NURSE-3101 Lecture Notes - Lecture 1: Ear Drop, Cotton Swab, Chlorhexidine
Document Summary
Cultural practices as to bathing and cleanliness. Necessary care based on patient"s disease process: foot care for patient with diabetes. Limits on self-care based on immobility, weakness, dizziness, pain. See assessment of hygiene practices pages 904--905. Nurse individualizes hygiene based on all of the above. Best time to assess the skin is during the bath. Other relevant assessments: oral cavity, eyes, ears, nose, hair, nails, feet, and perineal area. Early morning care: wash face/hands; oral care; prepare for breakfast. Morning care (a. m. care: oral care; bath; hair care; dressing; change bed linens; tidy bedside area. Assist patient as needed (self-care, partial care, complete care). As needed care (prn care: oral care p. c. ; hygiene prn; change gown/bed linens prn. Bedtime care: toileting; wash face/hands; oral care; back rub. Shower: ambulatory; able to tolerate; shower clean and safe (non-skid mat); if weak, sit on shower chair; use hand-held shower head; safe water temperature. Tub bath: clean tub; assist into tub.
