病人的清洁卫生
Download
1 / 44

病人的清洁卫生 ( 一 ) - PowerPoint PPT Presentation


  • 197 Views
  • Uploaded on

病人的清洁卫生 ( 一 ). 中国医科大学护理学院 吕 岩. Cleanliness and hygiene. Functional Levels of Self-Care. Totally dependent Moderately dependent Semidependent. Types of Hygienic Care. Morning Care (AM Care) Hour of Sleep Care (HS Care) As-Needed Care (prn Care). Oral Care. Assessing.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' 病人的清洁卫生 ( 一 )' - stephen-gomez


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

病人的清洁卫生(一)

中国医科大学护理学院

吕 岩


Cleanliness and hygiene

Cleanliness and hygiene


Functional levels of self care
Functional Levels of Self-Care

  • Totally dependent

  • Moderately dependent

  • Semidependent


Types of hygienic care
Types of Hygienic Care

  • Morning Care (AM Care)

  • Hour of Sleep Care (HS Care)

  • As-Needed Care (prn Care)



Assessing
Assessing

  • Nursing History

  • Physical assessment

  • Risk factors

  • Assessment of clients with denture


Nursing history
Nursing History

  • Oral hygiene practices —determine learning needs and incorporate the client’s needs and preferences

  • Self-care ability —determine the amount and type of nursing assistance to provide

  • Past or current mouth problems —alert the nurse to specific interventions required or referrals


Physical assessment
Physical Assessment

  • Dental caries(龋齿)

  • Periodontal disease(牙周组织疾病)

    Gingivitis(牙龈炎)

  • Mucosa ,lip, tongue, odor


(plaque)

(tartar)




没受酸影响的健康的牙釉柱

受酸影响而脱矿损的牙釉柱

氟与唾液中的矿物质再度矿化及重建牙釉柱


牙周疾病

牙龈炎

严重的牙周炎

牙周炎



牛肉舌

镜面舌

裂纹舌


Risk factors
Risk Factors

  • Lack of knowledge

  • Inability

  • People with hasogastric tubes or

    receiving oxygen

  • Oral or jaw surgery

  • Inadequate nutrition

  • Excessive intake of refined sugars

  • Family history

  • Older people

  • Dry mouth


Diagnosing
Diagnosing

  • Self-Care Deficit

  • Altered Oral Mucous Membrane

  • Knowledge Deficit


Planning
Planning

Goals

  • To maintain or improve oral hygiene practices

  • To maintain or restore the integrity of the oral tissues

  • To prevent associated risks such as dental caries and inflammation or injury of the gums , tongue, or oral mucosa


Nursing interventions
Nursing Interventions

  • Teaching client about good oral hygiene practices and other measures to prevent tooth decay

  • Assisting dependent clients with oral care

  • Providing special oral hygiene for clients who are debilitated, unconscious,or have lesions of the mucosa membrane or other oral tissue


Implementing
Implementing

(一)Teaching oral hygiene

1.Brushing the teeth

2.Flossing the teeth

3.Health education

(二)Caring for artificial dentures

(三)Special oral care



Assessing1
Assessing

  • Nursing history

    1.Hair Care Practices

    2.Self-Care Abilities

    3.Past or Current Hair Problems

  • Physical assessment

    Dandruff, hair loss, pediculosis



Diagnosing1
Diagnosing

  • Self-Care Deficit

  • Impaired Skin Integrity

  • Risk for Infection

  • Body Image Disturbance


Planning1
Planning

  • Maintain or improve hair care

  • Maintain or improve a sense of well-being

  • Prevent specific hair and scalp problems

Goals


Nursing intervention
Nursing Intervention

  • Performs hair grooming with assistance

  • Has clean ,well-groomed ,resilient hair with a healthy sheen

  • Has reduced or absent scalp lessions or infestations

  • Describes contributing factors, interventions ,and preventive measures for specific hair problems


Implementing1
Implementing

  • Brushing and combing hair

  • Shampooing the hair

  • 灭头虱法


Pediculosis(虱病)


30%含酸百部酊剂

百部30g放在瓶中,加50%乙醇100ml(或65°白酒100ml),再加入 纯乙酸1ml盖严,48小时后即制得此药


30%百部含酸煎剂

取百部(干品)30g,加水500ml煎煮30min,以双层纱布过滤,将药渣中的药液挤出。将药渣再加水500ml煎30min,再以双层纱布过滤,挤出药液。将两次煎得的药液合并,浓缩至100ml,冷却后加入纯乙酸1ml,即制得30%百部含酸煎剂。若无乙酸,可用食醋代替,纯乙酸1ml相当于市售食醋30ml。