MCD-1 FINAL Study Guide- Rasmussen College | A Complete A+ Guide

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MCD-1 Final Exam Study Guide Hygiene: Benefits of Bathing: Ø Bathe clients to cleanse body, stimulate circulation, provide relaxation, and enhance healing. Ø Bathe clients whose health problems... have exhausted them or limited their mobility Ø Give a complete bath to clients who can tolerate it and whose hygiene needs warrant it. Ø Allow rest periods for clients who become tired. Ø Partial baths are useful when clients cannot tolerate a complete bath, need cleanings of odorous or uncomfortable areas, and can perform part of the bath independently. Ø Therapeutic baths are used to promote comfort and provide treatment. Giving a Bed Bath: Ø Collect supplies, provide privacy, explain procedure, apply gloves. Ø Lock wheels on the hospital bed and adjust the height to a comfortable working position. Ø Place a blanket over the client, and remove gown. Ø Obtain warm bath water. Start by washing clients face first and allow client to perform this task if able. Ø Perform the bath systematically by starting with the client’s trunk and upper extremities and continuing to the lower extremities. Keep clean area covered with a blanket or towel. Ø Wash with long, firm strokes from distal to proximal and light strokes over lower extremities for clients who have a history of deep vein thrombosis. Ø Apply a lotion and powder (If needed) and a clean gown.Ø Replace water if he becomes cool, and use fresh water for perineal care. Ø Document skin assessment, type of bath, and the clients response. Oral Hygiene: • Proper oral hygiene helps decrease the risk of infection, especially from the transmission of pathogens that can cause pneumonia. • Other populations who require meticulous oral hygiene include those who are seriously ill, injured, unconscious, dehydrated, and have an altered mental status or limited upper body movement. Autonomy for a Client Requiring Oral Care? • Brush the teeth twice a day. • Use a soft toothbrush. • Moisturize oral mucosa and lips every 2 to 4 hours. • Use a chlorhexidine gluconate (0.12%) rinse twice a day during the perioperative period for patients who undergo cardiac surgery (adult patients). • Use mouthwash inside the mouth twice a day for adult patients who are on a ventilator. • Give the patients the oral supplies.Perineal Care: (Reduces Urinary Tract Infection) • Perineal care helps maintain skin integrity, relieve discomfort, and prevent transmission of microorganisms (catheter care). • Provide privacy, maintain a professional demeanor, remove any fecal materials from the skin. • Cleanse the perineal area from front to back (perineum to rectum). • Dry thoroughly. • *On a MALE client* Retract foreskin of male clients to wash the tip of the penis, clean from the meatus outwards in a circular motion, then replace foreskin. Skin Care: • Perform a daily inspection of the patient's entire skin. • Document and report any manifestations of skin infection. • Use moisturizers daily on dry skin and apply when skin is damp. • Keep moisture from prolonged contact with skin. • Dry areas where two skin surfaces touch, such as the axillae and under the breasts. • Place absorbent pads under areas where perspiration collects. • Use moisture barriers on skin areas where wound drainage or incontinence occurs. • Do not massage bony prominences. • Humidify the room. Skin Cleaning • Clean the skin as soon as possible after soiling occurs and at routine intervals. • Use a mild, heavily fatted soap or gentle commercial cleanser for incontinence. • Use tepid rather than hot water. • In the perineal area, use a disposable cleaning cloth that contains a skin-barrier agent. • While cleaning, use the minimum scrubbing force necessary to remove soil. • Gently pat rather than rub the skin dry. • Do not use powders or talc directly on the perineum. • After cleaning, apply a commercial skin barrier to areas in frequent contact with urine or feces [Show More]

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