Rules for hand washing - - -15-20 seconds
-hands lower than elbows
-firm rubbing circular motion
-remove jewelry
-rules for baths - - -long firm strokes
-inspect skin
-persuasion
-stop if distress
-use distraction
-ask for help
-complete bath - - sponge bath
-self help bath - - patients confined to bed;can help with back/feet
-partial bath - - client washes everything;nurse washes back
-bag bath - - Commercially prepared washcloths that are moistened with a no-rinse-
required cleaning product.
-towel bath - - Nurse uses a single large towel to cover and wash a client
-tub bath - - A bath given in a tub.
-independent - - no bathing assistance needed
-Semi-dependent - - requires help from another person
, -moderately dependent - - help from another person and/or device
-totally dependent - - not able to participate at all
-foot care basics - - -nails cut straight across
-diabetics
-no lotion between toes, may cause fissures and cracks in skin
-Oral care basics - - -no lemon glycerin swabs (erodes enamel)
-mouth swab in water
-suction available
-critical thinking-independence - - think for yourself
-critical thinking-fair minedness - - consider all points of view
-critical thinking-insight into egocentricity - - be aware of own biases
-critical thinking-intellectual humility - - admitting you dont know
-critical thinking-challenge status quo and rituals - - ask why
-critical thinking-integrity - - admit when wrong
-critical thinking-perseverance - - keep pushing forward and making progress
-critical thinking-confidence - - confident in words and actions
-critical thinking-curiosity - - gain new knowledge
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