Chapter 38 Hygiene Mosby items and derived items

Chapter 38 Hygiene Mosby items and derived items

Chapter 38 Hygiene Mosby items and derived items 2005 by Mosby, Inc. Skin Function Protection Secretion Excretion Temperature regulation Sensation

Structure and appearance Mosby items and derived items 2005 by Mosby, Inc. Feet, Hands, and Nails Function Mobility Weight bearing Structure and appearance: nails Mosby items and derived items 2005 by Mosby, Inc.

Oral Cavity Function/appearance Mucous membranes Salivary glands Teeth Gums Mosby items and derived items 2005 by Mosby, Inc. Hair Growth

Distribution Pattern Mosby items and derived items 2005 by Mosby, Inc. Eyes, Ears, and Nose Structure and function Prevention of injury and discomfort during hygienic care Mosby items and derived items 2005 by Mosby, Inc.

Individual Factors Social practices Personal preferences Body image

Socioeconomic status Health beliefs and motivation Cultural variables Physical condition Mosby items and derived items 2005 by Mosby, Inc. Assessment Physical examination Integument: skin, hair, nails Oral cavity Eyes, ears, and nose

Mosby items and derived items 2005 by Mosby, Inc. Common Skin Problems Dryness Acne Rashes

Contact dermatitis Abrasions Mosby items and derived items 2005 by Mosby, Inc. Common Foot and Nail Problems

Callus Corns Plantar warts Tinea pedis (Athletes foot) Ingrown nails Rams horn nails Paronychia Odors Mosby items and derived items 2005 by Mosby, Inc.

Hair and Scalp Problems Dandruff Ticks Lice Pediculosis capitis Pediculosis corporis Pediculosis pubis Alopecia Mosby items and derived items 2005 by Mosby, Inc.

Risk Factors for Skin Impairment Immobilization Reduced sensation Nutrition and hydration alterations Secretions and excretions on the skin

Vascular insufficiency External devices Mosby items and derived items 2005 by Mosby, Inc. Developmental Changes Condition of the integument and hygienic practices Infant Toddler Adolescent Adult Older adult

Mosby items and derived items 2005 by Mosby, Inc. Use of Sensory Aids Eyeglasses Contact lenses Artificial eyes Hearing aids

Mosby items and derived items 2005 by Mosby, Inc. Assessment Self-care ability

Hygiene practices Cultural factors Clients at risk for problems Special considerations Client expectations Mosby items and derived items 2005 by Mosby, Inc. Nursing Diagnoses

Ineffective health maintenance Impaired mobility Bathing/hygiene self-care deficit Risk for impaired skin integrity Mosby items and derived items 2005 by Mosby, Inc. Planning Goals and outcomes Clients skin is clean, dry, and intact Client tolerates bathing without

excessive fatigue Setting priorities Continuity of care Mosby items and derived items 2005 by Mosby, Inc. Implementation Teaching hygiene techniques Relevant to clients situation Adapted to clients bathing facilities Incorporating injury prevention and

infection control measures Mosby items and derived items 2005 by Mosby, Inc. Bathing and Skin Care Complete bed bath Partial bed bath

Tub bath or shower Bag bath Mosby items and derived items 2005 by Mosby, Inc. Guidelines for Bathing

Provide privacy Maintain safety Maintain warmth Promote independence Anticipate needs Mosby items and derived items 2005 by Mosby, Inc. Additional Hygienic Care Considerations Perineal care Self-care ability of client

Reduction of embarrassment Asepsis Back rubs Benefits Contraindications Mosby items and derived items 2005 by Mosby, Inc. Foot and Nail Care Guidelines

Careful inspection Lukewarm water temperature No soaking Cutting of nails, if indicated Application of lotions Proper socks, stockings, and shoes Mosby items and derived items 2005 by Mosby, Inc.

Oral Hygiene Brushing and flossing Clients with special needs Presence of stomatitis Use of oxygen therapy Unconscious state Denture care Mosby items and derived items 2005 by Mosby, Inc. Hair and Scalp Care

Brushing and combing Shampooing Shaving Mustache and beard care Mosby items and derived items 2005 by Mosby, Inc.

Eye Care Basic eye care Eyeglasses Contac lenses Artificial eyes Mosby items and derived items 2005 by Mosby, Inc.

Ear Care Cleansing Cerumen removal Hearing aid care Mosby items and derived items 2005 by Mosby, Inc. Nasal Care Cleansing Special care for clients with nasal oxygen or GI tubes

Mosby items and derived items 2005 by Mosby, Inc. Clients Room Environment Maintaining comfort Temperature, ventilation, noise, light Room equipment Chairs, beds, other equipment Bed making Mosby items and derived items 2005 by Mosby, Inc.

Evaluation Client care Client expectations Mosby items and derived items 2005 by Mosby, Inc.

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