病人的清洁卫生(一)课件.ppt

病人的清洁卫生(一) Cleanliness and hygiene Religion Environment Developmental level Health and energy Personal preferences Culture Individual hygiene practice 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) Assessing Nursing History Physical assessment Risk factors Assessment of clients with denture Nursing History Oral hygiene practices —determine learning needs and incorporate the client’s 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 (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 or receiving oxygen Oral or jaw surgery Inadequate nutrition Excessive intake of refined sugars Family history Older people Dry mouth 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 hygiene 1.Brushing the teeth 2.Flossing the teeth 3.Health education （二）Caring for artificial dentures （三）Special oral care Hair Care Assessing Nursing history 1.Hair Care Practic