Hygiene (Part 2)

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1. risk factors for - urinary or fecal incontinence 13. procedure for 1. using a bulb irrigating syringe, gently wash
skin breakdown - rectal and perineal dressings removal of the ear canal with warm solution (37°C); do
in perineal area - indwelling catheters impacted not occlude the canal
- morbid obesity cerumen
2. direct the fluid slowly and gently toward
2. benefits of a - promotes relaxation
the superior aspect of the ear canal,
back rub - relieves muscular tension
maintaining the flow in a steady stream
- decreases perception of pain
14. cerumen ear wax
3. guidelines in foot - inspect feet daily
and nail program - wash feet daily in lukewarm water 15. Completely-
- wear well fitting shoes and clean dry in-Canal (CIC)
socks, never go barefoot aid
- keep skin soft and smooth with
emollient
- trim toenails straight across and square
file edges smooth
- elevate feet and wiggle toes
- protect feet from hot and cold
newest, smallest, and least visible; fits
4. brushing cleans the teeth of food particles,
entirely in the ear canal
plaque, and bacteria; massages the gums
and relieves discomforts 16. in-the-ear
(ITE) hearing
5. flossing Removes plaque and tartar between
aid
teeth
6. dentures need to be cleaned on a regular basis to
avoid gingival infection and irritation
7. daily Dentures should be cleaned
___________________.
8. brushing and helps keep the hair clean and distribute
combing hair oil evenly along hair shafts; prevents hair
from tangling
9. Mustache and require daily grooming because of food
beard care particles and mucus that collect on the
fits into the external ear and allows for more
hair.
fine tuning; it is powerful and easy to adjust
10. shaving should be performed on facial hair after
17. Behind-the-
the bath or shampoo
ear (BTE)
hearing aid
to avoid discomfort, gently pull the skin
taut and use short, firm razor strokes in
the direction that the hair grows
11. Basic eye care involves washing with a clean washcloth
moistened in water

do not apply direct pressure over the hooks around and behind the ear and is
eyeball connected to an ear mold; allows for fine
tuning and is useful for patients w/
use a different section of the washcloth progressive hearing loss
for each eye
18. digital analyzes sounds to remove background
12. inner; outer While performing Basic eye care, cleanse hearing aids noise; it is beneficial for those w/ mild to
from the _________________ canthus to the severe hearing loss
_________________ canthus.
19. Fowler's 24. Sims
position position

the patient is lying on the left side with the right

knee and thigh drawn up with the left arm placed
a semi-sitting position; the head of the bed along the back
is raised between 45 and 90 degrees
25. prone
foot of bed may also be raised at the position
knees
20. Semi-Fowler's
Position

lying face down

26. Types of - complete bed bath
baths - partial bed bath
- sponge bath at the sink
- tub bath
the head of the bed is raised 30-45
- shower
degrees; or the head of the bed is raised
- bag bath
30 degrees and the knee portion is raised
- chlorhexidine bath (CHG)
15 degrees
27. complete for patient totally dependent and confined to bed
21. Trendelenburg
bed bath
position
28. partial for patient unable to reach all body parts
bed bath
29. sponge Bathing from a basin or sink usually while sitting
bath at in chair. Assistance needed for hard to reach
the sink body parts
30. tub bath patient is submerged, more thorough wash, can
require some assistance from the RN
The body is laid flat on the back (supine
position) with the feet higher than the head
immersion in a tub; usually in long-term care
by 15-30 degrees
31. shower performed sitting or standing
22. Reverse
Trendelenburg's 32. bag bath
position

The head of the bed is raised and the foot

of the bed is lowered
23. flat/supine
position contains soft, non-woven cotton cloths that are
pre-moistened in a solution of no-rinse surfactant,
a humectant to trap moisture, and an emollient.

Entire bed frame horizontally parallel with

Easy, reduces bathing time and increases pt.
floor
comfort.
33. Chlorhexidine antimicrobial cloths used to decrease 39. BMAT
bath (CHG) HAIs
34. gait Manner or style of walking

Balance, posture, and ability to walk

without assistance must be assessed
35. Principles for safe - Transfer and positioning increases
Transfer and activity
Bedside mobility assessment tool
positioning - Principles of balance and alignment
aid in safe transfer and positioning 40. Before leaving room, Bed position
- Good balance and alignment decrease evaluate . . . Call light
work strain and effort Side rails
- Mechanical lifts and lift teams Lines in hamper / garbage in can
- Wide base of support increases Personals belongings within reach
stability 41. pressure ulcers Any bony prominence are most at risk
- The lower the center of gravity, the for developing ___________________________________
greater the stability (sacral area, elbows, heals, etc)
- Face the direction of movement
42. body mechanics the proper use of the body to facilitate
- Reduce friction, less force will be
lifting and moving and prevent injury
required to move the object
- Standardized assessment tools to
- Use large muscles of the body
identify a patient's mobility level
- Work smooth rhythmically
- An ergonomics assessment of patient
- Push or pull rather than life
room and health care environment
- Use the weight of your own body
- Assessment algorithms to select the
correct equipment and number of staff 43. When Have wide base of support, place one
for SPHM (Use of portable lifting assisting/transferring leg in front of the other
devices) a patient . . .
- Unit peer leaders who function as safe Make sure patient at least has socks with
patient handlers and staff trainers the grips
- Safety huddles
- Minimal lift policy Do not use back and arms, use hips and
legs
36. Pathological - Congenital defects
influences on - Disorders of bones, joints, and
IV pole should NEVER be in front of the
body alignment, muscles
patient, between their legs
mobility, and - CNS damage
activity - Musculoskeletal trauma
Do not lift patient under arms, use a gait
- Obesity
belt
37. Ergonomics design of work tasks to best suit
capabilities of workers. Involves the use
of mechanical lifts to move patients
38. Gait Belts

leather canvas belt to help ambulate

patient