Self-care
pt who can perform ADL's without assistance
Assisted care
patients who need some assistance with ADLs
Total care
patients who can do very little or nothing for themselves
Early morning care
assists with toileting and oral care
Morning care
assist with bath, toileting, oral care, back massage, hair care,
dressing, bedding
Afternoon care
assisting with toileting, straightening the bed, making patient
comfortable, provide oral fluids if allowed
Bedtime care
assist patient to prepare for sleep, assist with toileting, offer fluids
if allowed, straighten room, dim lights
Benefits of bathing for the patient
-cleansing the skin
-increasing circulation and sensation
-provides comfort and relaxation
-improving self-esteem
Benefits of bathing for a nurse
, -skin assessment
-nurse to patient relationship
Skin assessment
-checking for venous return
-assess for mottling
-look for redness, cracking, and maceration
-check for excoriation
-provide back massage
-excoriation
-modeling
SItuations requiring the removal of jewelry
-surgery
-intubation
-diagnostic testing
-catheterization
Patients in need of special mouth care
-pt who are NPO
-pt receiving oxygen by cannula or mask
-pt having nasogastric or feeding tube in place
-pt who are unconscious
Observations made during oral cares
-decaying, broken, missing teeth
-reddened or bleeding gums
-ulcerations of the mucosa
-coating of the tongue
-white patches on the tongue or oral mucosa
Observations made during nail care
-discoloration
-ridges
-redness
pt who can perform ADL's without assistance
Assisted care
patients who need some assistance with ADLs
Total care
patients who can do very little or nothing for themselves
Early morning care
assists with toileting and oral care
Morning care
assist with bath, toileting, oral care, back massage, hair care,
dressing, bedding
Afternoon care
assisting with toileting, straightening the bed, making patient
comfortable, provide oral fluids if allowed
Bedtime care
assist patient to prepare for sleep, assist with toileting, offer fluids
if allowed, straighten room, dim lights
Benefits of bathing for the patient
-cleansing the skin
-increasing circulation and sensation
-provides comfort and relaxation
-improving self-esteem
Benefits of bathing for a nurse
, -skin assessment
-nurse to patient relationship
Skin assessment
-checking for venous return
-assess for mottling
-look for redness, cracking, and maceration
-check for excoriation
-provide back massage
-excoriation
-modeling
SItuations requiring the removal of jewelry
-surgery
-intubation
-diagnostic testing
-catheterization
Patients in need of special mouth care
-pt who are NPO
-pt receiving oxygen by cannula or mask
-pt having nasogastric or feeding tube in place
-pt who are unconscious
Observations made during oral cares
-decaying, broken, missing teeth
-reddened or bleeding gums
-ulcerations of the mucosa
-coating of the tongue
-white patches on the tongue or oral mucosa
Observations made during nail care
-discoloration
-ridges
-redness
