1. Hygiene

2. Hygiene Schedule In Acute Care  Early Morning or A.M. Care  Morning or After Breakfast Care  Afternoon Care  HS Care  Early Morning or A.M. Care  Morning or After Breakfast Care  Afternoon Care  HS Care

3. Skin Care  Assessment- Inspection/ Palpation  Determine need for hygiene  Observe color (Table 32-9,pg 689), texture, thickness, turgor, temperature, hydration  Skin Lesions (Box 32-8, pg.692)  Recognize common skin problems (Table 38-2, pg.1009)  Assessment- Inspection/ Palpation  Determine need for hygiene  Observe color (Table 32-9,pg 689), texture, thickness, turgor, temperature, hydration  Skin Lesions (Box 32-8, pg.692)  Recognize common skin problems (Table 38-2, pg.1009)

4. Skin Care  Nursing Diagnoses  Impaired Skin Integrity  Altered Peripheral Tissue Perfusion  Bathing/Hygiene Self-Care Deficit  Planning  Goals- Cleanliness, stimulation of circulation, range of motion, improved self- esteem, and reduction of body odors  Nursing Diagnoses  Impaired Skin Integrity  Altered Peripheral Tissue Perfusion  Bathing/Hygiene Self-Care Deficit  Planning  Goals- Cleanliness, stimulation of circulation, range of motion, improved self- esteem, and reduction of body odors

5. Skin Care  Implementation  Bathing  Perineal Care  Back Rubs  Implementation  Bathing  Perineal Care  Back Rubs

6. Perineal Care  Assessment- Listen for problems, smell, know at risk clients  Indications for Care- Urinary or fecal incontinence, excessive secretions, skin irritation, clients at risk because of indwelling catheters, perineal surgery, or childbirth  Goal of Care- Comfort, promote healing, prevent or eliminate odor or infection  Assessment- Listen for problems, smell, know at risk clients  Indications for Care- Urinary or fecal incontinence, excessive secretions, skin irritation, clients at risk because of indwelling catheters, perineal surgery, or childbirth  Goal of Care- Comfort, promote healing, prevent or eliminate odor or infection

7. Back Rub  Goal- Promote relaxation and stimulate circulation  Cautions  Contraindications  Never massage arms and legs  Goal- Promote relaxation and stimulate circulation  Cautions  Contraindications  Never massage arms and legs

8. Nail and Foot Care  Assessment  Circulation  Abnormalities or problems (Table 38-3,pg 1011)  Gait  Pulses  Nails  Special considerations- diabetic clients  Assessment  Circulation  Abnormalities or problems (Table 38-3,pg 1011)  Gait  Pulses  Nails  Special considerations- diabetic clients

9. Nail and Foot Care  Nursing Diagnoses  Pain  Impaired Skin Integrity  Self-Care Deficit  Plan and Implementation  Foot and nail care given during bath  Nursing Diagnoses  Pain  Impaired Skin Integrity  Self-Care Deficit  Plan and Implementation  Foot and nail care given during bath

10. Diabetic Client Foot Care  Need meticulous care daily  Do not cut corns or calluses or use commercial removers  Always dry well between toes, use powder when necessary  Avoid doing or wearing anything that impairs circulation  Wear clean socks daily  Well fitting shoes, no bare feet  Need meticulous care daily  Do not cut corns or calluses or use commercial removers  Always dry well between toes, use powder when necessary  Avoid doing or wearing anything that impairs circulation  Wear clean socks daily  Well fitting shoes, no bare feet

11. Hair Care  Assessment  Examine condition of hair and scalp  Determine ability to do self care  Problems/ abnormalities (Table 38-4, pg.1012)  Dandruff  Ticks  Pediculosis Capitis  Pediculosis Corporis  Pediculosis Pubis  Alopecia  Assessment  Examine condition of hair and scalp  Determine ability to do self care  Problems/ abnormalities (Table 38-4, pg.1012)  Dandruff  Ticks  Pediculosis Capitis  Pediculosis Corporis  Pediculosis Pubis  Alopecia

12. Hair Care  Diagnosis  Dressing/ Self-Care Deficits  Impaired Skin Integrity  Pain  Body Image Disturbance  Planning and Implementation  Brushing and combing  Shampooing  Shaving  Mustache and beard care  Diagnosis  Dressing/ Self-Care Deficits  Impaired Skin Integrity  Pain  Body Image Disturbance  Planning and Implementation  Brushing and combing  Shampooing  Shaving  Mustache and beard care

13. Eye Care  Assessment  Scaliness underlying eyebrow  Eyelids- edema, lesions, secretions  Eyelashes- styes, irritating lashes (entropian,ectropian)  Lacrimal Sac-  Sclera or conjunctiva  Pupil- Size, shape, light response  Eye movement  Contacts, eyeglasses, or artificial eye  Assessment  Scaliness underlying eyebrow  Eyelids- edema, lesions, secretions  Eyelashes- styes, irritating lashes (entropian,ectropian)  Lacrimal Sac-  Sclera or conjunctiva  Pupil- Size, shape, light response  Eye movement  Contacts, eyeglasses, or artificial eye

14. Eye Care  Implementation  Basic care  Unconscious client  Eyeglasses  Contact lenses  Artificial eyes  Implementation  Basic care  Unconscious client  Eyeglasses  Contact lenses  Artificial eyes

15. Ear Care  Assessment  Exam external ear  Implementation  Clean during bath  Cautions  Assess gross hearing  Assessment  Exam external ear  Implementation  Clean during bath  Cautions  Assess gross hearing

16. Nose Care  Assessment  Exam nasal mucosa  Position of nasal septum  Difficulty breathing from nose  Implementation  Nasal secretions  Suctioning  Assessment  Exam nasal mucosa  Position of nasal septum  Difficulty breathing from nose  Implementation  Nasal secretions  Suctioning

17. Client’s room  Maintain comfortable room environment  Temperature, ventilation, noises, lighting, controlling stimuli  Room equipment  Overbed table, night stand, chairs, bed, lights, special equip.  Common bed positions  Know common bed positions (Table 38-6, page 1054)  Room accessories  Water pitcher, glass, tissue, lotion, toothpaste, wash basin, etc  Bed-making  Basic principles of asepsis- Keep linen away from uniform, never fan linen, place nothing on the floor, if clean linen touches floor get new linen  Use good body mechanics  Be able to make occupied and unoccupied beds (open/closed)  Maintain comfortable room environment  Temperature, ventilation, noises, lighting, controlling stimuli  Room equipment  Overbed table, night stand, chairs, bed, lights, special equip.  Common bed positions  Know common bed positions (Table 38-6, page 1054)  Room accessories  Water pitcher, glass, tissue, lotion, toothpaste, wash basin, etc  Bed-making  Basic principles of asepsis- Keep linen away from uniform, never fan linen, place nothing on the floor, if clean linen touches floor get new linen  Use good body mechanics  Be able to make occupied and unoccupied beds (open/closed)

18. Summary Evaluation of client’s hygiene is based on the client’s expression of a sense of comfort, relaxation, well-being, and an understanding of personal hygiene techniques