病人的清洁卫生1.ppt

病人的清洁卫生(一),第一课件网 ,Cleanliness and hygiene,Functional Levels of Self-Care,Totally dependent Moderately dependent Semidependent,Types of Hygienic Care,Morning Care (AM Care) Hour of Sleep Care (HS Care) As-Needed Care (prn Care),Oral Care,Assessing,Nursing History Physical assessment Risk factors Assessment of clients with denture,Nursing History,Oral hygiene practices determine learning needs and incorporate the clients needs and preferences Self-care ability determine the amount and type of nursing assistance to provide Past or current mouth problems alert the nurse to specific interventions required or referrals,Physical Assessment,Dental caries（龋齿） Periodontal disease(牙周组织疾病）Gingivitis（牙龈炎） Mucosa ,lip, tongue, odor,第一课件网 ,(plaque),(tartar),牙垢（牙石）,龋齿的形成,没受酸影响的健康的牙釉柱,受酸影响而脱矿损的牙釉柱,氟与唾液中的矿物质再度矿化及重建牙釉柱,牙周疾病,牙龈炎,牙周炎,严重的牙周炎,地 图 舌,牛肉舌,镜面舌,裂纹舌,Risk Factors,Lack of knowledge Inability People with hasogastric tubes orreceiving oxygen Oral or jaw surgery Inadequate nutrition Excessive intake of refined sugars Family history Older people Dry mouth,第一课件网 ,Diagnosing,Self-Care Deficit Altered Oral Mucous Membrane Knowledge Deficit,Planning,To maintain or improve oral hygiene practices To maintain or restore the integrity of the oral tissues To prevent associated risks such as dental caries and inflammation or injury of the gums , tongue, or oral mucosa,Goals,Nursing Interventions,Teaching client about good oral hygiene practices and other measures to prevent tooth decay Assisting dependent clients with oral care Providing special oral hygiene for clients who are debilitated, unconscious,or have lesions of the mucosa membrane or other oral tissue,Implementing,（一）Teaching oral hygiene1.Brushing the teeth2.Flossing the teeth3.Health education （二）Caring for artificial dentures （三）Special oral care,Hair Care,Assessing,Nursing history 1.Hair Care Practices 2.Self-Care Abilities 3.Past or Current Hair Problems Physical assessment Dandruff, hair loss, pediculosis,男性脱发一般进程,Diagnosing,Self-Care Deficit Impaired Skin Integrity Risk for Infection Body Image Disturbance,Planning,Maintain or improve hair care Maintain or improve a sense of well-being Prevent specific hair and scalp problems,Goals,Nursing Intervention,Performs hair grooming with assistance Has clean ,well-groomed ,resilient hair with a healthy sheen Has reduced or absent scalp lessions or infestations Describes contributing factors, interventions ,and preventive measures for specific hair problems,Implementing,Brushing and combing hair Shampooing the hair 灭头虱法,第一课件网 ,Pediculosis（虱病）,30含酸百部酊剂,百部30g放在瓶中，加50乙醇100ml（或65白酒100ml），再加入 纯乙酸1ml盖严，48小时后即制得此药,30百部含酸煎剂,取百部（干品）30g，加水500ml煎煮30min，以双层纱