HYGIENE  Lack of physical energy

 Loss of dexterity
FROM THE GREEK WORD “HYGIES” MEANING
“HEALTHY, SOUND” KNOWLEDGE ABOUT IMPORTANCE OF
HYGIENE
WHAT IS PERSONAL HYGIENE?
PROVIDING SCHEDULED HYGIENE
REGULAR ROUTINE OF PERSONAL CARE
WASHING AND GROOMING  Early morning
 Morning care
 YOUR HAIR  Afternoon care (PM care)
 YOUR FACE  HS care
 YOUR SKIN  PRN care
 YOUR TEETH
PURPOSE OF THE PATIENT'S HYGIENE
 YOUR EARS
 YOUR HANDS 1. Cleanses skin
 YOUR NAILS 2. Skin conditioner
 YOUR FEET 3. Relaxes patient
4. Promotes circulation
NURSING KNOWLEDGE BASE 5. Exercise
 PERSONAL PREFERENCES FOR 6. Stimulates respirations
HYGIENE 7. Comfort
 HYGIENE CARE IS NEVER ROUTINE 8. Sensory input
9. Improves self-image
 DURING HYGIENE
10. Establish rapport
1. Assess physical status and limitations
11. Physical assessment
2. Assess client’s readiness to learn
12. Health teaching
3. Provide privacy
4. Foster physical well being BED BATHS
SCIENTIFIC KNOWLEDGE BASE  Provide supplies
 Good physical hygiene is necessary for  Provide privacy
comfort, safety, and well-being.  Provide Mirror
 Ill clients require assistance with personal  Assist as necessary
hygiene. BATHING AND SKIN CARE
 Several factors influence a client’s hygiene
practices. TUB OR SHOWER

FACTORS INFLUENCING HYGIENE  More thorough than bed bath

BODY IMAGE COMPLETE BED BATH

 A person’s subjective concept of their  For clients who are dependent and require total
appearance hygienic care

SOCIAL PRACTICES PARTIAL BED BATH

 Social groups and family practices  Involves bathing only those parts that would
cause discomfort or odor if left unbathed
SOCIOECONOMICS
ORAL CARE
CULTURAL VARIABLES
 Supply equipment for self-care
PERSONAL PREFERENCES  Provide care or assistance as necessary
 Frequency
 Preferred products
ORAL CARE

 Involves cleanliness, comfort, and

PHYSICAL CONDITION moisturizing the mouth
  Unconscious client 3. Tones muscle
 Flossing and brushing  Hair Care
 Denture care 1. Brush or comb hair
2. May need to shampoo hair
CLEANING THE EYES
SKIN HYGIENE
 No soap
 Clean wash cloth FUNCTIONS OF SKIN:
 Water runs away from eyes  Protection
 Clean inside to outside  Regulation of Body Temperature
HAIR CARE  Sensation
 Production of Vitamin D
 Shampoo requires a doctor’s order  Secretes Sebum
 Wash as often as necessary
MAINTAINING COMFORT NEEDS (Cleanliness
PERINEAL CARE of the Patient’s Environment)
 Always proceed from least contaminated area PATIENT OUTCOME ACHIEVEMENT
to most
1. Females – front to back  Level of patient participation in hygiene
2. Males – wash tip of penis and then program
down shaft  Elimination of, reduction in, or compensation
 Turn patient over and clean anal area for factors interfering with independent
execution of hygiene measures
PERINEAL CARE  Changes related to specific skin problems
 Part of the bed bath
 Clients most in need are those with secretions
or Foley catheters and following rectal surgery
 Be alert to discharge, skin irritation, and odors
 Good perineal care prevents skin irritation and
breakdown
NURSING PROCESS: ASSESSMENT

 Nursing history to determine:

1. Self-care practices
2. Self-care abilities
3. Past or current problems
4. Identification of clients at risk for
developing impairment
 Physical assessment
FOCUS OF SELF-CARE DEFICIT DIAGNOSES

 Self-Care Deficit : Bathing/Hygiene

 Self-Care Deficit : Dressing/Grooming
 Self-Care Deficit : Toileting
 Self-Care Deficit : Feeding

NURSING INTERVENTION (Meeting Personal

Hygiene Needs: Bathing a Patient)
MEETING ADDITIONAL HYGIENE NEEDS

 Backrub
1. Promotes relaxation & Comfort
2. Stimulates circulation