hygeine is not just about washing.. what else is it about or what else does it encompass
-dignity and privacy
-intimate/embarassement
-assessment/observation
-self esteem and well being
-infection control - hand hygeine/transmission and skin care
-safety
-oral hygiene
-hair care
-shaving
-toilet and washroom
hygiene is the nursing opportunity to protect or compromise someones dignity
-true
defining dignity
-self respect
-fulfilled
-inherent worth
-respect
-value
-empathy
-listening
-responding
-individualized care
-communicating
-involvement
-caring
-safety
-lack of embarassment
-control
how does healthcare impact dignity
-intimate procedures
-smells
-potential exposure of body
-stigmatism
-increase in dignity by increased supports and healing
-loss of privacy
-loss of control
why do we need to be mindful of patients dignity
-could lose your license
-not providing dignified care can border abuse
-its the right moral thing to do
-self interest (this is how id want to be treated)
professional responsibilities regarding dignity
-legal moral and professional responsibilities rearding dignity
-people in healthcare vulnerable to loss of dignity due to clinical environment, procedures and treatment, reliance on clinical staff for basic needs
-neglect and abuse
barrier to providing dignified care
-staffing levels
-exhaustion
-time
-language
-biases
-invasive procedures
-designed environment
-stigma
-system pressure
-not knowing culture
-complacency
-stigmatization
-training
-resources
-culture and tradition
dignity diagram
how should nurses promote dignity
-asking if they need help
-not referring to people as their condition
-involving patient in conversation
-not rushing through patients
-reflection and planning
-professionalism
-humour?
-providing privacy
-respect/empathy
-humanity
-therapeutic relationship
-acknowledge diversity
10 dignity dos and donts rough outline
Mnemonic Word What it Reminds You Of
Zero Zero tolerance of abuse
Super Support people with the same respect you’d want
Talented Treat each person as an individual with a personalised service
Elephants Enable people to maintain maximum independence
Listen Listen and support people to express needs and wants
Really Respect people’s privacy
Eagerly Ensure people feel able to complain without fear of retribution
And Engage with family members and carers as care partners
Always Assist people to maintain confidence and positive self-esteem
Act Act to alleviate people’s loneliness and isolation
dignity and continence
-incontinence perceieved as threat to personal dignity
-impacts on autonomy, independence and control
-child like - wearing diapers
-aversion to stool and urine (patient, carer, clinical staff)
what does dignity mean when condiering continence
-preventing embarassment and promoting
-context and individuality are important to consider
-incontinence is perceived as a threat to dignity through lack of autonomy, independence and control
-urinruncomtinece and management can be an indicator of quality of life and quality of care
how can the nurse promote dignity
-privacy
-reacting appropriately
-promoting independence
-helping them go when they need
-cleaning properly
-language we use
-call bell in reach
-being proactive, developing toiletting regime
-not stigmatizing
-identifying,assessing and managing continence problems can enable people to maintain their dignity and improve their health
Good Managment can improve sense of well-being and quality of life
improvements in continence care diagram
clinical management of incontinence
-collaborative interventions through pharmacotherapy, invasive and surgical interventions but also PT or OT
Personal care and dignity
-invading personal space
-vulnerability (pain)
-performing intimate and personal tasks such as toileting and cleaning, dressing, childbirth, feeding