Term
| bathing, showering, combing hair |
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Definition
| what are activities of daily living? |
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Term
| promotes comfort, self image, decreases infection and disease |
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Definition
| maintenance of personal hygiene does what three things for the client? |
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Term
| assess self care abilities, provide assisstance with ADLs, promote self care in ADLs, delegate appropriate parts of hygiene care |
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Definition
| what is the nursing role in hygiene? |
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Term
pain: limits mobility and energy
Limited mobility: dec. ROM, weakness, bedrest
Sensory deficits: dec. independence and increased safety concerns |
|
Definition
| what are some physical factors that would influence hygiene? |
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Term
| cannot determine need for hygiene, cannot problem solve ADL processes |
|
Definition
| how would cognitive factors influence hygiene? |
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Term
| profound lack of energy for ADLS, altered reality does not include hygiene |
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Definition
| how would emotional disturbances affect hygiene |
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Term
| bathing/hygiene self care deficit, dressing/grooming self care deficit, total self-care deficit |
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Definition
| what are 3 diagnoses related to self care? |
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Term
| on awakening, wash face and hands, mouth care |
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Definition
| what is early morning care? |
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Term
| after breakfast, bathing, toileting, hair, skin, bedmaking |
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Definition
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|
Term
| afternoon, toileting, hand washing, oral care, readying for visitors |
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Definition
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|
Term
| prior to sleep, relaxation activities, readying environment to facilitate sleep |
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Definition
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|
Term
| assess pt prior to delegating and UAP abilites |
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Definition
| prior to delegating hygiene care, what should you do? |
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Term
| clients limitations, amount of assistance needed, use of assistive devices, presence and care of tubes, observations to make during hygiene care |
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Definition
| what should you instruct the UAP regarding? |
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|
Term
| assessment of the integumentary syste, RN assessment of clients functional abilities and status |
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Definition
| bathing a client facilitates: |
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|
Term
| color (pallor, erythema, jaundice), conditions that affect the skin, alterations in skin integrity (abrasions, pressure ulcers) |
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Definition
| when assessing the integumentary system, look for |
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Term
| removes perspiration, dilates blood vessels, inc. depth of respiration, provides sensory input, strengthen relationship, provides comfort |
|
Definition
| what are some of the reasons for bathing? |
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|
Term
|
Definition
| this is a bath when you bathe them in hard to reach areas |
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|
Term
|
Definition
| bathe only those areas absolutely necessary |
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Term
|
Definition
| when you do the entire bath process for he client head to toe |
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Term
| removal of food particles and secretions, improved appetite, assessment of client's oral status, care of dentures |
|
Definition
| when performing oral care what does it facilitate? |
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Term
| condition of teeth, cavities, gingivitis, conditions affecting the mouth: stomatitis, glossitis, oral lesions/malignancies |
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Definition
| when assessing the oral cavity, what do you look for? |
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Term
|
Definition
| what patients do you want to pay particular attention to for foot care? |
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Term
|
Definition
| itching, which may lead to scratching and breaks in the skin |
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Term
|
Definition
| softening of the skin from prolonged moisture. It makes the epidermis more susceptible to injury |
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Term
|
Definition
| loss of superficial layers of the skin caused by the digestive enzymes in feces |
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Term
|
Definition
| lesions caused by tissue compression and inadequate perfusion |
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Term
|
Definition
| inflammation of the sebaceous glands |
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Term
|
Definition
| redness of the skin, related to vasodilation and inflammation |
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Term
|
Definition
| cone shaped thickening of the apidermis cause by continuous pressure over bony prominences |
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Term
|
Definition
| found over bony prominences in the weight bearing part of the foot |
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|
Term
|
Definition
| atheltes foot, fungal infection of the skin, symptoms include itching, burning skin, blisters, scaling and cracking |
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