pt hygiene

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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.

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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.

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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

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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

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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

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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

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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

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An opportunity is provided for elimination; the patient's hands and face are washed; the teeth are brushed; a back rub is given .

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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.

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kinds of bathing Complete Bath Partial Bath Tub/Shower Bath

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Bathing time Standard Precautions PRIVACY Introduction

SAFETY COMFORT Bathing time

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Hair Care Purposes of Hair Care Improves the morale of the patient Stimulates the circulation of the scalp Removes bacteria, microorganisms, oils, and dirt

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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.

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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

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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 tongue blade 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.

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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.

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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

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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.

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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

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After Care

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Thank you By: Jacklyn Narciso