FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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NOTE: 20 Fundamental of Nursing Procedure Manual Table 1. Various oral care agents for oral hygiene The choice of an oral care agent is dependent on the aim of care. The various agents are available and should be determined by the individual needs of the client. Agents Potential benefits Potential harms Tap water To refresh be available Tooth paste Not specified To remove debris To refresh Short lasting not contain a bactericide It can dry the oral cavity if not adequately rinsed *1 Nystatin To treat fungal infections Tastes unpleasant Chlorhexidine gluconate: a compound with broad-spectrum anti-microbial activity *2 To suppress the growing of bacteria in doses of 0.01-0.2 % solution *2 not be significant to prevent chemotherapy- induced mucositis *2 Tastes unpleasant be stainable teeth with prolonged use Sodium bicarbonate: To dissolve viscous mucous*3 Tastes unpleasant Fluconazole: an orally absorbed antifungal azole, soluble in water Sucralfate: a mouth-coating agent for the treatment of candidosis of the oropharynx, oesophagus and variety of deep tissue sites *3 Initially for the clients under radiotherapy and chemotherapy To reduce pain of mucositis Fluoride To prevent and arrest tooth decay especially radiation caries, demineralization and decalcification may bring burn if not diluted adequately can alter oral pH allowing bacteria to multiply *1 not reported not reported To show toxicity in high density Glycerine an thymol To refresh Refreshing lasts only 20-30 seconds *1 Can over-stimulate the salivary glands leading to reflex action and exhaustion *1 Another solutions for oral care such as Potasium permanganate(1:5000), Sodium chloride(I teaspoon to a pint of water), Potasium chroride( 4 to 6 %), Hydrogen perpxide(1: 8 solution) are used commonly*4. References: 1. Penelope Ann Hilton(2004) fundamental nursing skills , I.K. International Pvt. Ltd., p.63 2. http://www.herhis.nhs.uk/RMCNP/content/mars32.htm The Royal Marsden Hospital Manual of Clinical Nursing procedure, 6 th edition, Personal hygiene: mouth care 3. http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=7153&nbr=4285 Nursing management of oral hygiene, National Guideline Clearinghouse 4. I Clement(2007) Basic Concepts on Nursing Procedures, Jaypee, p. 68
a. Assisting the client with Oral care 21 Fundamental of Nursing Procedure Manual Procedure: Care Action Rationale 1.Explain the procedures Providing information fosters cooperation, understanding and participation in care 2. Collect all instruments required Organization performance facilitates accurate skill 3. Close door and /or put screen To maintain privacy 4. Perform hand hygiene and wear disposable gloves if possible To prevent the spread of infection 5. If you use solutions such as sodium bicarbonate, Solutions must be prepared each time before use prepare solutions required. to maximize their efficacy 6. Assist the client a comfortable upright position or To promote his/her comfort and safety and sitting position 7. Inspect oral cavity effectiveness of the care including oral inspection and assessment 1) Inspect whole the oral cavity ,such as teeth, Comprehensive assessment is essential to gums, mucosa and tongue, with the aid of gauze-padded tongue depressor and torch determine individual needs 2) Take notes if you find any abnormalities, e.g., Some clients with anemia, immunosuppression, bleeding, swollen, ulcers, sores, etc. diabetes, renal impairment epilepsy and taking steroids should be paid attention to oral condition. They may have complication in oral cavity. 8. Place face towel over the client chest or on the To prevent the clothing form wetting and not to thigh with mackintosh (Fig. 16) give uncomfortable condition 9. Put kidney tray in hand or assist the client holding a kidney tray To receive disposal surely Fig16 Setting the kidney tray up with face towel covered mackintosh
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Page 37 and 38: Performing Perineal Care 37 Fundame
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Umbilicus Observe its contour, loca
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Procedure: Care Action Rationale 1.
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Procedure: b. Removal a Nasal-Gastr
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Supplying Oxygen Inhalation 109 Fun
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Administering Oral Medications Defi
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Removing Medications from an Ampoul
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Prevention of the Needle-Stick Inju
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❖Nursing Alert❖ Selection of ap
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Starting an Intra-Venous Infusion 1
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Performing Nebulizer Therapy 147 Fu
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Equipments required: 1. Dr.’s ord
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III. Specimen Collection 151 Fundam
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Definition: Collecting Blood Specim
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Collecting Urine Specimen 159 Funda
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. Collecting a 24-hour Urine Specim
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. Collecting a sputum culture 169 F
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Appendix 1 Checklist for Taking Vit
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Appendix 2 Checklist for Bedmaking:
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Appendix 3 Checklist for Changing o
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General Comments: 179 Fundamental o
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References: 181 Fundamental of Nurs
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