Hygiene Teresa Hurley MSN RN Personal Hygiene n

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Hygiene Teresa Hurley, MSN, RN

Hygiene Teresa Hurley, MSN, RN

Personal Hygiene n Promotes – Cleanliness – Psychological Well-being Does it matter what time

Personal Hygiene n Promotes – Cleanliness – Psychological Well-being Does it matter what time of day, how often one bathes, washes their hair, changes linens or PJ’s?

Hygiene Provide only that care which the client can not do for themselves or

Hygiene Provide only that care which the client can not do for themselves or should not do for themselves n Factors influencing hygiene -personal preferences -culture -spiritual practices -socioeconomic status -developmental level -knowledge -health status n

Health Status Factors n Physiological n Limited Mobility n Sensory Deficits n Cognitive Impairments

Health Status Factors n Physiological n Limited Mobility n Sensory Deficits n Cognitive Impairments n Psychological n Circulatory n Integumentary

Assessment n Ability to bathe n Physical Restrictions n Physical and psychological limitations n

Assessment n Ability to bathe n Physical Restrictions n Physical and psychological limitations n Preferences n Therapeutic Modalities (NGTs, IVs, anti-emboletic stockings, casts, traction, oxygen etc)

Nursing Diagnosis n Bathing/Hygiene Self Care Deficit n Goal: Client will be clean and

Nursing Diagnosis n Bathing/Hygiene Self Care Deficit n Goal: Client will be clean and feeling fresh n Interventions – What are you going to do to achieve this goal?

Types of Bathing n Partial Bed Bath n Complete Bed Bath n Tub Baths

Types of Bathing n Partial Bed Bath n Complete Bed Bath n Tub Baths n Showers

Nursing Care n n n n Provide individualized and organized care Provide privacy Adjust

Nursing Care n n n n Provide individualized and organized care Provide privacy Adjust bed height and side rails Position client Offer bedpan or urinal Prevent chilling Wash using long strokes – – Top to bottom Inner to outer Clean to dirty Front to back

Nursing Care n Perineal Care n Back Massage Are there any contra-indications to giving

Nursing Care n Perineal Care n Back Massage Are there any contra-indications to giving a back massage?

Nursing Care n Foot Care n Nails n Hair/Shaving n Eye n Ears

Nursing Care n Foot Care n Nails n Hair/Shaving n Eye n Ears