done with the bath• -washing with a clean washcloth moistened with clear water• - do not use soap secondary to burning• Clean eye from inner to the outer canthus• -use a separate section of the washcloth each time to prevent• spread of infection• - if there is dried exudate that is difficult to remove• -place a damp cotton ball or gauze on the lid to loosen the• secretions• - never apply direct pressure to the eyeball secondary to
causing• serious injury•
Eye care and hygiene• Unconscious patient• -needs frequent eye care secondary to lack of
blink reflex• - increased retention of secretions in along the
margins of the• lid and inner canthus• Glasses• - store in a case and place them in the bedside
drawer when • not in use• - clean daily with warm water and dry with a soft
cloth
Eye care and hygiene• Contact lenses removal and care• FON Box 18-8, pg. 461• -Remove lenses until the patient is able to care
for them.
• Warm moist eye compresses• FON SG pgs. 467-486
Perineal Care• Who needs perineal care?• - integral part of showering/bathing• - patients with indwelling catheters• - patients recovering from rectal or genital surgury• - postpartum patients• - incontinent patients• Allow the patient to preform his/her own perineal
care is able• Assist the patient who is unable and maintain a
professional,• Compassionate attitude to diminish the patient’s
embarrassment
Perineal Care• Catheter care• -preformed twice a day unless otherwise ordered• -cleaning the meatal-catheter junction with a mild
soap and• water and sometimes application of a water
soluble microbicidal ointment (Betadine or Neosporin)
• • FON SG pgs. 425-428, 433• http://mcom.alexanderstreet.com/View/1665507/
play/true
Anti-embolism stockings• http://mcom.alexanderstreet.com/View/1665507/
Urine testing/dipstick• http://www.youtube.com/watch?v=3rk6n-OwQjQ• http://www.youtube.com/watch?
v=TuWiy4_VDWY&list=PL93214D85984DBCDF