1. Hygiene
Teresa Hurley, MSN, RN

2. Personal Hygiene Promotes Cleanliness Psychological Well-being
Does it matter what time of day, how often one bathes, washes their hair, changes linens or PJ’s?

3. Hygiene
Provide only that care which the client can not do for themselves or should not do for themselves
Factors influencing hygiene
-personal preferences
-culture
-spiritual practices
-socioeconomic status
-developmental level
-knowledge
-health status

4. Health Status Factors Physiological Limited Mobility Sensory Deficits
Cognitive Impairments
Psychological
Circulatory
Integumentary

5. Assessment Ability to bathe Physical Restrictions
Physical and psychological limitations
Preferences
Therapeutic Modalities (NGTs, IVs, anti-emboletic stockings, casts, traction, oxygen etc)

6. Nursing Diagnosis Bathing/Hygiene Self Care Deficit
Goal: Client will be clean and feeling fresh
Interventions
What are you going to do to achieve this goal?

7. Types of Bathing Partial Bed Bath Bed Bath Complete Bed Bath Tub Baths
Showers

8. Nursing Care Provide individualized and organized care Provide privacy
Adjust bed height and side rails
Position client
Offer bedpan or urinal
Prevent chilling
Wash using long strokes
Top to bottom
Inner to outer
Clean to dirty
Front to back

9. Nursing Care Perineal Care Back Massage
Are there any contra-indications to giving a back massage?

10. Nursing Care
Foot Care
Nails
Hair/Shaving
Eye
Ears