Try: Alcohol red meat and seafood can increase uric acid levels in the cr and can cause gout assaults encourage the cr to avoid these things being overweight can cause the cr to be more susceptible to gout assaults help the cr keep his or her weight under control

Materials: n/a

Categories: Maintenance, Medical Physical

Information: Men are more affected by gout than women although it can affect both

References: Adapated from webmd webmd’s information about gout www webmd com

Keywords: Arthritis gout alcohol weight management pain chronic pain diet

*This information is listed as a Tip and is not explicitly medically licensed

Try: Reduce salt and sodium intake in cr cr’s diet check labels for sodium content this can mean a drastic change in diet reduce stress and limit activities or environments that cause anxiety help the cr control his or her weight with a healthy diet and exercise ensure that the cr takes any medications related to his or her blood pressure

Materials: n/a

Categories: Maintenance, Medical Physical

Information: n/a

References: n/a

Keywords: Anxiety high blood pressure anxiety diet exercise medication sodium salt

*This information is listed as a Tip and is not explicitly medically licensed

Try: Encourage the cr to schedule medications so that it won’t force him or her to drink water right before bed schedule bathroom tips on a regular time schedule throughout the day so as to train the cr cr’s bladder for when its time to go encourage the cr to avoid drinking anything that could irritate the bladder such as alcohol and caffeine

Materials: n/a

Categories: Maintenance, Medical Physical

Information: n/a

References: n/a

Keywords: Alcohol bladder caffeine incontinence medication

*This information is listed as a Tip and is not explicitly medically licensed

Try: #stick to the same schedule each day encourage the cr to go to bed rise and nap at the same time every day #keep napping to a minimum plan the nap for afternoon and do not allow the nap to be longer than 2 hours #make sure dinner is eaten at least 2 or 3 hours before bedtime as digestion can prevent the sleep process #a very light snack before bed can be encouraged to dispel hunger it’s hard to sleep on an empty stomach #encourage the cr to avoid caffeinated drinks beverages and other liquids after dinner #a full bladder can interrupt a good night’s sleep

Materials: n/a

Categories: Maintenance, Medical Physical

Information: n/a

References: Adapted from the caregiver’s guide by caroline rob r n

Keywords: Sleep sleep issues sleep patterns napping rest digestion

*This information is listed as a Tip and is not explicitly medically licensed

Try: #make sure the room is well-lit before beginning the procedure #soften the stubble for a few minutes by placing a warm damp towel over the cr’s face and chin #place an appropriate amount of shaving cream on the cr’s face #tightly stretch the skin to prevent knicks and cuts #shave the skin in a smooth downward motion #dip the razor in warm water and continue shaving until face is smooth #rinse the skin and pat dry with a towel apply aftershave if cr desires

Materials: Razor shaving cream towels warm water

Categories: Maintenance, Medical Physical, Personal, Male, Needs Some Assistance, Needs Much Assistance, Immobile

Information: n/a

References: Adapted from the complete guide to home nursing by diana hastings rgn rcnt

Keywords: Cleaning cleanliness hygiene shaving

*This information is listed as a Tip and is not explicitly medically licensed

Try: The Care recipient (cr) needs to keep clean on a daily basis this helps the cr to feel better and helps eliminate infection and foul odor encourage the cr to shower or bathe daily unless advised otherwise by the cr’s doctor encourage the cr to wash his or her hands with soap frequently throughout the day and before meals

Materials: n/a

Categories: Maintenance, Medical Physical, Personal, Fully Aware, Somewhat Aware

Information: n/a

References: n/a

Keywords: Bathing cleaning cleanliness hand washing hygiene washing

*This information is listed as a Tip and is not explicitly medically licensed

Try: #help the cr shift so that his or her head is close to the edge of the bed #set up a chair or stool directly under the head and place the bucket on it #place a plastic sheet under the cr’s neck and drape it down into the bucket so that the water will flow down into the bucket #drape a towel around the cr’s neck and offer a towel to cover the cr’s eyes #pour the warm water gently over the cr’s head #apply shampoo and massage it gently into the cr’s scalp take your time if the #cr enjoys this part #rinse the hair with warm water #wrap with a towel #finish towel drying or dry with a hair dryer

Materials: Two pitchers of warm water towels shampoo plastic sheet bucket chair or stool

Categories: Maintenance, Medical Physical, Personal, Needs Much Assistance, Immobile

Information: n/a

References: Adapted from the complete guide to home nursing by diana hastings rgn rcnt

Keywords: Bathing cleaning cleanliness bed-bath hygiene washing

*This information is listed as a Tip and is not explicitly medically licensed

Try: Obtain a bed shampoo basin or inflatable basin from a care aids shop or use a large plastic mixing bowl place plenty of absorbent towels and a waterproof sheet over cr’s pillow place the shampoo basin on top of covered pillow carefully wash and rinse the hair if necessary or requested by cr apply hair conditioner

Materials: Absorbent towels waterproof sheet bed shampoo basin or inflatable basin large plastic mixing bowl shampoo and or conditioner

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance, Immobile

Information: n/a

References: washing an elderly person 2008 available at

Keywords: Shampooing bedbound hair care grooming

*This information is listed as a Tip and is not explicitly medically licensed

Try: Wash hands remove the upper palate first by holding the inner and outer surfaces of the denture on both sides of the plate put forefingers over the upper edge of the plate and press until the seal breaks between the denture and the gums pull the plate forward to remove; remove the lower plate by holding the inner and outer surfaces of the denture with the thumb and forefinger turn slightly and pull the denture up and out clean the denture in warm water use a tooth brush and tooth paste to scrub dentures carefully rinse with clean water to replace the dentures wet them with cold water apply even gentle pressure on both sides of the upper palate and work it into place in the cr cr’s mouth carefully insert the lower dentures

Materials: Tooth brush tooth paste

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance, Immobile

Information: n/a

References: washing an elderly person 2008 available at

Keywords: Dental care dentures mouth

*This information is listed as a Tip and is not explicitly medically licensed

Try: Turn the cr on his or her side tuck the visible portion of the brief under the cr wash up area exposed tuck a folded half of a new brief next to the old one and lay out the other half under the cr turn cr back onto the other side pull the old brief out along with the new one and wash the area exposed and then secure the new brief in place pay attention to cr’s skin look for irritated or red areas these areas should be cleansed patted dry not rubbed with a soft towel apply a moisture barrier with lotion

Materials: Incontinence briefs soft towel mild soap and warm water moisturizing lotion

Categories: Sage, Topic, Maintenance, Medical Physical, Mobility, Needs Some Assistance, Needs Much Assistance, Immobile

Information: n/a

References: Adapted from the intenet website www docstoc com – compassionate community care – best practice caring for the bed bound client 2009

Keywords: Bedbound incontinence skin care

*This information is listed as a Tip and is not explicitly medically licensed