2 Personal Hygiene Measures for personal cleanliness and grooming Promotes physical and psychological well-beingCare must be carried out conveniently and frequently enough to promote personal hygiene and wellnessPractices vary widely among people; nurses should respect individual patient preferencesNurses should give only the care that patients cannot or should not provide for themselves
3 Bedside Cleansing and Skin Care Products Bathing clothsBathing wipesNo-rinse body wash and shampooBody foam
5 Meeting Bathing Needs of Patients With Dementia Focus on comfort, safety, autonomy, and self-esteem, in addition to cleanliness.Individualize patient care.Consider what can be learned about the needs and preferences of the patient.Consider other methods for bathing.Maintain a relaxed demeanor; use calming language.
6 Assessments Made When Giving a Bed Bath Patient’s knowledge of hygiene practices and bathing preferencesFrequency, time of day, type of hygiene products usedAny physical activity limitationsPatient’s ability to bathe himself or herselfPatient’s skin for dryness, redness, or areas of breakdown
7 Bathing (cont.) Order of Bathing Eyes/Face (rinsing wash cloth between eyes)neck & earsArmschest/abdomenLegsBackbuttocksperineal areaIf using a water basin to bath a patient, water should be changed:After washing the front of the person and prior to cleaning the back and buttocks.Change the water again prior to perinealcare!!
8 Assessments Made When Providing Oral Care for a Patient Patient’s oral hygiene preferencesFrequency, time of day, type of hygiene productsPatient’s oral cavity and dentitionPatient’s lips for dryness or crackingPatient’s ability to perform own careAny physical activity limitations
9 Oral Care (Dependent Patient) Correct head positionOn its side and tilted forwardRaised degreesRinsing the mouth of a dependent personCarefully squirt a small amount of water using an irrigating syringe being sure to avoid the back of the throatImmediately suction water out with a yankaursuction deviceUse of a toothette or suction toothette
10 Expected Outcomes When Performing Oral Care The patient’s mouth and teeth will be clean.The patient will not experience impaired oral mucous membranes.The patient will participate as much as possible with oral care.The patient will demonstrate improvement in body image.The patient will verbalize an understanding about the importance of oral care.
11 Oral Hygiene for Patients With Cognitive Impairments Choose a time of day when the patient is most calm.Enlist the aid of a family member or significant other.Break the task into small steps.Provide distraction.Allow the patient to participate.If the patient strongly refuses care, withdraw.Document effective and ineffective intervention.
13 Assessments Made When Providing Eye Care for a Patient With Contacts Assess both eyes for contact lenses.Assess eyes for any redness or drainage.Assess for any eye injury.If an injury is present, notify the physician about the presence of the contact lens.Do not try to remove the contact lens in this situation due to the risk for additional eye injury.
15 Assisting with Shaving Male facial hair—shave in the direction of hair growth (with the grain)Female leg hair—shave against the direction of hair growth (against the grain)When should shaving a patient with a straight edge razor be avoided and an electric razor used instead?Significant immunocompromised (low WBC)Anticoagulation therapy (blood thinners)Bleeding disordersLow platelet count
16 Unexpected Situations and Associated Interventions when Shaving a Patient Patient is cut and bleeding during shave: Apply pressure with gauze or towel to injured area for minutes. Resume shaving after bleeding has stopped.Patient has large amount of hair to be shaved: It may need to be trimmed with scissors first.
17 Assessments Made When Making an Occupied Bed Assess the patient’s preferences regarding linen changes.Assess for precautions or activity restrictions for the patient.Check for evidence of body secretions or fluids on the linens.Check the bed for patient belongings.Note the presence and position of any tubes or drains.
19 Providing Perineal Care for a Female Patient Spread the labia and move the washcloth from the pubic area toward the anal area.Always proceed from the least contaminated area to the most contaminated area.Use a clean portion of the washcloth for each stroke.Rinse the washed areas well with plain water.
20 Providing Perineal Care for a Male Patient Clean the tip of the penis first, moving the washcloth in a circular motion from the meatus outward.Wash the shaft of the penis using downward strokes toward the pubic area.Always proceed from the least contaminated area to the most contaminated area.Rinse the washed areas well with plain water.