L2_Lecture Slides (Comfort, Safety, Hygiene).pdf - NURS1603...

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NURS1603 Clinical Skills in Practice (2021-22)Pre-recording Video:ComfortHygiene carePatient safetyMs Caroline YangLecturer3 Sep 2021Photo source: HKU Medicine (2021)
Intended learning outcomesBy the end of this video, students should be able to:Understand the nurses’ role in in helping patients on hygiene careDescribe the general principles of skin careDescribe assessment(s) when providing hygiene careIdentify different types of bathing, devices to assist bathing, and toiletingDescribe the nursing interventions on hygiene care2
Self-careSelf-care refers to patient’s ability to perform primary care function in 4areas:BathingFeedingToiletingDressingKey element: WITHOUT the help of others3Photo: Depositphotos(2021)
HygieneInvolves measures for maintain personal cleanliness and groomingPromotes physical and psychological well beingHygiene activities are essential in daily living4Photo: Depositphotos(2021)
Role of nurses in helping patient on hygiene careNurse is a caregiverRolesHelps to manage physical needs, prevent illness, and treathealth conditionNeed to observe and monitor the patient, recordingany relevant information to aid in treatment decision-makingMaintain a high standard of hygiene in caring patient iscrucialWhen a patient is unable to maintain personal hygiene,nurses should provide assistance and offer support tofamily members or other caregivers.5Photo: Presentermedia (2021)
Scheduling hygiene careEarly morning careMorning CareBedpan, urinal orassistance to bathroomWashing hands and faceOral carePreparation forbreakfastPositioningBedpan, urinal orassistance tobathroomBath, shower, orbathingOral careDressingBed linen changePositioningAfternoon careHour-of-sleep careBedpan, urinal orassistance to bathroomWashing hands and facePositioningBedpan, urinal orassistance tobathroomPositioning611:0015:0019:0007:00
Bathing & hygieneSkinFirst line of defence against microorganismsKeeping skin intact and healthy is important in preventing infectionPerspiration interacts with bacteria on the skin to cause:body odor,unpleasant,decrease comfort,promote bacterial growth,skin break downRegular bathing remove excess oil, perspiration and bacteria from the skinsurface7Photo: Depositphotos(2021)
Bathing of patientBathingcirculationMaintain muscle tone and joint mobilityPromotes relaxation and comfortAllow assessment ofpatient’sphysical conditionInjured areasBruisesRashesOverall skin conditionSkin breakdown8Abrasion(Photo: Jpbarrass, 2008)Petechia(Photo: Heilman, 2010)
Shower & Bed bathShowerPatients who are ambulatoryand able to tolerate the activityBed bathPatients who are total or partialdependent9Shower, Craven et al (2021)Bed bath, Craven et al (2021)
Methods of bathingTypes of bathTub bathStand-up showerSit down shower with shower chairLie down shower with bath trolleyBed bathComplete bed bath

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