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Definition
protects secretes excretes temp. regulation sensation
layers; epidermis, dermis, subcutaneous |
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prevent infection, odor, injury ex long nails smooth transparent, convex, pink nail bed |
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eating may be affected ex painful gums
dentures -cool water |
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health status indicated -hormones, nutrition, stress, aging, infection |
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clean regularly no q tips eyes- inner to outer nose to ear warm wash cloth |
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ear wax keeps things out of ears |
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factors that limit hygiene |
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Definition
culture ability- physical/mental limited resources developmental socioeconomic personal *individualize hygiene care communicate skills to promote therapeutic relationship |
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how do normal healthy people appear? standards of care -ex oral hygiene 2x daily |
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pt view point centered self ability head to toe assesment- skin, feet, hair, nails, EEN Who is at risk older-adult considerations PT expectations |
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activity intolerance bath self care deficit dressing "" |
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goals/outcomes -ex oral cavity care (pink/moist) -swab stick intervention talk to family prioritize -ex incontinence over nails needing trimmed teamwork/collaborate |
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don't harm pt include pt teach pt -self help- -ex impaired mobility -teach to make clear path skin integrity -dry skin |
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complete bed- head to toe partial bed- certain @ risk body parts sponge tub shower bag/travel |
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privacy safety warmth comfort promote independence anticipate needs premedicate if needed |
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brush floss massage gums rinsing use call water on dentures |
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Definition
promote relaxation relives tension decreases pain, anxiety, HR, RESP rate don't massage DVT or @risk areas |
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kleenex warm wash cloth decrease infection |
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keep things out of way lighting decrease noise temp basic room equipment clean comfortable |
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are goals/outcome met? are pt needs/expectations being met? any changes? |
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