Administration of drugs is minor business; the main thing is correct hygienic conditions and a skilful, sensible care of a patient.
Florence Nightingale
Goal: to get a notion about personal hygiene of the patient. Knowledge objective:
► to know rules of care of oral cavity, eyes, ears, nose, ways of prevention of bedsores.
Skill objective:
► to be able to wash the patient's perineum, to give a bedpan, to carry out a hygiene of oral cavity, to wash oral cavity (irrigation), to smear the mouth, to take pharyngeal and nasal swabs for bacteriological test, to wash eyes, to drop medications in eyes, to put an ointment on a lower eyelid from a tube and with scoop, to wash external auditory meatus, to drop medicines in ear, to clean nose, to drop medications in a nose.
Subject-matter:
1) care of skin and prevention of bedsores;
2) use of urinals and bedpans;
3) care of the oral cavity;
4) care of eyes;
5) care of ears and a nose; 7) care of hair.
Equipment required: a lamp - reflector, spatulas, tweezers, glass sticks, droppers, a tray, a flat glass bottle, a rubber circle, gauze napkins, cotton balls, syringes, a metal shaving brush, a test tube, eye ointment, a Jeane syringe, a metal probe, a rubber container, irrigator, a vessel, and bedpans.
Clinical course and outcome in great extent depends on setting where a patient stays. Keeping hygienic standards in the wards, comfortable bed, following personal hygiene, providing of high quality food, balanced diet are necessary for effective treatment.
CARE OF SKIN AND PREVENTION OF BEDSORE
The skin carries out some functions:
1) protective;
2) analytical (skin sensitivity);
3) regulation of body temperature (feedback of heat through sweat producing perspiration in a healthy person makes 20% of all warmth production for the day, and with feverish patients - it is much more);