Presentation on theme: "Personal/Oral Hygiene and Foot Care. Bathing……... n cleanses and conditions the skin n helps relax restless patient n promotes circulation n acts as musculoskeletal."— Presentation transcript:
Personal/Oral Hygiene and Foot Care
Bathing……... n cleanses and conditions the skin n helps relax restless patient n promotes circulation n acts as musculoskeletal exercise n promotes comfort n helps improve self image n time to develop relationship with pt.
n allows you an opportunity to observe skin, hair, nails etc for signs of breakdown n form of therapeutic touch n opportunity to do a good patient assessment, ask questions, get to know the patient better
The bed bath…….. n only if patient not able to get up n practice proper body mechanics n ensure privacy n assist pt or completely by nurse n gather equipment needed n allow pt to go to BR first if necessary n close curtain and door to room
n use bath blanket and drape parts not being washed - remember dignity!!!! n fold washcloth like a mitt n wash face first - inner to outer eye n soak hands and feet if possible n face, neck, arms, chest, abdomen, legs, feet, back, buttocks and anal area n backrub nice at this point!!!!
n change water, get new cloth and towel n clean perineal area last!!!!! n Wear gloves for peri care n female - wash from pubic area to anus n male - retract foreskin if necessary and wash from tip of penis towards pubis (remember to replace foreskin!!!!) - be gentle with scrotum/testicles n powder promotes bacterial growth so use only if necessary
Showers and tub baths…... n determine how much assistance the patient will need n provide a chair or bench for patient n check water temperature n help pt in and out as needed n bring all supplies with you n ensure privacy
n assist as needed n if patient alone, do not allow to lock door n hang sign on door to indicate room in use to avoid interruptions n always ensure safety of patient!!!!
Giving a back rub…... n position patient for comfort n warm lotion in hand n provide privacy n use light, gliding strokes to apply lotion to shoulders, back and sacral area n place hands beside each other and start at sacral area, work up and back down using slow, continuous strokes
n massage shoulders, back iliac crests and sacrum with circular strokes n apply additional lotion as needed n observe skin for redness or breakdown n towel off excess lotion or moisture n assess patients response and document
Oral care……... n wear gloves n gather equipment n provide privacy n sit patient up if possible n assist as necessary - be gentle!! n offer mouthwash if available n CLEAN DENTURES AT LEAST BID!!!! n if pt unconscious, turn head to side
n toothbrush works best- use some “elbow grease” but don’t overdo it n brush tongue n even if not alert - brush n use gauze & tongue depressor if no brush n floss once a day n toothpaste, salt, bicarb or diluted mouth wash n important for nutrition!!!!!
n don’t forget to moisten liips n to remove dentures use a gentle rocking motion to break suction (may use gauze) n keep dentures in or gum line will shrink n store dentures in water so they don’t dry out
n line sink when cleaning dentures so if you drop them they won’t break n don’t use hot water when cleaning dentures or they may warp n rinse patients mouth before reinserting
Hair care and shaving……... n doing this for your patient can make a huge difference to his/her day n it takes time but it’s worth it!!!! n can wash hair in bed or at sink n remember, shaving isn’t just for men!!! n imagine going a few days without washing your hair, shaving your legs!!!
Shaving………. n mostly use electric razors - esp if on anticoagulants or are at risk for bleeding n razor shave: use shaving cream, check re anti-coagulants, short, firm strokes in direction of hair growth, pull skin taut n wear gloves when shaving - risk of exposure to blood n let pt direct you if he can
Foot and nail care……... n check feet carefully for signs of breakdown or other problems n soak hands and feet in warm water n dry well between toes, fingers n file nails as necessary n gently push cuticles back n apply lotions n clean under nails with blunt instrument
n trim toenails straight across to avoid ingrown nails n don’t cut too short n foot powders absorb perspiration and reduce odours n watch for areas of pressure or skin breakdown
Diabetic foot care…….. n File nails n get consult for specialist if presence of callouses, corns, ingrown nails etc n avoid heating pads, hot water bottles n prop feet if swelling n avoid crossing legs, stockings with elastic tops
Hearing aids………. n be sure ears are clean n wipe off hearing aid if wax buildup n check functioning before placing in ear n remove at bedtime (usually)
Offering and removing a bedpan or urinal…….. n gather equipment n warm pan if possible n if patient able to assist, have them bend knees and raise buttocks n if unable to assist, roll to side and back on to bedpan n raise head of bed if possible - more normal position
n place urinal between legs and position penis if patient unable to do so n place call bell nearby n provide toilet paper if patient able to wipe self n remove in same manner (hold it steady!!!!!) n wear gloves to remove, provide peri care, clean equipment n wash hands!!!!!!
Applying and removing an adult brief…….. n it takes practice!!!!! n lift buttocks or roll from side to side n always provide peri care when changing n check frequently to determine if needs to be changed n dispose of according to institutions policy