THE MODULAR UNIT -6&7-
Body hygiene&
Oral hygiene
A/ Over view
--------------------:-1- Central ideas.: -
1.1- Definition of oral hygiene .
1.2- Definition of halitosis .
1.3- Back massage .
1.4 – The purpose of back massage .
1.5- Definition of bed sores .
1.6- Causes of bed sores .
1.7- Areas of bed sores .
1.8- Signs & symptoms of bed sores .
1.9- Factors affecting the formation bed sores .
1.10- Nursing care of bed sores .
2/ Performance objectives :- After this studding this modular unit you should be able to :
Define oral hygiene & halitosis .
Enumerate the purpose of oral hygiene .
Define back massage & the purpose of it .
Enumerate the causes bed sores .
Define bed sores .
Determined the areas of bed sores.
Determined the signs & symptoms of bed sores.
Mention the factors affecting the formation of sores .
Explain how you making nursing care to the patient with bed sores .
Body & oral hygiene Lec:6
Definition: cleaning and freshening the teeth, gums and mouth.Purpose:
To keep the teeth, gums and mouth in a good condition.To freshen the mouth and relieve of halitosis.
To prevent sores and infection.
To promote sense of well-being and comfort.
Equipment:
Tooth brush and paste.Kidney basin.
Face towel.
Paper wipes.
Glass containing water or mouth wash.
Halitosis: full odor of breath caused by high number of bacteria.
Caries: decay of teeth with the formation of cavities.
Periodentitis or pyorrhea: sever inflammation of the gums, including bone tissue around the teeth.Back massage:
Definition: making massage to the individual back to give comfort and therapeutic.Purpose:
To stimulate circulation of blood supply to the area.To observe any signs on the skin (sorses).
To promote relaxation and relive tension.
Important points:
If skin is dry don’t use alcohol but use Vaseline or lotion.Massage that given to the patient skin must be no break
After making back massage:
Recording date and time.Any abnormal defect observed during making back massage.
Bed sores (pressure ulcer):
Is progressive destruction of the under lying tissue.
Causes of bed sores:Poor nutrition.
Poor circulation of blood.
Dry skin and without resistance.
Unclean of skin.
Lie or sleep for long periods.
Areas of pressure sores:
Heels. 4. Scapula.Elbows. 5. Back of the head.
Coccyx.
Signs and symptoms:
Painful.Redness in the area.
Fever.
Care of pressure ulcer:
It is important to proper positioning of the patient in order to prevent further pressure on affected areas.
Equipments:
Sterile water.Sterile sponges.
Lotion, powder, and alcohol.
Factors affecting the formation of pressure sores:
Moisture: due to urine, feces, drainage and perspiration.Hygiene: poor hygiene, high number of micro-organism present on the skin (bacteria).
Poor nutrition.
Body heat.
Nursing care for bed sores:
Clean and dress sores.Change position every 2 hours.
Reduce friction by using powder.
Use floating mattress.
Change clothing and sheets.
Make back massage to prevent new sores.
Prevent sleep on sores side.
Check vital signs.
Giving good nutrition and fluid.
10. Reduce pressure on site of pressure (fulcrum area).