Personal Care & Hygiene
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Transcript of Personal Care & Hygiene
1
Personal Care And Grooming: Relationship To Self-Esteem
DHSR Approved Curriculum-Unit 9 2
3
Importance of personal care / grooming needs and meeting these needs.
List the daily hygienic needs of an individual.
DHSR Approved Curriculum-Unit 9 4
Daily Hygiene Needs
• Bathing
• Skin care
• Oral hygiene
• Shaving
• Shampooing Hair
• Hair care
• Nail care
• Dressing
5
Describe factors that affect a resident’s personal hygiene practices.
6
Factors That Affect Hygiene Practices
• Culture• Family Practices• Illness• Individual preferences
–Bath in morning & before going to bed
–Frequency of bathing, shaving–Shampooing hair daily or weekly
7
Factors That Affect Hygiene Practices(continued)
• Economics–Unable to afford
deodorant, shampoo, etc.
–Unable to afford utilities
8
Discuss how personal care can be used to promote self-esteem and well-being.
9
Personal Care and Grooming:
• Follow the personal hygiene practices
• Do as much of daily care as possible
• Select your own clothing
DHSR Approved Curriculum-Unit 9 10
Personal Care and Grooming: Role of the Nurse Aide
(continued)
• Promote independence and self esteem
• Encourage use of deodorant, perfume, aftershave lotion, and cosmetics
• Be patient and encouraging
11
12
Define and discuss oral hygiene.
13
Oral Hygiene
• Definition: measures used to keep mouth and teeth clean and free of microorganisms
14
Oral Hygiene(continued)
• Purpose–Prevent odors–Prevent infections–Prevent tooth decay and
loss of teeth–Prevent gum disease–Increase comfort–Enhance taste of food
15
Oral Hygiene(continued)
• Oral hygiene is neaded:–Before breakfast–After meals–At bedtime–Other times as
requested or necessary
16
Oral Hygiene(continued)
• Observations of concern:–Foul mouth odors–Bleeding–Loose or broken teeth or
dentures–Sores in or around mouth–Coated tongue–Complaints of pain
17
List seven principles to practice when brushing teeth.
18
Principles For Brushing Teeth
• Hold brush at 45 degree angle• Use circular motion to brush teeth• Brush well where teeth and gums
meet• Brush all surfaces• Brush upper teeth first• Brush gently• Offer diluted mouth wash
19
Special Mouth Care Products
• Swabs• Toothettes:
–usually soaked in mouthwash or plain water
–hydrogen peroxide, salt water solution if specified on care plan
• Petroleum jelly for dry lips
20
Discuss the care of dentures.
21
Denture Care
• Handle carefully – expensive to replace
• Clean as often as natural teeth• Protect from loss or breakage• Store safely, when out of
mouth, in labeled container• Never use hot water, which can
warp dentures
22
Denture Care(continued)
• Store dry, in water or in special solution
• For long term storage, put container holding dentures in bedside stand
23
24
Demonstrate the procedure for oral hygiene.
25
Demonstrate the procedure for providing mouth care.
26
Demonstrate denture care.
27
28
Discuss the care of the nails and feet.
29
Nail Care
• Requires daily cleaning and trimming of fingernails and toenails as needed
• Maintain nails by keeping nails:–short–clean–free of rough edges
30
List three purposes of nail and foot care.
31
Nail Care(continued)
• Purpose–Prevent infection–Prevent injury–Prevent odors
32
Identify factors to be considered for nail care.
33
Nail Care: Factors To Consider
• Easier to trim and clean after soaking
• Nail clipper used to cut and trim nails
• Clip nails straight across
• Softened cuticle can be pushed back with orange stick
34
Nail Care: Factors To Consider(continued)
• Use file or emery board to smooth rough edges
• Use care not to injure skin when clipping
35
Identify factors to be considered for foot care.
36
Factors To Consider In Foot Care
• Wash feet using warm water and mild soap
• Dry feet carefully, especially between the toes
• Apply lotion to tops and bottoms of feet only, not between the toes
37
Factors To Consider In Foot Care(continued)
• Check feet daily for:–redness, warmth or constant pain–numbness or tingling–dry, cracked skin–swelling–blisters, cuts, scratches or other
sores–ingrown toenails, corns, calluses
DHSR Approved Curriculum-Unit 9 38
Factors To Consider In Foot Care(continued)
• Do not use a heating pad on resident’s feet
• Keep footwear on; residents never go barefoot
• Change socks and shoes daily
DHSR Approved Curriculum-Unit 9 39
Factors To Consider In Foot Care(continued)
• Foot injuries and infections can lead to gangrene and amputation, especially in diabetics
• Notify supervisor immediately of any unusual observations of the feet
DHSR Approved Curriculum-Unit 9 40
DHSR Approved Curriculum-Unit 9 41
9.8 Demonstrate cleaning and trimming a resident’s nails.
DHSR Approved Curriculum-Unit 9 42
9.9 Demonstrate foot care.
DHSR Approved Curriculum-Unit 9 43
DHSR Approved Curriculum-Unit 9 44
9.10Discuss the nurse aide’s responsibility in assisting the resident with shaving.
