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Module 4 PSW
Definitions
Question | Answer |
---|---|
When bathing what is used for dry skin? | Plain water |
The skin products that are used is decided by? | The care plan. |
What causes a white coating on the tongue? | Some medications and diseases. |
What should be used to clean dentures? | Cool water so they do not lose their shape. |
What position do you place a unconscious client when performing mouth care? | A side laying position to avoid aspiration. |
What do you do when a client with dementia refuses to allow you to assist with bathing and hygiene? | Consult the care plan to see if it addresses this issue. |
When should oral hygiene be performed? | Upon awakening, after meals and at bedtime. The client can request it as well. |
What observations should be made during oral hygiene care? | Dry, cracked, swollen and blistered lips. Redness, swelling, sores and white patches on tongue and in mouth. Bleeding, swelling and redness of gums. Loose teeth, rough, sharp or jagged areas on the dentures. Complaints of pain or discomfort. |
What observations should you make when bathing a client? | The colour of the skin, nails, sclera and lips. Location and description of rashes if there are any. Bruises or open skin areas. Pale or reddened areas especially over bony areas. Drainage or bleeding from wounds or body openings. Swelling of feet and leg |
What are the reasons complete bed baths are given? | Paralysis, client is in a cast or traction and weakness from illness or surgery. |
What clients should not recieve back massages? | When they have had back surgery, back injuries and skin disorders. |
Why should the client be assisted with toileting before bathing? | To help prevent incontinence in the tub. |
Why is perineal care performed at least once a day? | To prevent growth of microbes that cause infection. |
What is the correct way to perform perineal care? | Wash from the urethra to the anal area. |
What causes redness and swelling of the tongue and mouth? | Medication and disease |
What causes dry mouth? | medications, dehydration, anxiety and oxygen. |
Why is lower water temperature important for children and elderly people? | It is important because their skin is fragile. |
What observations are made when performing perineal care? | Look for hemorrhoids, swelling, discharge and rashes. |
Why does a PSW never provide footcare to diabetics, clients with clotting disorder and care of wounds, blisters and corns? | These clients have specific needs concerning footcare and it is outside a PSW scope of practice. The client is generally more prone to infection and injury. |
If a cut occurs when you are shaving a client you the PSW should? | Apply direct pressure to the wound and report it to the supervisor at once. |
When dressing and undressing a client with paralysis or hemiplegia you should? | Put clothing on affected side first and remove clothing from unaffected side first. |
When changing the gown of a client on IV what are the steps. | Gather up the sleeve on the arm with the IV site and slide it over the IV site and tubing. |
What is excessive body hair called? | Hirsutism |
What is an infestation of lice in the pubic area called? | Pediculosis pubis |
What is an infestation of lice on the body? | Pediculosis corporis |
What is an infestation of lice on the head | Pediculosis capitas |
What is standard practice for changing linens? | Hold linens away from your body. Roll up the soiled linen away from you. Wear gloves when handling soiled linens. |
When making an occupied bed, what should your concerns be? | Client is in good body alignment. Know restrictions and limitations concerning clients movement and positioning. Each step should be explained to the client. |
DIPPS is: | Dignity, Independance, Individualized care, Privacy, Preferences and safety |
What are the types of clients prone to decubitus ulcers? | Diabetics, circulatory issues, Very thin or obese, unconscious, bedridden, incontinent, improper nutrition and hydration and confused. |
What are functions of the skin? | Protective covering against bacteria and viruses, Nerve endings that sense pain and temperature, Regulates temperature, It is an organ of elimination. |
What are 5 risk factors for developing decubitus ulcers? | Age, illness/disease, weight, nutrition, mobility |
what steps should you take before bathing a client? | Read care plan, know proper water temp, have supplies ready, toilet the client, have call bell ready for client, make sure tub is clean and make sure bottom of tub is slip resistant. |
What are conditions that require mouth care every 2 hours? | unconscious, weak/confused, medications, tube fed, recieving oxygen, NPO, vomiting and dry mouth. |
4 stages of ulcer development are: | skin is red and doesnt return to natural colour. skin cracks, blister, peels and develops craters, skin is gone, tissue is showing and damaged, may be drainage muscle and bone are exposed and damaged, drainage is likely |
Structures found in dermis are: | connective tissues, nerves, blood vessels and sweat and oil glands. |
Open bed: | The bedding is folded down towards the end of the bed. |
Closed bed | The bedding is pulled up over the pillow |
Purulent | Thick, green, yellow, or brown discharge. |
Serous | Clear, watery discharge. |
Sanguineous | Straight blood drainage. |
Trauma | Accident or violent act that causes injuries to the skin, mucous membranes, bones and internal organs. |
Evisceration | Separation of wound along with protrusion of abdominal organs. |
Laceration | Open wound with torn tissues and jagged edges. |
Abrasion | Partial thickness wound caused by scraping or rubbing away of the skin. |
Dehiscence | Separation of wound layers. |
Hemorrhage | Excessive loss of blood in a short period of time. |
Wound | Break in the skin or mucous membrane. |
Incision | Open wound with clean, straight edges usually intentionally produced with a sharp instrument. |
Hematoma | Collection of blood under the skin and tissue. |
Dirty (infected) wound | Wound containing large amounts of bacteria. |
Chronic wound | Wound that doesn't heal easily. |
Intentional wound | Wound created for therapy. |
Unintentional wound | Wound resulting from trauma. |
Clean contaminated wound | Wound occurring from surgical entry of the urinary, reproductive, respiratory, or gastro -intestinal. |
Clean wound | Wound that is not infected; microbes have not entered wound. |
Full thickness wound | Wound in which dermis, epidermis and subcutaneous tissue are penetrated, muscle and bone may be involved. |
Contaminated wound | Wound with a high risk of infection. |
Closed wound | Wound in which tissues are injured but the skin is not broken. |
Open Wound | Wound in which skin or mucous membrane is broken. |
Partial thickness wound | Wound in which dermis and epi dermis are broken. |
Serosanguineous | Thin, blood tinged, watery drainage. |
inflammatory stage | Blood supply to the wound increases. |
Proliferative stage | Tissue cells multiply to repair wound. |
Maturation stage | The scar eventually becomes thin and pale. |