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161 quiz 2 HCA
feeding, elimination, oral care, hearing and vision
80
Health Care
Not Applicable
06/10/2013

Additional Health Care Flashcards

 


 

Cards

Term
Feeding someone with a swallowing problem due to  weak side
Definition
Feed on side that has better swallowing ability.
Term
How to prepare a resident for meals.
Definition

toilet them

wash hands and face

provide oral care

sit upright with head foward

provide a clothing protector
Term
Why should you provide oral care before meals?
Definition
Bad tasting mouth can spoil appetite.
Term
What is the purpose of a care plan?
Definition
to identify individual need of each resident
Term
What is the slit in the tip of the penis called?
Definition
Urinary Meatus
Term
When should you put hearing aids/glasses on your resident?
Definition
After washing the face and ears.
Term
Dressing/undressing a client with a weak side.
Definition
DRESS weak side first and UNDRESS string side first as the strong side most likely has a greater range of motion.
Term
Why shouldnt you use soap on a seniors face?
Definition
Their skin is already dry and the face is not very dirty in general.
Term
What are the benefits of using a batt mitt?
Definition
To provide a thick soft surface for bathing and to prevent dripping cold water on the client.
Term
What is washed during am/hs care?
Definition

Face, hands,axilla,underbreast, perineal area upper and lower back

 

Term
Signs and sympotoms of constipation
Definition

"pellet" poop

bloated, hard tummy

pain

loss of appetite

vomiting

 

Term
What is dsyphagia?
Definition
difficulty swallowing
Term
What are 6 ways to promote self esteem during morning care?
Definition

shave

brush hair

make up

allow choice of outfit

let them do what they can

provide privacy

smileand be positive

Term
How do TED stocking work?
Definition
TED stockings reduce blood flow to extremities with pressure.
Term
What is the purpose of TED stockings?
Definition
TEd stockings are used to imporve circulation and prevent sweeling and edema in limbs
Term

Three ways to prevent constipation

 

Definition

Mobility

fluid intake

high fibre diet

Term
Reporting areas
Definition

skin

cognitive ability

incontinence level

chages in behaviour

urine(color, amount, blood)

stool(color, amount, blood, consistency)

Term
DO NOT feed a resident if...
Definition

they cannot cough

they cannot swallow

they are unconscious

Term
Guidelines to routine urine specimens
Definition

take sample from bedpan or texashat

 

