Slide 1: Patient Hygiene By :Jacklyn Narciso HYGIENE : HYGIENE refers to the set of practices associated with the preservation of health and healthy living. : It is probably the most basic of all nursing care activities,
but it is definitely one of the most important. Not only is it a provision for the
patient's physical needs; it also
contributes immeasurably to the
patient's feeling of emotional
well-being. Slide 4: Factors affecting patient hygiene Culture Socioeconomic
Class Personal Preferences Religion Developmental
Level HEALTH STATE Important : Important Different cultures and different religions may have different hygiene practices When possible, the nurse should help patients to meet their own personal needs rather than carrying out a standard routine. Slide 6: PURPOSE OF THE PATIENT'S HYGIENE Removal of bacteria from the skin Relaxation effect on the patient Providing the nurse with an opportunity for health teaching and assessment Providing the nurse with an opportunity to give the patient psychological support Maintenance of joint mobility Improvement of the patient's self-image and emotional and mental well-being Daily care of the patient : The basic activities of daily life are eating, dressing, bathing, going to
the toilet, sleeping and resting, walking and communicating with
others. Daily care of the patient Slide 8: Nursing Interventions TIMING OF PATIENT
HYGIENE PROCEDURES BATHING HAIR CARE EYE CARE EAR CARE NOSE CARE SKIN CARE PERINEAL CARE Foot & nails Care Bed Making Slide 9: The procedure followed in the morning affects the patient's comfort throughout the day .
Each morning before breakfast, the patient should be assisted to the bathroom, or a bedpan or urinal should be provided, according to the patient's activity level .
The patient is then given the opportunity to wash his/her hands and face and brush his/her teeth. The bed linen is straightened, and the over bed table is cleaned in preparation for the breakfast tray . Morning Care Slide 10: After breakfast, the patient has a complete bath (type is dependent upon the patient's condition and mobility), mouth care, a change of clothing, and a back massage.
Bed linens are changed; and the unit is cleaned and straightened to provide a comfortable and safe environment for the patient Slide 11: A patient's hygiene may be given at any time, according to the patient's needs Important TIMING OF PATIENT HYGIENE PROCEDURES : The care the patient receives at the end of the day greatly influences the patient's level of relaxation and ability to sleep Evening Care Slide 13: An opportunity is provided for elimination; the patient's hands and face are washed; the teeth are brushed; a back rub is given . Slide 14: Bed linens are straightened; the patient's unit is straightened to ensure comfort and safety. It is important that there are no items, which the patient could slip on, or fall over, such as chairs or linens, on the floor Purposes of Bathing : Removes microorganisms from the skin as well as body secretions, gets rid of unpleasant smells, improves blood circulation to the skin and makes the patient feel more relaxed and refreshed. Purposes of Bathing Bathing the patient gives us a good opportunity to look at the condition of the patient's skin and to see how well the patient can move. Slide 16: kinds of bathing Complete Bath Partial Bath Tub/Shower Bath Slide 17: Bathing time Standard Precautions PRIVACY Introduction : SAFETY COMFORT Bathing time Slide 19: Hair Care Purposes of Hair Care Improves the morale of the patient Stimulates the circulation of the scalp Removes bacteria, microorganisms, oils, and dirt Slide 20: Eye Care If the patient is unconscious and cannot close the eyelids or blink, eye drops can be used to keep the eye wet enough. Or put an eye patch over the eye to protect it. Wipe from the inner part of the eyelid to the outer part. Slide 21: Ear Care Monitor for drainage from ear ,
as appropriate Avoid placing sharp objects in the ear
Irrigate the ear canal with water pik,using warm water
Demonstrate proper technique for ear irrigation to caregiver Slide 22: Mouth Care Position the patient on his or her side, near the edge of the bed.
Wash your hands before and after .
Put a little basin under the patient's chin with a towel under it to catch any water that drips.
Open the patient's mouth very gently with a
Clean the teeth and membranes, then rinse
the mouth by injecting a little water into the
mouth with a syringe.
If you inject water into the patient's mouth,
make sure that it all runs out of the side of the mouth or suction the mouth to get it out. Slide 23: Nail Care Using a nail cutter or sharp scissors, cut the fingernail straight across and then use a nail file, gently clean under them patient has diabetes or problems with circulation, or an infected finger, you must be very careful not to injure the tissues. If the patient’s toenails are thick and hard, you may need to soak the foot in a basin before cutting the nails. Slide 24: Always check the patient's lower legs and feet, especially if the patient is elderly or has diabetes or circulatory problems.
Look at and feel the lower legs and feet.
( temperature, color, swelling of feet and ankle , between the toes , at the bottoms of the feet.
Check the presence and strength of pulses in the feet (pedal pulses) Foot Care Slide 25: Perineal care Perineal care is the washing of the genital and rectal areas of the body,\should be done at least one time a day during the bed bath, shower, or tub bath.
It is done more often when a client is incontinent. Perineal care prevents infection, odors and irritation. Perineal care is done when a patient has a urinary catheter in place.
Perineal care is done differently for men and women. Slide 26: Bed Making The nurse normally makes the bed in the morning after a patient's bath, or when the patient is out of the room for tests
The nurse should straighten the linens throughout the day
Any sheets that become wet or soiled should be changed promptly
The nurse should keep the soiled linen away from the uniform, and place it in the appropriate linen bag or other designated container
Never fan or shake linens, which can spread microorganisms Slide 28: After Care Slide 29: Thank you By: Jacklyn Narciso