Definition
A situation where individuals have failed the ability to implement or complete shower / personal hygiene activities
Related Factors:
Pathophysiology
Related to lack of coordination
Related to spasticity
Related to muscle weakness
Related to paralysis
Related to atrophy
Related to muscle contractures
Related to coma status
Related to visual abnormalities
Related to non-functioning or loss of limb
Related to regression in the level of previous development
Related to excessive ritualistic behavior
Action
Related to external devices
Related to post-operative fatigue and pain
Situational (Personal, environmental)
Related to cognitive deficits
Related to pain
Related to lack of motivation
Related to fatigue
Related to confusion
Related to anxiety is not capable of
Maturisional
Related to a decrease in visual and motor skills, muscle weakness
Data
Lack of ability to bathe themselves (including washing the whole body, combing hair, brushing teeth, do skin care, and nail and using makeup)
- Unable or no desire to wash the body or body parts
- Unable to use the source water
- Inability to feel the need for hygiene measures
- Failure of the ability to use or release clothing
- Inability to fasten clothes
- Inability to dress self satisfying
Expected Outcomes Nursing Care Plan for Self-Care Deficit Bathing / Hygiene
Individuals will :
- Identify the love of self-care activities
- Demonstrated that optimal hygiene after care assistance provided
- Participating in physical and or verbal self-care activities
- Implementing shower activity at the optimal level
- Reported feeling satisfied with the achievement despite the limitations
- Connecting feelings of comfort and satisfaction with the cleanliness of the body
- Demonstrate ability to use adaptive assistive devices
- Describing the factors causing the lack of ability to bathe
Nursing Intervention Nursing Care Plan for Self-Care Deficit Bathing / Hygiene
- Encourage individuals to use lenses or corrective aids prescribed
- Keep warm temperature bath; confirm the preferred water temperature of individual
- Provide privacy during bathing routine
- Give all toiletries within easy reach
- Give security in the bathroom (eg, the floor is not slippery, handle bars, bel)
- If the individual is physically able, encourage use a bath or shower, depending on hospital facilities in preparation to go home.
- Provide adaptive equipment if needed
- Make sure that the bathing facilities at home are available and help in determining if there are different needs for adaptation.
- Refer to occupational therapy or social services to assist in obtaining the necessary equipment.
Nursing Care Plan for Risk for Altered Respiratory Function
