Blog des Infirmiers marocains

Cours et E-Document

Basnetg.com - Premium WordPress Themes

nursing care plan & personal hygiene..خطة الرعاية التمريضية و النظافة الشخصية

Published on: mardi 15 avril 2014 //

                                     
definition
 Personal hygiene is a treatment that helps clean and protect its integument , it is a factor of physical and moral of the person being cared for well-being , it also allows the observation and relationship.
objectives
• Ensure the hygiene of the person.
• Monitoring of the skin condition.
Complete toilet to bed
equipment
• Linen:
o 2 washcloths 1 for the top, one for the lower body.
o 2 towels : one for the top, one for the lower body.
o clean linen for the rehabilitation of beds: 2 sheets, pillowcase, bed pad and / or coverage if needed.
o clean linen for the patient : pajamas or personal laundry .
o anatomical protection in cases of incontinence .
• Material hygiene :
o Soap .
o Massage Oil kind of sweet almond oil .
o Cologne .
o Brush, comb.
o Razor and shaving foam.
• Miscellaneous equipment:
o 1 cup , 2 cups if possible ( 1 up, 1 down).
o Toilet paper .
o 2 pairs of non-sterile disposable gloves.
o Bag eliminating paper waste and uncontaminated material .
o Laundry bag .
o container contaminated sharps .
o surface disinfectant and cloth.
o Required for hand hygiene.
Implementation of care
installation
The grooming of the face, ears and neck
Toilet chest , abdomen , arms and hands
Toilet legs and feet
Toilet genitals
Toilet back
The toilet seat
Rehabilitation bed
installation
• Warn the patient .
• Always take into account the degree of autonomy of the patient and stimulate the patient during treatment , allowing the patient to do what he can do ( face, torso , arm, hand , genital toilet ) .
• Close windows , lower the blinds to preserve the privacy of the patient if there is visibility.
• Install the hardware :
o bowl filled with warm water at the desired temperature by the person .
o Installation on a clean and disinfected prior surface.
o Install bins at the foot of the patient bed .
o Provide a chair to put the bed cover , disinfect before treatment .
o Respect the health, safety and ergonomics triangle : Clean (hardware) - Patient - Sale ( bins) .
• Depending on the patient :
o If patient probed : empty collection bag urine before treatment ( the necessary materials ) .
o If patient can urinate : offer him empty his bladder before treatment ( flat basin , urinal , bathroom) .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
• Overflow bed from top to bottom without finding the person.
• Remove the bed cover , cover , place the disinfected chair for this purpose .
• Prepare a " small blanket " with the top sheet : Fold the sides toward the center to cover the patient.
• The toilet is done starting with the face and ending with genital toilet and seat, but if the person is contaminated with feces or urine , we begin by genital toilet then the seat for comfort.
• Remove the nightgown , and cover the person with the "little coverage."
The grooming of the face, ears and neck
• Shaving person . Remove the shaver in the container contaminated sharps .
• Do not face soap unless the person wants.
• Start eyes with the corner of the washcloth in from the inside (nose ) outwards ( ears).
• Wash the front, from the middle to the outside, and go behind the ear. Make the second hémiface .
• Wash the neck.
• Wipe dabbing , without rubbing.

Toilet chest , abdomen , arms and hands
• Start with the farthest member :
o Put the towel up under the arm. Cover the nearest hémicorps with little coverage .
o Soap shoulder inside outwards .
o Soap armpit .
o Soap then the arm from the shoulder to the hand and making movements "8" around the arm which allows not board twice in the same place .
o Soap then the hand and fingers .
o Rinse proceeding in the same way.
o Wipe dabbing , without rubbing.
• Proceed in the same way to the nearest arm.
• Wash the chest and abdomen with emphasis in the folds and the umbilicus , rinse and pat dry .
• Cover the chest with the towel or small blanket .
Toilet legs and feet
• Take the glove down.
• Start with the farthest member :
o Put a towel under the leg.
o Support the leg below the ankle to do the washing.
o Start soap from shorts ( mid-thigh ) by performing movements "8" .
o Wash the interdigital spaces with the edge of the washcloth, do not place fingers.
o Rinse the same way .
o Wipe the towel by blotting with toilet reserved for the bottom.
• Proceed in the same way to the nearest leg.
• Perform strokes to support points ( heels) with circular movements without pressing with massage oil : anti- bedsore prevention.
Toilet genitals
• Change the water in the basin.
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
• Develop non-sterile gloves.
• If the person has an anatomical protection , open and fold the opening between the legs , around the anal area.
• Soap starting with the furthest thigh , up towards the abdomen, passing on the pubis and finish down to the nearest thigh.
• Soap then the organs from the outside to inside and top to bottom , without returning to avoid spreading germs anal in the vagina or penis. Stress at the folds .
• Rinse proceeding in the same way.
• Wipe dabbing , without rubbing.
Toilet back
• Discard gloves .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
• Change the water in the basin.
• Remove the pillow , take the dirty pillowcase pillow, open and return to the back of the chair that allows a dirty cloth bag .
• Install comfortably in recovery position , ensuring security, ask for help .
• Resume the washcloth and towel reserved for toilet top .
• Put the towel under the back.
• Soap up and down without going several times in the same place .
• Rinse and dry .
• Suggest friction cologne to refresh .
• Rub the sacrum with massage oil .
• Put the towel riding on the back and chest to preserve modesty and prevent the person from getting cold .
The toilet seat
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
• Place the second pair of non-sterile gloves.
• Resume the washcloth and towel reserved for toilet bottom .
• Discard the anatomical protection bag disposal.
• If the presence of stool, wipe the seat with toilet paper and throw it in the bag disposal.
• Soap starting genitals and back to the anal area.
• Rinse and dry by blotting .
• Put the towel horse on the buttocks and pubic area to meet modesty.
• Discard gloves .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
Rehabilitation bed
• Roll the sheet up half the bed and slide a bit in the person .
• Disinfect the mattress from head to foot with the solution of cleaning and disinfection of surfaces.

