Brushing and flossing the teeth
-perform hand hygiene and observe other appropriate infection prevention procedures
RATIONALE–>wearing gloves while providing mouth care prevents the nurse from aquiring infections,gloves also prevent transmissions of microorganisms to the client
Brushing and flossing
-provide for client privacy by drawing the curtains around the bed or closing the door to the room,some agencies provide signs indicating the need for privacy.
RATIONALE–>hygiene is personal matter
Brushing and flossing
-prepare the client.
assist the client to sitting position in bed.if health permits,if not,assist the client to a side lying postion with the head turn
RATIONALE–>this position prevents liquid from draining down the clients throat
Brushing and flossing
-brush the tounge gently with the toothbrush.
RATIONALE–>brushing removes bacteria and freshens breath,a coated tounge may be caused by poor oral hygiene and low fluid intake,brushing gently and carefully helps prevent gagging or vomiting.
Brushing and flossing
-hand the client water cup then ask to spit,etc
RATIONALE–>vigorous rinsing loosens and washes away food particles
Brushing and flossing
-remove the denture
-apply gloves
RATIONALE–>wearing gloves decreases the likelihood of spreading infection
Oral care for unconsious/delibelated
Unoccupied bed
-place the fresh linen on the clients chair or overbed table,do not use another clients bed
RATIONALE–>this prevents cross contamination via soiled linen
Unoccupied bed
-assest and assist the client out of bed using assistive devices(cane,walker,safety belt)as appropriate.
RATIONALE–>this ensures clients safety
Unoccupied bed
-loosen all beddings systematically,starting the head of the bed on the farside and moving around the bed up to the head of the bed on the nearside
RATIONALE–>moving around the bed systematically prevents stretching and reaching and possible muscle strain.
Unoccupied bed
-folding reusable linens,grasp it on the center etc.
RATIONALE–>folding linens saves time and energy when applying the linens on the bed and keeps them clean
Unoccupied bed
-before moving to the other side of the bed,place the top linens on the bed hem side,unfold them tuck them in
RATIONALE–>completing the one entire side of the bed at a time saves time and energy
FANFOLD THE DIRTY LINEN
RATIONALE–>this leaves the near half of the bed free to be change
Perineal
-clean the labia majora,the spread the labia to wash the folds bet. The labia majora and the labia minora
RATIONALE–>secretions that tend to collect around the labia minorafacilitate bacterial growth
Male genital cleaning
RATIONALE–>retracting the foreskin is necessary to remove the smegma(thick cheesy secretion)that collects under the foreskin and facilitates bacterial growth.
Male genital cleaning
-Wash and dry the scrotum
RATIONALE–>it is usually cleaned after the penis..moresoiled than penis
Inspect perineal for orifices for intactness
RATIONALE–>a catheter may caused excoriation around the urethra.
