病人的清洁卫生.ppt

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1、病人的清洁卫生(一)CleanlinessandhygieneFunctionalLevelsofSelf-CareTotallydependentModeratelydependentSemidependentTypesofHygienicCareMorningCare(AMCare)HourofSleepCare(HSCare)As-NeededCare(prnCare)OralCareAssessingNursingHistoryPhysicalassessmentRiskfactorsAssessmentofclientswithdentureNursingHis

2、toryOralhygienepractices—determinelearningneedsandincorporatetheclient’sneedsandpreferencesSelf-careability—determinetheamountandtypeofnursingassistancetoprovidePastorcurrentmouthproblems—alertthenursetospecificinterventionsrequiredorreferralsPhysicalAssessmentDentalcaries（龋齿）Periodontald

3、isease(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RiskFactorsLackofknowledgeInabilityPeoplewithhasogastrictubesorreceivingoxygenOralorjawsurgeryInadequatenutritionExcessiveintakeofrefinedsug

4、arsFamilyhistoryOlderpeopleDrymouthDiagnosingSelf-CareDeficitAlteredOralMucousMembraneKnowledgeDeficitPlanningTomaintainorimproveoralhygienepracticesTomaintainorrestoretheintegrityoftheoraltissuesTopreventassociatedriskssuchasdentalcariesandinflammationorinjuryofthegums,tongue,ororalmucos

5、aGoalsNursingInterventionsTeachingclientaboutgoodoralhygienepracticesandothermeasurestopreventtoothdecayAssistingdependentclientswithoralcareProvidingspecialoralhygieneforclientswhoaredebilitated,unconscious,orhavelesionsofthemucosamembraneorotheroraltissueImplementing（一）Teachingoralhygie

6、ne1.Brushingtheteeth2.Flossingtheteeth3.Healtheducation（二）Caringforartificialdentures（三）SpecialoralcareHairCareAssessingNursinghistory1.HairCarePractices2.Self-CareAbilities3.PastorCurrentHairProblemsPhysicalassessmentDandruff,hairloss,pediculosis男性脱发一般进程DiagnosingSelf-CareDeficitImpaired

7、SkinIntegrityRiskforInfectionBodyImageDisturbancePlanningMaintainorimprovehaircareMaintainorimproveasenseofwell-beingPreventspecifichairandscalpproblemsGoalsNursingInterventionPerformshairgroomingwithassistanceHasclean,well-groomed,resilienthairwithahealthysheenHasr