DHSR Approved Curriculum-Unit 9 45
Assisting Resident With Shaving
• Daily activity for men
• Promotes:
–Physical comfort
–Psychological well-being
DHSR Approved Curriculum-Unit 9 46
9.10.1 Review the factors to consider when shaving a resident.
DHSR Approved Curriculum-Unit 9 47
Assisting Resident With Shaving
• Factors to consider:
–Electric razor provides greatest safety
–Use own equipment or a disposable safety razor
–Soften beard and skin prior to shaving
DHSR Approved Curriculum-Unit 9 48
Assisting Resident With Shaving(continued)
• Factors to consider (continued):
–Use care not to cut or irritate skin while shaving
–Shave in direction hair grows
–Do not use electric razors when oxygen in use
DHSR Approved Curriculum-Unit 9 49
DHSR Approved Curriculum-Unit 9 50
9.11 Demonstrate assisting the resident with shaving.
DHSR Approved Curriculum-Unit 9 51
DHSR Approved Curriculum-Unit 9 52
9.12 Describe ways to assist the resident with hair care.
DHSR Approved Curriculum-Unit 9 53
Hair Care
• Hair care includes
–Daily brushing and combing
–Styling
–Shampooing
DHSR Approved Curriculum-Unit 9 54
9.12.1 Review factors to consider for daily hair care.
DHSR Approved Curriculum-Unit 9 55
Factors To Consider For Daily Hair Care
• Because hair style is personal preference, ask about style
• Make brushing and combing part of morning care
DHSR Approved Curriculum-Unit 9 56
Factors To Consider For Daily Hair Care
(continued)
• Protect resident’s clothing by placing towel around shoulders
• Cover pillow with towel for residents confined to bed
DHSR Approved Curriculum-Unit 9 57
Factors To Consider For Daily Hair Care
(continued)• Brushing hair:
–refreshes resident– improves morale–stimulates circulation–distributes natural oils evenly–removes lint and dust
• Handle hair gently when brushing or combing
DHSR Approved Curriculum-Unit 9 58
Factors To Consider For Daily Hair Care
(continued)
• Section hair and work on one area at a time
• Note appearance of scalp and hair
• Hair style should be age appropriate
DHSR Approved Curriculum-Unit 9 59
Factors To Consider For Daily Hair Care
(continued)
• Residents are encouraged to do as much as possible for themselves
• Comb and brush are cleaned after use
• Combs and brushes are never shared
DHSR Approved Curriculum-Unit 9 60
9.12.2 Discuss considerations used when shampooing a resident’s hair.
DHSR Approved Curriculum-Unit 9 61
Shampooing Considerations
• Frequency individualized
• Resident’s shampoo, conditioner and other hair care products are used
• Resident assisted to beauty shop if available
DHSR Approved Curriculum-Unit 9 62
9.12.3 List the various methods for shampooing hair.
DHSR Approved Curriculum-Unit 9 63
Shampooing Considerations(continued)
• Methods of shampooing:
–during shower
–at sink
–using stretcher
–in bed
DHSR Approved Curriculum-Unit 9 64
Shampooing Considerations(continued)
• Eyes and ears protected• Hair dried as fast as
possible• Cold or drafty areas
eliminated• Female residents
assisted to curl or set hair
DHSR Approved Curriculum-Unit 9 65
Shampooing Considerations(continued)
• Barbers or beauticians may be contacted by facility to care for hair of residents
