Date post: | 12-Apr-2016 |
Category: |
Documents |
Upload: | chiefdoom8800 |
View: | 51 times |
Download: | 0 times |
Personal Hygiene
By :Dr. Yusda Kris Sari
W.
2
What is it???
• Hygiene : Health
• Personal hygiene : the self care measures people use to maintain their health
3
PURPOSE OF NURSE PROVIDED HYGIENE
• Remove microorganisms
• Do physical assessment
• Increase circulation– Distal to proximal– Return to heart
• Improve self image
• Provide comfort
4
HYGIENE includes:• Care of the skin• Care of the feet
and nails• Oral hygiene• Hair care• Care of the eyes,
ears, and nose• Client’s room
environment
5
1. Care of Skin
6
SKIN• Regulates body temperature• First line of defense against
harm• Antibacterial and antifungal• Transmits sensations• Signs of problems
•Redness•Wet or damp•Not intact
7
PATIENTS AT RISK FOR SKIN PROBLEMS
• Altered level of consciousness• Altered nutrition• Immobility• Dehydration• Altered sensation• Secretions on skin• Mechanical devices, restraints• Altered venous circulation
8
2. PERINEAL CARE• Professionalism always• Female
– Always sterile to contaminated (urethra to rectum)
• Male– Assess for circumcision
• If not, cleanse under foreskin and replace
9
3. Care of the feet and nails
10
Common Foot & Nail Problems
Callus (kulit tebal)
Warts (kutil) Ingrown nails (tdk
tumbuh & nyeri) Ram’s horn nails
(tumbuh lambat, dasar kuku rusak)
Paronychia (radang jaringan)
Foot odors
11
FOOT CARE• Soak feet as part of bath• Clean toes and toenails• Range of motion of legs• Feet of diabetic patients and
patients with vascular disease are inspected carefully; Never cut toenails of these patients
12
NAIL CARE• Observe circulation; color,
capillary refill time• Observe color, sensation, and
movement (CSM)• Cut nails straight across and file
smooth; Do not go down into corners
• Assess for rings too tight or too loose
13
4. Oral hygiene
14
Oral Hygiene Common oral problems :
– Dental caries (radang gigi)– Periodontal diseases (gusi
berdarah atau bengkak)
Nursing Diagnosis : Altered oral mucous membrane
related to radiation of oral cavity
15
MOUTH CARE• Examine with gloves and light,
especially smokers• Use only water soluble lubricants• Unconscious patient has no gag
reflex, position on side for care• Teach about brushing and
flossing
16
5. Hair care
17
Hair and Scalp Problems
• Dandruff• Pediculosis (Lice)
– Pediculosis Capitis (Head Lice)– Pediculosis Corporis (Body Lice)– Pediculosis Pubis (Crab Lice)
• Hair Loss (Alopecia)
18
Nursing Interventions
• Combing• Shampooing• Cutting• Shaving• Mustache and
beard care
19
6. Care of the eyes, ears, and nose
20
EYE CARE• Contact lenses usually removed• Stored in saline liquid; case labeled• Also label and safeguard glasses in drawer• Clean inner to outer canthus • Patient must be able to blink to protect
cornea• Never use cotton near eyes• Treat each eye separately• Eyes considered sterile
21
EARS• Allow nothing sharp in ears• Hearing aids now miniscule in
size – don’t lose! Label case• Cerumen in ears may need
softening and removing• Speak directly to patient’s
face
22
Continue…
23
Any Questions ???