Personal hygine
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Personal hygine

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Personal hygine Personal hygine Presentation Transcript

  • PERSONNAL GROOMING AND HYGIENE
  • Personal grooming is importantPersonal grooming is important for a positive self-image and everyfor a positive self-image and every effort should be made to encourageeffort should be made to encourage and assist the resident to maintain aand assist the resident to maintain a pleasing and attractive appearance.pleasing and attractive appearance. Personal Care And Grooming:Personal Care And Grooming: Relationship To Self-EsteemRelationship To Self-Esteem IntroductionIntroduction (continued)(continued)
  • 9.09.0 Provide for the resident’s personalProvide for the resident’s personal care and grooming needs andcare and grooming needs and identify the role of the nurse aideidentify the role of the nurse aide in meeting these needs.in meeting these needs. 9.19.1 List the daily hygienic needs of anList the daily hygienic needs of an individual.individual.
  • Daily Hygiene NeedsDaily Hygiene Needs  BathingBathing  Skin careSkin care  Back careBack care  OralOral hygienehygiene  ShavingShaving  ShampooingShampooing hairhair  Hair careHair care  Nail careNail care  Perineal carePerineal care  Dressing andDressing and undressingundressing
  • 9.1.19.1.1 Describe factors that affect aDescribe factors that affect a resident’s personal hygieneresident’s personal hygiene practices.practices.
  • Factors That Affect Hygiene PracticesFactors That Affect Hygiene Practices  CultureCulture  Family PracticesFamily Practices  IllnessIllness  Individual preferencesIndividual preferences  Bath in morning or before going toBath in morning or before going to bedbed  Frequency of bathing, shavingFrequency of bathing, shaving  Shampooing hair daily or weeklyShampooing hair daily or weekly
  • Factors That Affect Hygiene PracticesFactors That Affect Hygiene Practices (continued)(continued)  EconomicsEconomics  Unable to affordUnable to afford deodorant, shampoo,deodorant, shampoo, etc.etc.  Unable to affordUnable to afford utilitiesutilities
  • 9.1.29.1.2 Discuss the role of the nurseDiscuss the role of the nurse aide and how personal care canaide and how personal care can be used to promote self-esteembe used to promote self-esteem and well-being.and well-being.
  • Personal Care and Grooming:Personal Care and Grooming: Role of the Nurse AideRole of the Nurse Aide  Assist to follow theirAssist to follow their personal hygiene practices personal hygiene practices   Encourage to do as much ofEncourage to do as much of their daily care as possible their daily care as possible   Assist residents to selectAssist residents to select their own clothing their own clothing 
  • Personal Care and Grooming:Personal Care and Grooming: Role of the Nurse AideRole of the Nurse Aide (continued)(continued)  Promote independence and selfPromote independence and self esteem esteem   Encourage use of deodorant,Encourage use of deodorant, perfume, aftershave lotion, andperfume, aftershave lotion, and cosmeticscosmetics  Be patient and encouragingBe patient and encouraging
  • 9.29.2 Define and discuss oral hygiene.Define and discuss oral hygiene.
  • Oral HygieneOral Hygiene  Definition: measures used toDefinition: measures used to keep mouth and teeth cleankeep mouth and teeth clean and free of microorganismsand free of microorganisms
  • Oral HygieneOral Hygiene (continued)(continued)  PurposePurpose  Prevent odorsPrevent odors  Prevent infectionsPrevent infections  Prevent tooth decay andPrevent tooth decay and loss of teethloss of teeth  Prevent gum diseasePrevent gum disease  Increase comfortIncrease comfort  Enhance taste of foodEnhance taste of food
  • Oral HygieneOral Hygiene (continued)(continued)  Oral hygiene is provided:Oral hygiene is provided:  Before breakfastBefore breakfast  After mealsAfter meals  At bedtimeAt bedtime  Other times as requestedOther times as requested or necessaryor necessary
  • Oral HygieneOral Hygiene (continued)(continued)  Observations to report:Observations to report:  Foul mouth odorsFoul mouth odors  BleedingBleeding  Loose or broken teeth orLoose or broken teeth or denturesdentures  Sores in or around mouthSores in or around mouth  Coated tongueCoated tongue  Complaints of painComplaints of pain
  • 9.2.19.2.1 List seven principles to practiceList seven principles to practice when brushing teeth.when brushing teeth.
  • Principles For Brushing TeethPrinciples For Brushing Teeth  Hold brush at 45 degree angleHold brush at 45 degree angle  Use circular motion to brush teethUse circular motion to brush teeth  Brush well where teeth and gumsBrush well where teeth and gums meetmeet  Brush all surfacesBrush all surfaces  Brush upper teeth firstBrush upper teeth first  Brush gentlyBrush gently  Offer diluted mouth washOffer diluted mouth wash
  • Special Mouth Care ProductsSpecial Mouth Care Products  SwabsSwabs  Toothettes:Toothettes:  usually soaked inusually soaked in mouthwash or plain watermouthwash or plain water  hydrogen peroxide, salthydrogen peroxide, salt water solution if specifiedwater solution if specified on care planon care plan  Petroleum jelly for dry lipsPetroleum jelly for dry lips
  • 9.2.29.2.2 Discuss the care of a resident’sDiscuss the care of a resident’s dentures.dentures.
