Reference no: EM133423291

Question

A nurse is caring for a mildly obese client who was found in a disheveled state at home by their neighbor. The client remains stable as you complete the initial client assessment. Nurse note the client has a history of diabetes, hypertension, and arthritis according to their medical record. The neighbor reported that the client does not leave their home often due to difficulty walking and that the house was filthy when they found him. On assessment, nurse note that the client has redness and irritation in the skin folds along the abdomen and groin area. The client has redness around the perineal area and the smell of old urine is present. The client's coccyx has a reddened area with small amounts of dried stool between the buttocks. Sparse areas of redness are also present between the buttocks. The client's nails are long and appear soiled underneath. The client's oral cavity has a strong odor and evidence of plaque build-up along the gum line. Nurse offer the patient a bed bath and he refuses by saying "No. Don't touch me. I don't need a bath. I clean myself at home. I don't need someone touching and cleaning me."

1. What are your top nursing priorities for this patient?

2. What actions should be taken by the nurse to address the client's hygiene needs?

3. What was your initial reaction when reading this scenario?

4. Describe your own personal beliefs and practices related to hygiene.

5. In what ways should you advocate for this patient after you have ensured their basic needs are met?