• Care plan to be checked for any special instructions prior to shampooing
DHSR Approved Curriculum-Unit 9 66
DHSR Approved Curriculum-Unit 9 67
9.13 Demonstrate caring for the residents’ hair.
DHSR Approved Curriculum-Unit 9 68
9.14 Demonstrate shampooing hair of resident who is in bed.
DHSR Approved Curriculum-Unit 9 69
DHSR Approved Curriculum-Unit 9 70
9.15 Identify the general principles of dressing and undressing a resident.
DHSR Approved Curriculum-Unit 9 71
Dressing And Undressing
• Encourage resident to choose own clothing
• Dress daily own clothing and underwear
• Make sure clothes are in good repair
DHSR Approved Curriculum-Unit 9 72
Dressing And Undressing(continued)
• Dress weak or affected side first
• Undress weak or affected side last
• Ensure clothing is appropriate for weather and environment
DHSR Approved Curriculum-Unit 9 73
Dressing And Undressing(continued)
• Encourage resident to wear clothing that matches and is clean and neat
• Dress should be age appropriate
• Do not put clothing on backwards
DHSR Approved Curriculum-Unit 9 74
Dressing And Undressing(continued)
• Be gentle
• Always be patient and provide time for residents to do as much as possible for themselves
DHSR Approved Curriculum-Unit 9 75
DHSR Approved Curriculum-Unit 9 76
9.16 Demonstrate the procedure for dressing and undressing the resident.
DHSR Approved Curriculum-Unit 9 77
DHSR Approved Curriculum-Unit 9 78
9.17 Identify the purposes of bathing a resident.
DHSR Approved Curriculum-Unit 9 79
Bathing Resident
• Purpose of Bathing
–Removes perspiration, dirt and microorganisms
–Stimulates circulation
–Exercises body parts
DHSR Approved Curriculum-Unit 9 80
Bathing Resident(continued)
• Purpose of Bathing (continued)
–Refreshes, relaxes and promotes physical comfort
–Removes odors–Allows for evaluation of
skin condition
DHSR Approved Curriculum-Unit 9 81
9.17.1 Discuss the various methods of bathing a resident.
DHSR Approved Curriculum-Unit 9 82
Bathing Resident
• Methods of Bathing
–Partial bath
–Complete bed bath
–Tub bath
–Shower
DHSR Approved Curriculum-Unit 9 83
9.17.2 Identify guidelines for bathing a resident.
DHSR Approved Curriculum-Unit 9 84
Guidelines for Bathing
• Receive instructions from supervisor regarding method of bathing and skin care products to use
• Provide privacy• Reduce drafts by
closing windows, drapes and doors
DHSR Approved Curriculum-Unit 9 85
Guidelines for Bathing(continued)
• Use good body mechanics• Keep covered for warmth and privacy• Protect safety of resident:
–never leave unattended in bathtub or shower
–take precautions to prevent slips and falls
–have temperature no higher than 105°F for tub or shower
DHSR Approved Curriculum-Unit 9 86
Guidelines for Bathing(continued)
• Rinse skin completely if not using no-rinse product
• Encourage to do as much as possible for self
• Pat skin dry• Observe condition of skin
DHSR Approved Curriculum-Unit 9 87
9.17.3 Observe the condition of the skin and report any unusual observations.
DHSR Approved Curriculum-Unit 9 88
Skin Observations While Bathing
• Color of skin, lips, nail beds and sclera of eyes
• Location and description of rashes
• Dry skin• Bruises or open areas on
skin
DHSR Approved Curriculum-Unit 9 89
Skin Observations While Bathing(continued)
• Pale or reddened areas, especially over bony parts
• Drainage or bleeding from wounds or orifices
• Skin temperature• Complaints of pain or
discomfort
DHSR Approved Curriculum-Unit 9 90
DHSR Approved Curriculum-Unit 9 91
9.18 Demonstrate the procedure for giving a complete bed bath and partial bath.
DHSR Approved Curriculum-Unit 9 92
9.19 Demonstrate the procedure for giving a tub bath or shower.
DHSR Approved Curriculum-Unit 9 93
DHSR Approved Curriculum-Unit 9 94
9.20 Discuss giving perineal care.
DHSR Approved Curriculum-Unit 9 95
Perineal Care
• Used to clean genital and anal areas
–Prevents infection
–Prevents odors
–Promotes comfort
DHSR Approved Curriculum-Unit 9 96
Perineal Care
• Rules of medical asepsis and Standard Precautions followed
–Work from cleanest to dirtiest area (front to back)
• urethral area – cleanest
• anal area – dirtiest
DHSR Approved Curriculum-Unit 9 97
Perineal Care(continued)
• Delicate area that needs special care
–Use warm water
–Wash gently
–Rinse well
–Pat dry
DHSR Approved Curriculum-Unit 9 98
DHSR Approved Curriculum-Unit 9 99
9.21 Demonstrate giving perineal care.
DHSR Approved Curriculum-Unit 9 100
DHSR Approved Curriculum-Unit 9 101
9.22 Discuss giving a back rub.
DHSR Approved Curriculum-Unit 9 102
Giving A Back Rub
• Purpose –Stimulate circulation –Prevent skin
breakdown –Soothing–Refreshing
DHSR Approved Curriculum-Unit 9 103
Giving A Back Rub(continued)
• Use a combination of strokes–Long, smooth strokes – relaxing–Short, circular strokes – stimulating
• Use warmed lotion applied with palms of hands
• Rub 3 - 5 minutes
DHSR Approved Curriculum-Unit 9 104
DHSR Approved Curriculum-Unit 9 105
9.23 Demonstrate giving a back rub.
DHSR Approved Curriculum-Unit 9 106