NURS1000 Lecture 8: Lecture 8- selfcare and independence
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Lecture 8: self-care and independence
Self-care: Self-care is what people do for themselves to establish and maintain health,
prevent and deal with illness. Includes things such as hygiene, nutrition and lifestyle factors.
Examples of self-care include exercise, socialising and showering.
ADL’S: Activities of daily living
Functional decline: lowered ability to perform tasks of everyday living. For example, walking
or getting dressed. Functional decline affects many aspects of life including nutrition and
hydration since they can no longer eat as much or prepare meals, mobility and
independence due to a lowered ability to walk without assistance.
Deconditioning: Psychological changes following a period of inactivity or low activity that
can result in functional decline. For example, muscle weakness or reduced endurance.
Benefits of promoting self-care: improved health outcomes, dignity of patient is
maintained, and they have purposeful objectives in life, sustains emotional wellbeing and
maximises their physical function.
A nurse’s role in promoting self-care: empower patients, enable skills in self-care, create a
supportive environment, educate the patients, documentation in care plan, educate their
family/significant others in how to help.
Nursing care: what does assisting in ADL’S involve? Personal hygiene (brushing teeth,
brushing hair etc.), bed bathing/assisted showering, repositioning patients in bed,
mobilisation, chronic condition management etc.
What is a fall: When someone inadvertently comes to a rest on the floor or other lower
levels than standing. There is a need to reduce falls as the result of falls are likely to lower a
Falls Prevention: increase incidental activity, minimise bed rest, supervise walking and
transfers, orientate patient to their environment, make sure there is clear signage to the
toilets and bathroom, show the patient how to use their mobility aids and teach them how
to raise and lower their bed.
Falls management: DRSABCD (Dr’s ABCD), call for assistance, MET call person, don’t move
the patient, review policy/protocol on falls management.
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