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 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 n Psychological n Circulatory n Integumentary
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 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 n Showers
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 a back massage?
Nursing Care n Foot Care n Nails n Hair/Shaving n Eye n Ears