STUDY GUIDE FOR QUIZ 2

1. REVIEW FOR QUIZ #2
FACTORSAFFECTED BY CULTURE
PROMOTINGSEXUALITY IN MEN AND WOMEN
HOLISTICCARE
MASLOW’SBASICHUMAN NEEDS
ASSISTINGWITH ADMISSION,TRANSFERANDDISCHARGE
BEDMAKING
EMERGENCY CARE
BODY POSITIONS
DANGLING,LOGROLLING,AMBULATION,BED TO W/C
 CULTURE AFFECTS LANGUAGE,STYLE OF DRESS,FOOD, MUSIC, HEALTH, HEALTH PRACTICES,
DEATH RITUALS, VALUES,RELIGION ANDFAMILY STRUCTURE
 SEXUALITY (HOW ONEEXPRESSESHIS MASCULINITY OR FEMINITY) IS PROMOTED WITH
MAKEUP, JEWELTY, PERFUME, HAIR,CLOTHING
 RESIDENTSMAY EXPRESSSEXUAL DESIRE THRU HANDHOLDING,EMBRACING,INTIMACY
(BEHINDCLOSED DOOR WITH DO NOT DISTURB SIGN ON DOOR) ANDMASTURBATION
 HOLISTICARE CONSIDERSALL PARTSOF THE PERSON (PHYSICAL,MENTAL,SPIRITUALAND
SOCIAL) ASEQUALLY IMPORTANT;WHEN ONE PARTSUFFERS ALL THE OTHER PARTS ARE
EFFECTED
 MASLOW SAYSALL HUMAN BEINGS HAVETHE SAME NEEDS FOR:
1. PHYSICAL- WATER,FOOD, SHELTER, CLOTHES, OXYGEN,INTIMACY
2. SAFET/SCURITY-SIDERAILS,CALLBELLS, SAFEENVIRONMENT,CHECKINGID,EXPLAINING
PROCEDURES
3. LOVE/BELONGING- VISITSWITHFAMILY, ACTIVITIES,SUPPORTGROUPS,GOOD CARE
4. SELF ESTEEM- OFFER COMPLIMENTS,PROMOTE INDEPENDENCE
5. SELF ACTUALIZATION- FEELINGTHAT FULL POTENTIALWASMET, PERSON WAS CREATIVE,AND
CARED ABOUT HUMANITY
 DURING ADMISSION RIGHTS ARE REVIEWED,PHOTO IS TAKEN,ID BRACELET PUT ON,
ADVANCEDDIRECTIVES/DNREXPLAINED,CNA WILLOPEN BED, PROVIDEAN ADMISSION KIT,
CHANGE INTOA GOWN,GET HEIGHT ANDWEIGHT, ORIENTTO SURROUNDINGS,SHOW HOW
TO USE CALL BELL, INTRODUCE NEW RESIDENT TO OTHERS
 12 INCHES = 1 FOOT; IFPERSON IS 5’9 (12 X 5=60) (+9) HT DOCUMENTED AS 69 INCHES
 IF PERSON CAN’TSTANDMEASURE HEIGHT WITH TAPE FROMTOP OFHEAD TO HEEL
 TO GET MOST ACCURATEWT: USE SAME SCALE,SAME TIME OF DAY FOR MONTHLY WTS AND
SAME AMOUNT OF CLOTHING ON

