Case Studies, Chapter 31, Hygiene

1. You are a visiting free clinic nurse intending to assess an 89-year-old woman in

her home, as she has extremely limited mobility. Your patient greets you while ambulating with a walker and slowly removes a pile of magazines from a chair, motioning for you to sit. While talking casually to establish rapport, you take note of her unkempt hair, soiled clothing, and dry skin. Your sense of smell detects body odors indicating lack of recent oral care and personal hygiene, including perineal care. (Learning Objectives 1, 2, and 7) a. In your interview, how would you address her bathing habits? b. What would be an appropriate way to address her deficient hygiene? c. Why would questions regarding her skin condition be appropriate? d. She indicates that her favorite soap is deodorant soap. Why might that not be the best choice for her? e. Which bathing style would be most appropriate for her on the days her aide does not visit? Provide your rationale. f. Outline three appropriate hygiene goals for this patient’s care plan.

2. You are a visiting nurse caring for a 32-year-old writer who became paraplegic

as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression, and your visits are to monitor not only his emotional outlook but also to encourage his hygienic self-care and offer strategies for his success. He wears a leg bag, is incontinent of stool, and you’re monitoring a red spot on his left buttock. (Learning Objectives 5 and 8)

a. Which hygienic issues are of utmost importance for a patient using an indwelling urinary catheter? b. What other information can be communicated to a nurse as a result of a hygienic assessment? c. How does help with bathing promote health? d. Which nontraditional bathing technique might be extremely helpful for this patient? Why? e. What would be appropriate interventions for the spot on his left buttock?

Case Studies, Chapter 31, Hygiene

1. You are a visiting free clinic nurse intending to assess an 89-year-old woman in

her home, as she has extremely limited mobility. Your patient greets you while

ambulating with a walker and slowly removes a pile of magazines from a chair,

motioning for you to sit. While talking casually to establish rapport, you take

note of her unkempt hair, soiled clothing, and dry skin. Your sense of smell

detects body odors indicating lack of recent oral care and personal hygiene,

including perineal care. (Learning Objectives 1, 2, and 7)

a. In your interview, how would you address her bathing habits?

b. What would be an appropriate way to address her deficient hygiene?

c. Why would questions regarding her skin condition be appropriate?

d. She indicates that her favorite soap is deodorant soap. Why might that

not be the best choice for her?

e. Which bathing style would be most appropriate for her on the days her

aide does not visit? Provide your rationale.

f. Outline three appropriate hygiene goals for this patient’s care plan.

2. You are a visiting nurse caring for a 32-year-old writer who became paraplegic

as a result of a motorcycle accident 1 year ago. He is recovering from a

subsequent depression, and your visits are to monitor not only his emotional

outlook but also to encourage his hygienic self-care and offer strategies for his

success. He wears a leg bag, is incontinent of stool, and you’re monitoring a red

spot on his left buttock. (Learning Objectives 5 and 8)

Hygiene Case Study

Art And Science Of Nursing Ii (NUR 304)

Missouri State University

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Case Studies, Chapter 31, Hygiene

1. You are a visiting free clinic nurse intending to assess an 89-year-old woman in

2. You are a visiting nurse caring for a 32-year-old writer who became paraplegic