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Explain the Main Determinants of Health and Explain How to Promote Health

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Explain the Main Determinants of Health and Explain How to Promote Health
Patient Hygiene

The aim of this assignment is to explain a nurse’s role in relation to assisting patient’s with meeting their hygiene needs. In order to accomplish this, the following areas of the subject will be highlighted; why hygiene is so important and the various aspects of hygiene such as; what influences hygiene, assessing a patient, bed bathing, oral hygiene and eye care.
Oxford dictionary describes hygiene as “the conditions or practices conductive to maintaining health and preventing disease especially through cleanliness”.
Hygiene and cleanliness are a basic human right. According to the National Health Service (NHS) “if an individual becomes unwell, either physically or mentally and where unable to meet their hygiene needs they may require someone else to assist them in such needs”.1 In a hospital setting this is a duty of care from the nurse to his/her patients.

According to the Roper-Logan and Tierney model, cleansing and dressing are one of the twelve activities of daily living also known as ADL’s.2 This model also describes other possible contributing factors which may influence the activity of living such as; biological (this varies from skin pigmentation and hair to gender and physical disability) psychological (such as the knowledge people have about cleansing and dressing and why hygiene is so important to prevent infection) environmental (such as if a person has running water where they live, also if a person is living in a tropical climate they may need to bath or shower more often due to excessive perspiration).2 This model also talks about politico economic; this is where a person may have all the facilities necessary to meet hygiene needs but due to rising costs of fuel cannot afford to use them.2

When a patient is admitted to hospital, a nurse will usually create a care plan for him/her. Using the ADL’s the nurse will identify the patient’s personal hygiene routine, their ability to carry out this routine and products the

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