Vital signs.docx - Hygiene Vital Signs Hygiene and the...

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Hygiene & Vital Signs Hygiene and the health-wellness continuum o Start doing health assessment while helping a patient with personal hygiene o Meet the patient where they are on the health and wellness continuum Benefits to the nurse through involvement in the hygiene of their client o Observe skin o Talk to patient Purposes of hygiene o To promote well-being in the patient Emotional Physical Cultural, personal, and social practices that the nurse must consider when caring for clients o Cultural differences can affect how modest someone may be o Socioeconomic status (homeless-no hygiene supplies) o Odor growth of bacteria combined with sweat o Encourage bathing when possible Can phrase it that “you don’t want the patient to avoid getting sick due to all the germs around them at the hospital” if they are not cooperating o Any type of patient activity requires a physician’s order Baths o Total care – complete bed bath o Partial care – able to help a bit o Independent – self-care o Therapeutic bath - medicinal Bed positions o Supine – flat o High Fowler’s – all the way up (90) Shortness of breath
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o Fowler’s – (45) Comfy o Semi-fowler’s – (30) Tube feeding to avoid aspiration o Low-fowler’s – head slightly propped up (15) Had procedure and can only be slightly elevated for meals o Trendelenburg – head low, feet high Increases cardiovascular return o Reverse Trendelenburg – head high, feet low Good for head trauma or bad GERD o Orthopneic – sits in bed with over-bed table across lap Good for people having a hard time breathing expands rib cage and allows lungs to fill Considerations for bathing o Health status Are they in pain or sick? o Social practices How do they feel about being bathed? o Cultural practices Some cultures are more modest than others o Daily routines People learn their routines early in life, so don’t push your routine onto a patient What is the goal of nursing care as it relates to the patient performance of hygiene? o Help the patient stay clean but let them do as much as they can For a nursing diagnostic statement, one needs supporting systems that contribute to a self- care deficit: o Etiologies of self-care deficits Motivation Lack of due to symptoms
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Fatigue Discomfort Physical and/or mental impairment Anxiety Environmental factors Warm or cool General considerations for bathing o Long smooth strokes=stimulates circulation o Improve self-image! (tell them they look good) Safety considerations for bathing o
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