used for routine or microscopic examination

Term
How to collect a midstream urine sample
Definition
do pericare first!
place specimen catcher in toilet
used for culture and sensitvity testing
Term
How to give a bedpan
Definition
turn client on side
position bedpan on client
roll client on back
position in high fowlers
Term
How to promote safety in toiletting
Definition
install grab bars
used a raised toilet seat
give client call bell
put brakes on if its a commode
Term
guidelines for feeding patients with dysphagia
Definition
feed slowly
ask client to swallow twice
remind the client to close mouth and swallw
Term
ONLY feed persons with dysphagia when....
Definition
another staff member is present
in the dining hall
Term
What is a cataract?
Definition
The clouding over of the lens.
Term
what is diabetic retinopathy?
Definition
blood vessels of retina are damaged and leaking, creating scar tissue. Retinal detachment may occur.
Term
what is retinal detachment?
Definition
when the retina seperates from the surrounding tissues and can no longer function.
Term
Everyday care of hearing aids
Definition
return to case with battery doors open
check for clogging
check battery funtion(listen for whistle)
Term
What causes temporary hearing loss?
Definition
the ear canal is clogged with wax
Term
What are causes of flatulence
Definition
constipation
bacterial action in intestines
swallowing air
gas forming foods\
medications
Term
Causes of constipation
Definition
low fibre diet
ignoring urge to defecate
decreased fluid intake
inactivity
meds
aging
disease
Term
Factors affecting BM's
Definition
Privacy
Personal Habit
Diet
Fluids
Activity
Meds
Aging
Disability
Term
How frequently do normal people have a BM
Definition
every 2-3 days
Term
Why is mouth care so important for seniors?
Definition
soft diet
dry mouth
dentures
infrequent dentistry
Term
How to assist a resident to feed themselves
Definition
ensure everything is within reach
allow them to do what they can
note consumption
let them eat at own rate
remove tray immediatly after feeding
Term
Things to watch for in nutrition (chronic)
Definition
hunger
weight loss
excess saliva
refusal to eat
dehydration
Term
Things to watch for in nutrution(acute)
Definition
coughing
grey skin
wheezing
gasping
pocketing
drooling
unalertness
Term
malnutrition/dehydration can result in
Definition
mental status change
weight loss
skin breakdown
constipation
UTI's
Term
complications that can arise from dysphagia
Definition
aspiration
malnutrition/dehydration
Term
things to report to nurse after feeding
Definition
"Food is stuck in mu throat"
"I have heartburn"
"I want liquid food instead of solid"
coughing up/regurgitation
Term
Aspiration
Definition
food gets caught in the airways ad/or lungs
Term
signs and symptoms of UTI
Definition
urinanry urgency and frequency
small amounts of urine
painful urination
burning
foul smelling urine
blood in urine
fever
back pain
Term
Safe swallowing techniques
Definition
Term
safe swallowing techniques
Definition
effortful
supraglottis
cough to clear
2 swallows per bolus
remind to swallow
Term
supraglottic swallowing
Definition
deep breath and hold, swallow, cough
Term
why is mouth care important
Definition
mouth is used for speacking
chewing
socializing
preventing cativities
preventing gum disese
systematic health
Term
oral pocketing can cause
Definition
infection
food to fall into throat
drooling
Term
what is teh cleanest part of the body
Definition
urethra
Term
foot issues to report
Definition
redness
loose nails
ingrown nails
very dry skin
cracked/breaks in skin
odour
bleeding
blisters
Term
what is important to remember when applying barrier cream to incontinent patients
Definition
barrier cream if applied liberally can effect the ability of intontinent products
Term
when is bladder retraining considered succesful?
Definition
after 24 hours of continence
Term
hca role in elimination
Definition
maintian regular elimination
maintain dipps
Term
4 phases of normal swallowing
Definition
1)get food from plate to mouth
2)put food in mouth
3)move food into thraot
4)food moves to esophagus and stomach
Term
how long does normal swallowing take
Definition
1-1.5 sec
Term
requirements of successful swallowing
Definition
blockage of nasal passages
airway closes off
cardiac muscle of esophagus opens
Term
what can go wrong with swallowing?
Definition
inability to move bolus from front to back of mouth
pocketing occurs
food falls into throat before swallowing occurs
airways are not closed off
cardiac sphinter fails to open
Term
What is the easiest texture to swallow?
Definition
Thick fluids
Term
discontinue feeding if
Definition
client chokes gags or coughs
Term
how long should the resident be left upright after a meal?>
Definition
15-20 mins
Term
guidelines for assisting blind to eat
Definition
used clock method to tell them what is on the plate if they can feed themselves
if they cannot, touch spoon to bottom lip to signal arrival of food
Term
disorders that may cause dysphagia/ choking?
Definition
stroke
parkinsns
alzheimers
ms
hungtintons
Term
when to perform heimlich on patient
Definition
they are unable to speak or cough
blue lips or face
cluthcing throat
Term
what to do if residents begins coughing during mealtime?
Definition
encourage coughing until food id dislodged
discontinue feeding IMMEDATLY
Term
alopecia
Definition
complete or partial hair loss
Term
hirsutism
Definition
growth of hair i unlikely places for women
Term
pediculosis
Definition
lice infestation
Term
do not use manual shavers on...
Definition
dementia patients, blod clotting problems
Term
do not use electric razors on...
Definition
clients on oxygen tanks
Term
why are footbaths dangerous for people with poor circulation
Definition
they may be unable to feel if the water is too hot and burn themselves
Term
when shouldnt you trim toenails
Definition
ingrown or thick nails
diabetes
blood clotting issues
poor circulation of feet
Term
after aplying a TED observe and report
Definition
complaints of tingling, numbness or pain
redness
swelling
skin breakdown
Term
observations and reports for oral care
Definition
bleeding gums
dry, chapped lips
redness or white patches
loose teeth
Term
mouth crae for unconscious
Definition
turn them on their side so th water drain out of their mouth
do not use much liquid
every 2 hours
Term
what is the normal amount of urine excreted per day?
Definition
1500 ml
Term
things that affect urine production?
Definition
age
disease
amount of fluid
salt intake
caffiene
alcohol
meds
Term
stress incontinence
Definition
brougth on by exercise or certain actions
laughing/sneezing
small dribbles
Term
urge incontinence
Definition
sudden urgency to void
caused by UTI bladder cancer or enlarged prostate
Term
overflow incontinence
Definition
bladder is too full and dribbles
diabetes
Term
functional incontinence
Definition
client has control but did not make it to bathrrom in time due to dementia or mobility factors
Term
reflex incontinence
Definition
happens at predictable intervals
bladder is full but client does not feel need to urinate
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