A bag bath involves using several soft, nonwoven cotton cloths that are premoistened in asolution of no-rinse surfactant cleanser and emollient to clean a patient. A tub bath involves immersion of the patient in a tub of water. A sponge bath sink involves bathing the patient using a sponge along with a bath basin or sink with the patient sitting in a chair. In a shower bath, the patient sits or stands under a continuous stream of water.Under general anesthesia, a patient loses all sensation, consciousness, and reflexes, including gag and blink reflexes. The amnesia, both total and partial, that are facilitated by general anesthesia and conscious sedation protect the patient from remembering the unpleasant events of the surgical procedure. Loss of sensation to a specific, desired site via inhibition of peripheral nerve conduction is the result of local anesthesia. To digest starch, the pancreas secretes amylase. The pancreas secretes lipase to break down emulsified fats and elastase and carboxypeptidase to break down proteins. An enlarged spleenmay indicate the patient has poor nutrition during the assessment prior to the insertion of an enteral feeding tube. Moist lips, shiny hair, and a smooth tongue all indicate good nutrition.The patient is experiencing complicated grief. In complicated grief, a person has a difficult time moving forward after a loss. The patient experiences a chronic and disruptive yearning for the deceased; has trouble accepting the death and trusting others; and/or feels excessively bitter, emotionally numb, or anxious about the future. In normal grief, the person shows a common reaction characterized by complex emotional,
cognitive, social, and spiritual responses to loss and death. In anticipatory grief, the grief extends over a long period of time, beginning before the actual loss occurs; the person absorbs loss gradually and prepares for its inevitability. Disenfranchised grief occurs when the relationship of the person with the deceased is not socially sanctioned, cannot be openly shared, or seems to be of lesser significance.Trough levels are generally drawn 30 minutes before the drug is administered. If the medication is administered at 0900, the trough should be drawn at 0830. If a medication needs to be given on an empty stomach or is not compatible with the feeding (e.g., phenytoin, carbamazepine [Tegretol], warfarin [Coumadin], ॠuoroquinolones, proton pump inhibitors), hold the feeding for at least 30 minutes before or 30 minutes after medication administration. Thoroughly shakingthe medication mixes the medication before administration but does not aॠect absorption. Flushing the tube after all medications should be 30 to 60 mL of water;15 to 30 mL of water is used for ॠushing between medications. Patients with NG tubes should never be positioned supine but instead should be positioned at least toa 30- degree angle to prevent aspiration, provided no contraindication condition is known.
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- Fall '19