course materials

1. You are caring for Mrs. Little, a 57-year-old woman who has been
experiencing
You are caring for Mrs. Little, a 57-year-old woman who has been experiencing severe
arthritic pain for the past 2 years. She rates her pain at an 8 or 9 on a 10-point pain-rating
scale. During your assessment, you notice that Mrs. Little has a moderate body odor, long
and untrimmed fingernails and toenails, oily hair, and unshaven legs and axillae. Mrs. Little
readily admits that she has neglected her hygiene practices.a. What is the first hygiene-
related nursing diagnosis (problem and etiology) that comes to your mind for Mrs.
Little?b. What data do you have to support a diagnosis of Self-Care Deficit: Bathing? What
data do you have to support an etiology of “immobility secondary to pain”?c. With the
information in the scenario, how would you rate her Self-Care Deficit: mild, moderate,
severe, or total?d. Anything you could do to help relieve Mrs. Little’s pain would facilitate
her self-care abilities. However, to plan interventions in which you will assist with her
hygiene care, what further patient data do you need?e. Suppose you assess Mrs. Little
further and determine that she has arthritis in multiple joints, including her hands,
shoulders, back, knees, and feet. You also determine that she will need a complete bath,
either tub or shower, but that she can brush her own teeth if someone provides the
necessary supplies. Could you delegate her morning hygiene care to an
experienced unlicensed assistive personnel (UAP)? If so, what instructions would you give
the UAP?