CNA Chapter 12

residents who are unconscious may still-

-be able to hear.

things to observe and report during personal care and bathing.

-change in size of pupils -difference in appearance from one eye to another -yellow or red color in whites of eyes -changes in vision, ability to hear, or sense of smell -drooping on one side of face -weight loss -drainage from eyes, ears, nipples, or genitals -foul odors from any area -pale, cyanotic, white, reddened, or purple areas on skin -dry, flaky, broken, or cracked skin -lumps or bumps on skin -moles or spots on skin, especially those that are red, white, yellow, dark brown, gray, or black -rashes or any skin discoloration -bruises, blisters -cuts, scrapes, or scratches -open sores or ulcers on any area -changes in open sore, wound, or ulcer including color, size, drainage, odor, and overall depth -swelling/edema of any area, especially knuckles, fingers, groin, abdomen, legs, ankles, or feet -poor condition of nails, nails in need of trimming -dry, cracked, or broken skin in between toes or toenails -itching or scratching -change in emotional state -change in mobility -complaints of pain, discomfort, or stiff neck -numbness, burning, warmth, or tingling in the extremities or other areas of body.

ways the na will assists a resident who can brush his teeth.

-collect and set up supplies. -cover overbed table. -raise head of bed. -provide clothing protector or towel. -pour fresh water in mouthwash. -help with cleaning face and neck. -remove supplies. -empty, clean, and store supplies

signs and symptoms to report during oral care.

-dry, cracked, bleeding, or chapped lips. -cold sores on lips. -raised areas. -swollen, irritated, red, bleeding, or whitish gums. -loose, cracked, chipped, broken, or decayed teeth. -yellow-filled or red sores. -white spots inside mouth. -pus or drainage. -coated or swollen tongue. -bad breath or fruity smelling breath. -change in residents ability to drink, suck on a straw, or swallow. -gagging or choking. -resident reports of mouth pain.

one way to prevent aspiration-

-use as little liquid as possible during oral care.

order in which to bathe a resident

1. eyes 2. face 3. ears 4. neck 5. arms, axillae, and hands 6. chest and abdomen 7. legs and feet 8. back 9. perineal areas 10. buttocks

what may be used to store dentures?

a labeled denture cup.

additive

a substance added to another substance, changing its effect.

plaque

a substance that accumulates on the teeth from food and bacteria.

bridge

a type of dental appliance that replaces missing or pulled teeth.

pediculosis

an infestation of lice.

gingivitis

an inflammation of the gums.

dentures

artificial teeth.

halitosis

bad breath

partial bath

bath that includes washing the face, underarms, hands, and perineal area.

what type of dental appliance replaces missing or pulled teeth?

bridge.

to shampoo hair for a resident on a stretcher, the na should:

bring the stretcher to the sink and adjust the height of the stretcher.

what kind of equipment is used to help a resident into a whirlpool bath?

chair lift.

dentures that are left uncovered can warp, dry out, or?

crack.

what is another word for artificial teeth?

dentures.

what can a person no longer do when his dentures break?

eat.

dandruff

excessive shedding of dead skin cells from the scalp.

how is the decision made about which kind of bath resident will receive?

first the doctor, then the resident. NOT THE NURSE.

shower

for people able to stand.

tub bath

for people able to transfer in and out of the tub.

complete bed bath

for people unable to get out of bed.

partial bath

for people with sensitive skin.

what must be worn by the na when cleaning dentures?

gloves.

tartar

hard deposits on the teeth that are filled with bacteria; may cause gum disease and loose teeth if not removed.

what temperature of water can warp dentures?

hot.

aspiration.

inhalation of food, fluid, or foreign material into the lungs.

what opportunity does bathing a resident give the na?

it allows a na to observe the skin and report changes.

edentulous

lacking teeth; toothless.

when is a partial bath performed?

on days when a complete bed bath, tub bath, or shower is not done.

which one of the following parts of the body should be washed every day?

perineal area.

grooming

practices to care for oneself, such as caring for fingernails and hair.

hygiene

practices to keep the body clean

why is it important to follow a specific order when bathing a person?

reduces risk of transferring microorganisms from dirty area to clean area of the body

edema

swelling in body tissues, caused by excess fluid.

why does oral care need to be done frequently for unconscious residents?

the mouth becomes dry due to lack of fluids, breathing through the mouth, and oxygen therapy.

what is the general rule of order of parts for bathing?

to wash from cleanest to dirtiest

axilla

underarm or armpit area.

ways to promote safety during bathing

using grab bars keeping bathing supplies within reach keeping floor dry using nonslip mats