Hygiene Case study answers PDF

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Suggested Answers to Case Studies, Chapter 31, Hygiene 1a. Appropriate questions/statements that would address your patient’s bathing habits include: 

Please describe your bathing habits.

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Are there special bathing or hygiene products you routinely use---or can’t use?

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When is your favorite time to bath?

1b. Appropriate questions with which to address her deficient hygiene would include: 

Is there anything (now, or in the past) that has interfered with your hygiene practices?

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Does anything interfere with you being as clean as you’d like?

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I see you use a walker, are you in need of any assistive devices like a shower chair?

1c. Questions regarding her skin condition are appropriate due to: 

Her deficient hygiene

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Her age

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The fragility of her skin

1d. Deodorant soap would not be the best soap for her because it contains chemicals that will excessively dry her skin. In some cases, a soap substitute would be more helpful. 1e. The most appropriate bathing style(s) for her on the days where her aide doesn’t visit would include: 

Sponge bath of perineal areas for freshening (bag bath could also be used)

Suggested Answers to Case Studies, Chapter 31, Hygiene 

Warm water and washcloth for face and neck for refreshing

1f. Three appropriate hygienic goals for your patient would include: 

Level of patient participation in hygienic program

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Elimination of, reduction in, or compensation for factors that interfere with the patient’s hygienic success

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Changes as related to patient-specific skin problems

2a. Hygienic issues of utmost importance to patients using an indwelling catheter would include: 

Scrupulous, daily catheter care

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Inspection of the urinary meatus

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Notation of urine characteristics

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Notation of painful or burning urination (on nonparaplegic patients)

2b. Other information that can be gleaned from a hygienic assessment includes: 

Physical mobility limitations

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Mental health alterations

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The presence of skin lesions

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The patient’s economic/housing status

2c. Aspects for which helping a patient with bathing promotes health include: 

Cleanses the skin

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Conditions the skin

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Contributes to relaxation, especially of restless patient

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Promotes circulation

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Promotes range of motion

Suggested Answers to Case Studies, Chapter 31, Hygiene 

Stimulates rate and depth of respirations

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Promotes comfort

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Provides sensory input

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Helps to improve self-image

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Provides opportunity for nurses to thoroughly assess patient integument

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Promotes nurse--patient bond

2d. Introducing this patient to a bag bath could be extremely helpful. Using a bag bath would enable the patient to have a warm/hot sponge bath whenever desired, and would promote skin integrity and reduce potential infection issues with his indwelling catheter. 2e. Appropriate nursing interventions for the spot on this patient’s left buttock would include: 

Positioning to decrease the pressure on the area

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Frequent skin cleansing and care (lotion, air, and the like) to increase circulation

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Notifying the health care provider of the spot’s characteristics

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Encouraging scrupulous perineal care...