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Patient Hygiene. NEO111 M. Jorgenson, RN BSN. Personal Hygiene. Measures for personal cleanliness and grooming Promotes physical and psychological well-being Care must be carried out conveniently and frequently enough to promote personal hygiene and wellness

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Patient Hygiene

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Patient hygiene

Patient Hygiene

NEO111M. Jorgenson, RN BSN

Personal hygiene

Personal Hygiene

  • Measures for personal cleanliness and grooming

  • Promotes physical and psychological well-being

  • Care must be carried out conveniently and frequently enough to promote personal hygiene and wellness

  • Practices vary widely among people; nurses should respect individual patient preferences

  • Nurses should give only the care that patients cannot or should not provide for themselves

Bedside cleansing and skin care products

Bedside Cleansing and Skin Care Products

  • Bathing cloths

  • Bathing wipes

  • No-rinse body wash and shampoo

  • Body foam

Folding the washcloth for a bed bath

Folding the Washcloth for a Bed Bath

Meeting bathing needs of patients with dementia

Meeting Bathing Needs of Patients With Dementia

  • Focus on comfort, safety, autonomy, and self-esteem, in addition to cleanliness.

  • Individualize patient care.

  • Consider what can be learned about the needs and preferences of the patient.

  • Consider other methods for bathing.

  • Maintain a relaxed demeanor; use calming language.

Assessments made when giving a bed bath

Assessments Made When Giving a Bed Bath

  • Patient’s knowledge of hygiene practices and bathing preferences

  • Frequency, time of day, type of hygiene products used

  • Any physical activity limitations

  • Patient’s ability to bathe himself or herself

  • Patient’s skin for dryness, redness, or areas of breakdown

Bathing cont

Bathing (cont.)

  • Order of Bathing

    • Eyes/Face (rinsing wash cloth between eyes)

    • neck & ears

    • Arms

    • chest/abdomen

    • Legs

    • Back

    • buttocks

    • perineal area

  • If using a water basin to bath a patient, water should be changed:

    • After washing the front of the person and prior to cleaning the back and buttocks.

    • Change the water again prior to perineal


Assessments made when providing oral care for a patient

Assessments Made When Providing Oral Care for a Patient

  • Patient’s oral hygiene preferences

    • Frequency, time of day, type of hygiene products

  • Patient’s oral cavity and dentition

  • Patient’s lips for dryness or cracking

  • Patient’s ability to perform own care

    • Any physical activity limitations

Oral care dependent patient

Oral Care (Dependent Patient)

  • Correct head position

    • On its side and tilted forward

    • Raised 30-45 degrees

  • Rinsing the mouth of a dependent person

    • Carefully squirt a small amount of water using an irrigating syringe being sure to avoid the back of the throat

    • Immediately suction water out with a yankaur

      suction device

    • Use of a toothette or suction toothette

Expected outcomes when performing oral care

Expected Outcomes When Performing Oral Care

  • The patient’s mouth and teeth will be clean.

  • The patient will not experience impaired oral mucous membranes.

  • The patient will participate as much as possible with oral care.

  • The patient will demonstrate improvement in body image.

  • The patient will verbalize an understanding about the importance of oral care.

Oral hygiene for patients with cognitive impairments

Oral Hygiene for Patients With Cognitive Impairments

  • Choose a time of day when the patient is most calm.

  • Enlist the aid of a family member or significant other.

  • Break the task into small steps.

  • Provide distraction.

  • Allow the patient to participate.

  • If the patient strongly refuses care, withdraw.

  • Document effective and ineffective intervention.

Cleaning dentures at the sink

Cleaning Dentures at the Sink

Assessments made when providing eye care for a patient with contacts

Assessments Made When Providing Eye Care for a Patient With Contacts

  • Assess both eyes for contact lenses.

  • Assess eyes for any redness or drainage.

  • Assess for any eye injury.

    • If an injury is present, notify the physician about the presence of the contact lens.

    • Do not try to remove the contact lens in this situation due to the risk for additional eye injury.

Contact storage case marked l and r

Contact Storage Case Marked L and R

Assisting with shaving

Assisting with Shaving

  • Male facial hair—shave in the direction of hair growth (with the grain)

  • Female leg hair—shave against the direction of hair growth (against the grain)

  • When should shaving a patient with a straight edge razor be avoided and an electric razor used instead?

    • Significant immunocompromised (low WBC)

    • Anticoagulation therapy (blood thinners)

    • Bleeding disorders

    • Low platelet count

Unexpected situations and associated interventions when shaving a patient

Unexpected Situations and Associated Interventions when Shaving a Patient

  • Patient is cut and bleeding during shave: Apply pressure with gauze or towel to injured area for 3 - 3 minutes. Resume shaving after bleeding has stopped.

  • Patient has large amount of hair to be shaved: It may need to be trimmed with scissors first.

Assessments made when making an occupied bed

Assessments Made When Making an Occupied Bed

  • Assess the patient’s preferences regarding linen changes.

  • Assess for precautions or activity restrictions for the patient.

  • Check for evidence of body secretions or fluids on the linens.

  • Check the bed for patient belongings.

  • Note the presence and position of any tubes or drains.

Fan folding bottom sheet when making a bed

Fan-Folding Bottom Sheet When Making a Bed

Providing perineal care for a female patient

Providing Perineal Care for a Female Patient

  • Spread the labia and move the washcloth from the pubic area toward the anal area.

  • Always proceed from the least contaminated area to the most contaminated area.

  • Use a clean portion of the washcloth for each stroke.

  • Rinse the washed areas well with plain water.

Providing perineal care for a male patient

Providing Perineal Care for a Male Patient

  • Clean the tip of the penis first, moving the washcloth in a circular motion from the meatus outward.

  • Wash the shaft of the penis using downward strokes toward the pubic area.

  • Always proceed from the least contaminated area to the most contaminated area.

  • Rinse the washed areas well with plain water.



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