Unit 5: Basic Care and Comfort/ Infection Control

After completion of this unit, the student will

Promote Physiological Integrity by
1. Identifying treatment modalities and nursing safe accurate, therapeutic interventions that would be
expected for client basic care and comfort.
a. Personal Hygiene
i. Recognize the different methods to provide hygiene care to a variety of patients
1. assisted
2. complete
3. partial
ii. Identify through assessment the client’s hygiene needs and the steps to provide
care
1. Skin
2. Hair, nails, hands, and feet
3. Oral
4. Perineal/genital
iii. Identify the purpose of bathing and state factors that influence hygiene
practices
iv. Distinguishing safety measures that would be utilized to provide hygienic care
and linen change
1. Occupied bed
2. Unoccupied bed
3. Surgical bed
v. Identify nursing care utilized to assist the client with
1. Meals
2. Toileting
b. Mobility/Immobility
i. Recognize the principles of body mechanics
ii. Identify the pathological influences on body alignment and joint mobility
iii. Distinguish the benefits of range of motion, positioning and positioning devices,
transfer techniques utilized with immobile clients
iv. Recognize the hazards of immobility on each system
1. Integumentary
a. Pressure ulcers
b. Staging and treatments
2. Musculoskeletal
3. Respiratory
4. Gastrointestinal
5. Renal
6. Cardiovascular
7. Metabolic
v. Identify appropriate nursing techniques utilized with patient assistive devices.
vi. Discuss the use of restraints
vii. Distinguish the interventions for the following safety hazards
1. Hazardous chemicals
2. Fire/disaster plan
 3. Electrical
4. Falls
c. Pain/Comfort/rest/sleep
i. Distinguish the types and categories of pain
1. Chronic
2. Acute
3. Neurosensory
ii. Discuss the physiology of pain and the gate control theory of pain
iii. Discuss pain threshold, pain tolerance, and pain perception
iv. Describe methods to decrease pain
1. Non-pharmacologic
2. Massage
3. TENS
4. Imagery and relaxation
5. Hot/cold applications
v. Discuss the physiology and function of sleep
vi. Identify sleep pattern disorders
vii. Describe nursing interventions that promote normal sleep patterns
viii. Describe methods to improve sleep
1. Non-pharmacologic
d. Infection Control
i. Factors that increase or reduce the susceptibility to infection
ii. Evidence –based interventions utilized to reduce infection
iii. The signs and symptoms of a localized and systemic infection
iv. Medical and surgical asepsis
v. Standard and Isolation precautions

2. Identify evidence-based standards of practice that are within the legal, ethical and regulatory
guidelines that would be utilized for the client
1. OSHA
2. CDC guidelines
3. Safety goals
3. Identifying pharmaceutical modalities, and the safe, accurate, therapeutic nursing interventions that
would be expected for this client.
Pharmacologic - pain
a. Analgesics
4. Non-opioid- acetaminophen, NSAIDS
5. Opioids –oxycodone, hydrocodone, morphine, methadone
vi. Patient controlled analgesia
vii. Local anesthesia
viii. Treatment for overdose
Pharmacologic – sleep
ix. Benzodiazepines
x. Hypnotics
Sedatives
Required Readings:

 Holman, H. C., Williams, D., Johnson, J., Sommer, S., Ball, B. S., Morris, C., Leehy, P., &
Hertel, R. (2019). Fundamentals for Nursing: Review Module (10th ed.). Assessment
Technologies Institute.
 Chapter 10: Medical and Surgical Asepsis
 Chapter 11: Infection Control
 Chapter 12: Client Safety
 Chapter 13: Home Safety
 Chapter 14: Ergonomic Principles
 Chapter 15: Security and Disaster Plans
 Chapter 37: Hygiene
 Chapter 38: Rest and Sleep
 Chapter 40: Mobility and Immobility
 Chapter 41: Pain Management
 ATI Lesson
 Engage Fundamentals RN 2.0 > Foundational Concepts of Nursing Practice > Infection
Control and Isolation
 Engage Fundamentals RN 2.0 > Foundational Concepts of Nursing Practice > Mobility
 Engage Fundamentals RN 2.0 > Foundational Concepts of Nursing Practice > Safety
 Engage Fundamentals RN 2.0 > Physiological Concepts for Nursing Practice > Comfort,
Rest and Sleep
 Engage Fundamentals RN 2.0 > Physiological Concepts for Nursing Practice > Hygiene
 Engage Fundamentals RN 2.0 > Physiological Concepts for Nursing Practice > Pain
 Assignment
 Complete and Submit Quiz Reports for all assigned ATI Engage Fundamentals RN 2.0
lessons (Infection Control and Isolation, Mobility, Safety, Comfort, Rest and Sleep,
Hygiene and Pain) Due: February 6 @ 2359 (Assignments are to be completed prior to
lecture to help prepare you to engage in lecture. Completing the assignments prior will
also help you identify the content that you need to get clarity on during lecture.)
 ATI Supplemental Lecture Assignment: Please complete the Pre-Test, Lesson, and Post-Test for
the following modules.) Due: February 8 @ 2359
 Skills Modules > Learning modules
 Infection Control
 Standard and Transmission Based Precautions
 Waste Management
 Practice Challenges 1-3
 Pain Management
 Personal hygiene
 Mobility
 Pharmacology Made Easy 4.0 (Complete and Submit the lesson and Test) Due: February
12 @ 2359
 Pain and Inflammation
  First generation NSAIDs (COX-1 and COX-2 Inhibitors) [Unit 4 review]
 Acetaminophen [Unit 4 review]
 Opioid Analgesics
 Opioid Agonists
 Opioid Antagonists
 Neurological System (Part 1)
 Drug therapy that supports anesthesia
 Neurological System (Part 2)
 Benzodiazepines
 Review previously assigned Engage Fundamentals RN 2.0 modules (Infection Control
and Isolation, Mobility, Safety, Comfort, Rest and Sleep, Hygiene and Pain)