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As 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.
In your interview, how would you address her bathing habits?
What would be an appropriate way to address her deficient hygiene?
Why would questions regarding her skin condition be appropriate?
She indicates that her favorite soap is deodorant soap. Why might that not be the best choice for her?
Which bathing style would be most appropriate for her on the days her aide does not visit? Provide your rationale.
Outline three appropriate hygiene goals for this patient’s care plan.
SCIENCE
HEALTH SCIENCE
NURSING
NRG 2001

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