• Fold a clean sheet in half , put on some clean mattress and stuck the other party in person.
• Install the anatomical protection.
• Turn the person on the back and switch to the other side.
• Pull and remove the dirty cloth and throw it into the pillowcase acting laundry bag .
• Disinfect the rest of the mattress with the disinfectant solution.
• Expand the clean sheet and anatomical protection.
• Reinstall the person on the back.
• Close the anatomical protection.
• Dress the person and style.
• Replace the pillow covered with a clean pillowcase .
• Change the top sheet , if necessary put a blanket, bedspread.
• Place objects of the person at hand , give the bell.
• Put dirty clothes in the laundry bag .
• Ranger, throw and disinfect all equipment used including the chair and other items that have been in contact with the machine .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.

Toilet to the sink
equipment
• Linen:
o 2 washcloths 1 for the top, one for the lower body.
o 2 towels : one for the top, one for the lower body.
o 2 drawsheets fabric .
o clean linen for the patient : pajamas or personal laundry .
o anatomical protection in cases of incontinence .
• Material hygiene :
o Soap .
o Massage Oil kind of sweet almond oil .
o Cologne .
o Brush, comb.
o Razor and shaving foam.
• Miscellaneous equipment:
o kocher clamp (clamp ) .
o Toilet paper .
o Gloves non sterile single use.
o Bag eliminating paper waste and uncontaminated material .
o Laundry bag .
o container contaminated sharps .
o surface disinfectant and cloth.
o Required for hand hygiene.
Implementation of care
• Warn the patient .
• Assist the patient and the things he can not do it alone ( leg, back ), the boost .
• Place a draw sheet on the floor to prevent falls.
• Place a draw sheet in the back and secure it with the clamp at the chest to preserve his privacy.
• Proceed in the same way as toilet in bed by adapting care to the situation and depending on the patient.

The capiluve care or head.
equipment
• Linen:
o Netting rubber .
o Alaise fabric .
o Towel .
o Pillows .
• Material hygiene :
o Shampoo .
o Brush, comb.
• Miscellaneous equipment:
o kocher clamp (clamp ) .
o Broc.
o Laundry bag .
o surface disinfectant and cloth.
o Required for hand hygiene.
Implementation of care
• Warn the patient .
• Remove eyeglasses and hearing equipment if the person is a carrier .
• Fill the jug of warm water at the desired temperature by the person .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
• Install the person so head back in bed , supporting shoulders with pillows ; head forward or backward if the sink is carried capiluve .
• Overlay the pad and the pad rubber fabric . Surround the patient's neck with the protections and keep up with the clamp at the chest.
• Wet hair .
• Apply shampoo, massage the scalp gently .
• Rinse thoroughly to remove all shampoo .
• Squeeze and dry hair with the towel.
• Remove the protection.
• Comb .
• Store and disinfect all equipment used .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.
The foot bath or foot bath .
equipment
• Linen:
o Alaise rubber .
o Alaise fabric .
o 2 towels .
o 1 washcloth.
• Material hygiene :
o Soap .
o Solution on prescription drug .
• Miscellaneous equipment:
o Bowl .
o Broc.
o Laundry bag .
o surface disinfectant and cloth.
o Required for hand hygiene.
Implementation of care
• Warn the patient .
• Install the person sitting on a chair or semi-sitting if treatment is given to bed.
• Overlay the pad and the pad rubber fabric . Protections put under the legs.
• Install the bowl and pour in water to the desired temperature by the person .
• Allow feet to soak for 5-10 minutes depending on the tolerance of the person.
• Soap after soaking.
• Rinse and dry well between the interdigital spaces.
• Store and disinfect all equipment used .
• Perform a simple hand washing or perform hygienic hand by rubbing with an alcohol-based solution : hand hygiene.

Monitoring and evaluations
• Monitor skin condition and mucous membranes.
• Reaction of the patient.
• Participation of patient care

0 commentaires for " nursing care plan & personal hygiene..خطة الرعاية التمريضية و النظافة الشخصية"

Laisser un commentaire

Fourni par Blogger.

أرشيف المدونة الإلكترونية

facebook

Feed!

infirmiere auxiliaire

RSS Feed!
RSS Feed!
RSS Feed!
Subscribe to our RSS Feed! Follow us on Facebook! Follow us on Twitter! Visit our LinkedIn Profile!
Feed!

Translate