2.  BEDMAKING GUIDELINES:
1. DON’TFAN SHEETS
2. COLLECT IN ORDER OF USE
3. HOLD CLEAN/SOILEDLINEN AWAY FROMYOUR BODY
4. PLACE CLEAN LINEN ON OVERBEDTABLE OR CHAIR
5. MAKE ONE SIDE AT A TIME
6. RAISEBED TO COMFORTABLE HT
7. TAKE A WRINKLEFREE BED
8. WEAR GLOVES TO STRIP,CHECKINGFOR HEARING AIDS,EYEGLASSES,OTHER SMALL ITEMS
9. CHANGE SHEETS WHENEVER VISIBLYSOILED OR WET
10. NO LINEN PLACEDON FLOOR EVER
11. IF EXTRA LINEN BROUGHT IN ANDNOT USED, PLACE IN SOILEDLINEN HAMPER
12. WHEN RESIDENT UP ANDDRESSED, MAKE A CLOSED BED
13. WHEN RESIDENT READY TO GET IN BED, MAKE AN OPEN BED
14. IF MAKINGAN OCCUPIED BED, REMEMBER TO RAISE SIDERAIL BEFORE TURNING RESIDENT AND
LEAVE ROOMFOR TOES TO MOVE FREELY (TOEPLEAT),DON’T EXPOSETHE BODY
15. IF MAKINGA SURGICAL (POST-OP) BED,FANFOLDLINEN TOSIDE OF BED ANDLEAVE BED UP TO
HEIGHT OF STRETCHER
 CPR- FIRST DETERMINE UNRESPONSIVENESS(SHAKEANDSHOUT);RHYTHM IS 30:2
 FOR SEIZURES- CALL FOR HELP, PLACE ON FLOOR,MOVE FURNITURE, HEAD TO SIDE,
SUPPORTHEAD, DON’T RESTRAIN,NOTEHOW LONG SEIZURE LASTED,PLACE NOTHINGIN
THE MOUTH
 FOR BLEEDING- CALL FOR HELP, PUT ON GLOVES, APPLYDIRECT PRESSURE WITH CLEAN
CLOTH OR PAPERTOWELS, DON’T RELEASE PRESSURE, RAISEARMOR LEG ABOVEHEART
LEVEL IF BLEEDING
 FOR CVA-CALLFORHELP, PLACEON UNAFECTEDSIDE, KEEP NPO,REASSURE,LOOK FOR
FACIALDROOPING,WEAKNESSON ONESIDE OF BODY, SLURRED SPEECH
 FOR NOSEBLEED- TILT HEAD FORWARDTOWARDS CHIN,PINCHBRIDGE OF NOSE,WEAR
GLOVES
 FOR SHOCK- TRENDELENBERG POSITION ASDIRECTED BY RN, KEEP WARM, NPO,HEAD TO
SIDE
POSITIONS
 FOWLER’S- USED AT MEALTIME, READINGOR WATCHINGTV, IF DIFFICULTY BREATHING,WITH
MOUTHCARE
 15 TO 30 DEGREE ISLOW-FOWLER’S
 45-60 DEGREES SITTING UP IS SEMI-FOWLER’S
 60-90 DEGREES SITTING UP IS FULL OR HIGH FOWLER’S
 TRENDELENBER-FEET HIGHER THAN HEAD
 SIMS- ALWAYSLEFT SIDE, TOP LEG FLEXED, BOTTOMARM EXTENDED BEHINDBODY- FOR
RECTAL TEMP ANDENEMA ADMINISTRATION
 LATERAL-SIDELYING

3.  PRONE- ON STOMACH
 SUPINE-ON BACK
 DANGLING- DONETO PREVENTORTHOSTATICHYPOTESION (BPDROPSWITH SUDDEN
POSITION CHANGE)- SITON EDGE OF BED WITH FEET SWINGINGFREELY
 LOGROLLING-DONETO PROTECT SPINEANDNECK WHEN MOVINGIN BED, KEEPBODY IN GOOD
ALIGNMENT (STRAIGHT)
 WHEN AMBULATING, IF PERSON HADWEAK SIDE, AIDEWALKS ON THAT SIDE,SLIGHTLY
BEHIND,HOLDING GAIT BELT (PLACEDOVERCLOTHERS, TIGHTENED AROUNDTHE WAIST AND
HELD WITH HANDSFACINGUP)
 TO TRANSFERINTO A W/C- BRAKESON BED ANDW/C, NONSKIDFOOTWEARON,PLACEW/C
ON STRONGSIDE ANDAIDE POSITIONEDON WEAK SIDE
 W/C PUSHED FORWARD UNLESS ENTERINGAN ELEVATOROR GOING DOWN A RAMP
 FEET MUST BE ON FOOTRESTS,HIPSBACKIN CHAIR