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chapter 19 and 20 ob
chapter 19 and 20 objectives as listed
| Question | Answer |
|---|---|
| Describe factors that influence personal hygiene practices: | Economic status, Sociocultural background,Knowledge level, Ability to perform selfcare,and Personal preference. |
| Identify assessments needed to determine a patient’s ability to perform self care: | Assess if cognitive and their physical function does poor vision, sense of touch, or limitations in range of motion interfere with self care? Are coordination, muscle strength and balance adequate? |
| List four purposes for bathing: | to cleanse the skin, promote comfort, stimulate circulation to all areas of the body. |
| List four key points in bathing a patiient. | maintain safety, give privacy, prevent chills, encouage independence. |
| Identify four benefits of a back rub? | communicates caring, fosters trust in the nurse patient relationship, provides an oppoutunity to assess the skin on the back, reduces tension and promotes relaxation. |
| Describe care for contact lenses. | remove contact lenses after washing hands,then cleanse in a stopped sink or bath basin with a commercially prepared solution. |
| Describe care for hearing aides. | when not in the ear store in appropriate container; cleanse the with soap and water but do not submerge them in it. |
| List 5 risk factors for the development of pressure ulcers: | in bed or confined to a chair, inability to move, loss of bowel or bladder control, poor nutrition, lowered mental awareness. |
| Identify skin areas most susceptible to pressure ulcer formation: | side of head, shoulder, ilium, trochanter, perineum, anterior knee, malleolus, heel, sacrum and coccyx, dorsal thoracic area, occiput, rim of ear. |
| How does hygienic care differ between the younger and elderly patients? | younger patients may want to bathe more often and have more privacy. whereas older patients may reqire more attention and bathe less often. |
| STAGE ONE PRESSURE ULCER: | AN AREA OF RED, DEEP PINK, OR MOTTLED SKIN THAT DOES NOT BLANCH WITH FINGER TIP PRESSURE. |
| STAGE 2 PRESSURE ULCER: | PARTIAL THICKNESS SKIN LOSS INVOLVING EPIDERMIS OR DERMIS. MAY LOOK LIKE AN ABRASION OR BLISTER |
| STAGE 3 PRESSURE ULCER: | FULL THICKNESS SKIN LOSS THAT LOOKS LIKE A DEEP CRATER AND MAY EXTEND INTO THE FACSIA. |
| STAGE 4 PRESSURE ULCER: | FULL THICKNESS SKIN LOSS WITH EXTENSIVE TISSURE NECROSIS OR DAMAGE TO MUSCLE BONE OR SUPPORTING STRUCTURES; SINUS TRACTS MAY BE PRESESNT. |
Created by:
ecamp
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