skin - ✔✔ Epidermis, dermis, and subcutaneous layers
epidermis - ✔✔ proxies underlying tissue against water loss and injury and prevention
... [Show More] entry of disease-producing microorganisms generates new cells to replace dead, bacteria normally reside here
dermis - ✔✔ produces sebum (bactericidal action) to soften and lubricate skin, slows water loss,
subcutaneous layer - ✔✔ heat insulator support upper skin to withstand presume and not get injured
feet hand and nails - ✔✔ without the ability to ambulate manipulate or bear weight with the hands patient is at risk for losing self care ability, pay attention to prevent odor and look for injuries
oral cavity - ✔✔ normally pink soft most smooth and without lesions
xerostomia (dry mouth), gingivitis (inflammation of the gums) and dental caries (tooth decay produced by interaction of food with bacteria) all form from poor oral cavity hygiene
hair - ✔✔ growth distribution patter indicate persona general health status, hair characteristics affected by normal nutritional emotion physical stress aging infection and some illness
factors influencing hygiene - ✔✔ social fracties, personal preferences, body image, socioeconomic status, health beliefs/motivations, cultural variable, developmental stages, physical conditions
assessment - ✔✔ assess their ability for self care (of skin, feet, nails oral cavity, hair, eyes, ear, nose) patients cultures influences, if they are at risk for hygiene problems, use of sensory aid
nursing diagnosis - ✔✔ look at the assessment of patients hygiene status and self care abilities identity causes of risk factors or dinging character that support actual or at risk hygiene related diagnosis
planning - ✔✔ synthesize information from multiple sources, set goals and plan for outcomes with family/patient, set priorities (depends on patients state), and collaborate/teamwork
implementation - ✔✔ promote (educate why proper hygiene and techniques are important), acute restive/continuing care, bathing and skin care (provide privacy, maintain safety, warmth, promote independence), anticipate needs
(help with perineal, foot/nail, hair, and oral cavity, eyes/ears/nose care), care for patients environment (maintain comfort, room equipment, bed making)
bath types - ✔✔ complete, partial, sponge, shower, bag/travel, chlorhexidine gluconate
complete bath - ✔✔ bath administered totally dependent patina in bed
partial bath - ✔✔ bathing only body parts that would cause discomfort if left unbathed (hands, face, axillae, perineal area) washing back and providing back rub
sponge bath - ✔✔ bathing form a bath basin or sink with patient sitting in a chair, perform part of bath independently assist with hard to reach areas
shower - ✔✔ patient sits or stand under a continuous stream of water, more thorough cleaning but can cause fatigue [Show Less]