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PERSONAL HYGIENE

DIDIK S ATMOJO

HYGIENE

From the Greek


word hygies
Meaning
healthy, sound

WHAT IS PERSONAL HYGIENE?


Regular Routine of Personal
Care
Washing and Grooming
Your Hair
Your Face
Your Skin
Your Teeth
Your Ears
Your Hands
Your Nails
Your Feet

NURSING KNOWLEDGE BASE


Personal preferences for hygiene
Hygiene care is never routine
During hygiene

Assess

physical status and limitations


Assess clients readiness to learn
Provide privacy
Foster physical well being

Copyright 2003, Mosby, Inc. All rights reserved.

SCIENTIFIC KNOWLEDGE BASE


Good physical hygiene is necessary for
comfort, safety, and well being.
Ill clients require assistance with personal
hygiene.
Several factors influence a clients hygiene
practices.

Copyright 2003, Mosby, Inc. All rights reserved.

FACTORS INFLUENCING HYGIENE

Body image
A

persons subjective
concept of their
appearance

Social practices
Social

groups and
family practices

Socioeconomics
Cultural variables

Copyright 2003, Mosby, Inc. All rights reserved.

Frequency
Preferred

products

Lack

Personal preferences

Physical condition

of physical
energy
Loss of dexterity

Knowledge about importance of hygiene

PROVIDING SCHEDULED HYGIENE


1.

Early morning

2.

Morning care

3.

Afternoon care (PM care)

4.

HS care

5.

PRN care

PURPOSE OF THE PATIENT'S HYGIENE


1.
2.
3.
4.
5.
6.

Cleanses skin
Skin conditioner
Relaxes patient
Promotes circulation
Exercise
Stimulates
respirations

7.

Comfort

8.

Sensory input

9.

Improves self-image

10.

Establish rapport

11.

Physical assessment

12.

Health teaching

BED BATHS
Provide

supplies

Provide

privacy

Provide

Mirror

Assist

as necessary

BATHING AND SKIN CARE

Tub or shower
More

thorough than bed bath

Complete bed bath


For

clients who are dependent and require total


hygienic care

Partial bed bath


Involves

bathing only those parts that would cause


discomfort or odor if left unbathed

Copyright 2003, Mosby, Inc. All rights reserved.

ORAL CARE

Supply

equipment
for self care
Provide care or
assistance as
necessary

ORAL CARE.
Involves cleanliness, comfort, and moisturizing
the mouth
Unconscious client
Flossing and brushing
Denture care

Copyright 2003, Mosby, Inc. All rights reserved.

CLEANING THE EYES


No

soap

Clean

wash cloth

Water

runs away

from eyes
Clean

inside to

outside

HAIR CARE
Shampoo

requires a

doctors order
Wash

as often as

necessary

PERINEAL CARE
1.

Always proceed from least contaminated area


to most
1.
2.

2.

Females front to back


Males wash tip of penis and then down shaft

Turn patient over and clean anal area

PERINEAL CARE
Part of the bed bath
Clients most in need are those with secretions or
Foley catheters and following rectal surgery
Be alert to discharge, skin irritation, and odors
Good perineal care prevents skin irritation and
breakdown

Copyright 2003, Mosby, Inc. All rights reserved.

NURSING PROCESS:
ASSESSMENT

Nursing history to determine:


Self

care practices
Self-care abilities
Past or current problems
Identification of clients at risk for developing
impairment

Physical assessment

FOCUS OF SELF-CARE DEFICIT


DIAGNOSES

Self-Care Deficit : Bathing/Hygiene

Self-Care Deficit : Dressing/Grooming

Self-Care Deficit : Toileting

Self-Care Deficit : Feeding

NURSING INTERVENTION
Meeting Personal Hygiene Needs:
Bathing a Patient

Backrub

Promotes

relaxation & Comfort


Stimulates circulation
Tones muscles

Hair Care
Brush

or comb hair
May need to shampoo hair

diexs

MEETING ADDITIONAL
HYGIENE NEEDS

diexs

SKIN HYGIENE

Functions of Skin:
Protection

Regulation
Sensation

Production

of Body Temperature

of Vitamin D
Secretes Sebum

MAINTAINING COMFORT
NEEDS
Cleanliness of the Patients Environment

PATIENT OUTCOME ACHIEVEMENT


Level of patient participation in hygiene program
Elimination of, reduction in, or compensation for factors
interfering with independent execution of hygiene
measures
Changes related to specific skin problems

QUESTIONS?

MAKE HYGIENE PART OF YOUR DAILY


ROUTINE

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