Hygiene
Hygiene Schedule In Acute Care
 Early Morning or A.M. Care
 Morning or After Breakfast Care
 Afternoon Care
 HS Care
Skin Care
 Assessment- Inspection/ Palpation
 Determine need for hygiene
 Observe color (Table 32-9,pg 689), texture,
thickness, turgor, temperature, hydration
 Skin Lesions (Box 32-8, pg.692)
 Recognize common skin problems (Table
38-2, pg.1009)
Skin Care
 Nursing Diagnoses
 Impaired Skin Integrity
 Altered Peripheral Tissue Perfusion
 Bathing/Hygiene Self-Care Deficit
 Planning
 Goals- Cleanliness, stimulation of
circulation, range of motion, improved selfesteem, and reduction of body odors
Skin Care
 Implementation
 Bathing
 Perineal Care
 Back Rubs
Perineal Care
 Assessment- Listen for problems, smell,
know at risk clients
 Indications for Care- Urinary or fecal
incontinence, excessive secretions, skin
irritation, clients at risk because of indwelling
catheters, perineal surgery, or childbirth
 Goal of Care- Comfort, promote healing,
prevent or eliminate odor or infection
Back Rub
 Goal- Promote relaxation and stimulate
circulation
 Cautions
 Contraindications
 Never massage arms and legs
Nail and Foot Care
 Assessment
 Circulation
 Abnormalities or problems (Table 38-3,pg 1011)
 Gait
 Pulses
 Nails
 Special considerations- diabetic clients
Nail and Foot Care
 Nursing Diagnoses
 Pain
 Impaired Skin Integrity
 Self-Care Deficit
 Plan and Implementation
 Foot and nail care given during bath
Diabetic Client Foot Care
 Need meticulous care daily
 Do not cut corns or calluses or use
commercial removers
 Always dry well between toes, use powder
when necessary
 Avoid doing or wearing anything that
impairs circulation
 Wear clean socks daily
 Well fitting shoes, no bare feet
Hair Care
 Assessment
 Examine condition of hair and scalp
 Determine ability to do self care
 Problems/ abnormalities (Table 38-4, pg.1012)
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Dandruff
Ticks
Pediculosis Capitis
Pediculosis Corporis
Pediculosis Pubis
Alopecia
Hair Care
 Diagnosis
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Dressing/ Self-Care Deficits
Impaired Skin Integrity
Pain
Body Image Disturbance
 Planning and Implementation
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Brushing and combing
Shampooing
Shaving
Mustache and beard care
Eye Care
 Assessment
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Scaliness underlying eyebrow
Eyelids- edema, lesions, secretions
Eyelashes- styes, irritating lashes (entropian,ectropian)
Lacrimal SacSclera or conjunctiva
Pupil- Size, shape, light response
Eye movement
Contacts, eyeglasses, or artificial eye
Eye Care
 Implementation
 Basic care
 Unconscious client
 Eyeglasses
 Contact lenses
 Artificial eyes
Ear Care
 Assessment
 Exam external ear
 Implementation
 Clean during bath
 Cautions
 Assess gross hearing
Nose Care
 Assessment
 Exam nasal mucosa
 Position of nasal septum
 Difficulty breathing from nose
 Implementation
 Nasal secretions
 Suctioning
Client’s room
 Maintain comfortable room environment
 Temperature, ventilation, noises, lighting, controlling stimuli
 Room equipment
 Overbed table, night stand, chairs, bed, lights, special equip.
 Common bed positions
 Know common bed positions (Table 38-6, page 1054)
 Room accessories
 Water pitcher, glass, tissue, lotion, toothpaste, wash basin, etc
 Bed-making
 Basic principles of asepsis- Keep linen away from uniform, never
fan linen, place nothing on the floor, if clean linen touches floor get
new linen
 Use good body mechanics
 Be able to make occupied and unoccupied beds (open/closed)
Summary
Evaluation of client’s hygiene is based on
the client’s expression of a sense of
comfort, relaxation, well-being, and an
understanding of personal hygiene
techniques