  • Denture CareDenture Care  Handle carefully – expensive toHandle carefully – expensive to replacereplace  Clean as often as natural teethClean as often as natural teeth  Protect from loss or breakageProtect from loss or breakage  Store safely, when out ofStore safely, when out of mouth, in labeled containermouth, in labeled container  Never use hot water, which canNever use hot water, which can warp dentureswarp dentures
  • Denture CareDenture Care (continued)(continued)  Store dry, in water or in specialStore dry, in water or in special solutionsolution  For long term storage, putFor long term storage, put container holding dentures incontainer holding dentures in bedside standbedside stand
  • 9.39.3 Demonstrate the procedure forDemonstrate the procedure for assisting the resident with oralassisting the resident with oral hygiene.hygiene.
  • 9.49.4 Demonstrate the procedure forDemonstrate the procedure for providing mouth care.providing mouth care.
  • 9.59.5 Demonstrate the procedure forDemonstrate the procedure for providing mouth care for theproviding mouth care for the unconscious resident.unconscious resident.
  • 9.69.6 Demonstrate assisting withDemonstrate assisting with denture care.denture care.
  • 9.79.7 Discuss the care of the resident’sDiscuss the care of the resident’s nails and feet.nails and feet.
  •  Requires daily cleaning andRequires daily cleaning and trimming of fingernails andtrimming of fingernails and toenails as neededtoenails as needed  Maintain nails by keepingMaintain nails by keeping nails:nails:  shortshort  cleanclean  free of rough edgesfree of rough edges Nail CareNail Care
  • 9.7.19.7.1 List three purposes of nail andList three purposes of nail and foot care.foot care.
  •  PurposePurpose  Prevent infectionPrevent infection  Prevent injuryPrevent injury  Prevent odorsPrevent odors Nail CareNail Care (continued)(continued)
  • 9.7.29.7.2 Identify factors to be consideredIdentify factors to be considered when giving a resident nail care.when giving a resident nail care.
  •  Easier to trim and clean afterEasier to trim and clean after soakingsoaking  Nail clipper used to cut andNail clipper used to cut and trim nailstrim nails  Clip nails straight acrossClip nails straight across  Softened cuticle can be pushedSoftened cuticle can be pushed back with orange stickback with orange stickNail Care: Factors To ConsiderNail Care: Factors To Consider
  •  Use file or emery board to smoothUse file or emery board to smooth rough edgesrough edges  Use care not to injure skin whenUse care not to injure skin when clippingclippingNail Care: Factors To ConsiderNail Care: Factors To Consider (continued)(continued)
  •  Diabetics and residents withDiabetics and residents with circulatory problems will have theircirculatory problems will have their nails trimmed only by a licensednails trimmed only by a licensed nurse or podiatristnurse or podiatrist  Review resident care plan and checkReview resident care plan and check with supervisor prior to trimmingwith supervisor prior to trimming nailsnails Nail Care: Factors To ConsiderNail Care: Factors To Consider (continued)(continued)
  • 9.7.39.7.3 Identify factors to be consideredIdentify factors to be considered when giving a resident foot care.when giving a resident foot care.
  •  Wash feet using warm waterWash feet using warm water and mild soapand mild soap  Dry feet carefully, especiallyDry feet carefully, especially between the toesbetween the toes  Apply lotion to tops andApply lotion to tops and bottoms of feet only, notbottoms of feet only, not between the toesbetween the toes Factors To Consider In Foot CareFactors To Consider In Foot Care
  •  Check feet daily for:Check feet daily for:  redness, warmth or constant painredness, warmth or constant pain  numbness or tinglingnumbness or tingling  dry, cracked skindry, cracked skin  swellingswelling  blisters, cuts, scratches or other soresblisters, cuts, scratches or other sores  ingrown toenails, corns, callusesingrown toenails, corns, calluses Factors To Consider In Foot CareFactors To Consider In Foot Care (continued)(continued)
  • Factors To Consider In Foot CareFactors To Consider In Foot Care (continued)(continued)  Do not use a heatingDo not use a heating pad on resident’s feetpad on resident’s feet  Keep footwear on;Keep footwear on; residents never goresidents never go barefootbarefoot  Change socks and shoesChange socks and shoes dailydaily
  • Factors To Consider In Foot CareFactors To Consider In Foot Care (continued)(continued)  Foot injuries andFoot injuries and infections can lead toinfections can lead to gangrene andgangrene and amputation, especially inamputation, especially in diabeticsdiabetics  Notify supervisorNotify supervisor immediately of anyimmediately of any unusual observations ofunusual observations of the feetthe feet
  • 9.89.8 Demonstrate cleaning andDemonstrate cleaning and trimming a resident’s nails.trimming a resident’s nails.
  • 9.99.9 Demonstrate foot care.Demonstrate foot care.
  • 9.109.10 Discuss the nurse aide’sDiscuss the nurse aide’s responsibility in assisting theresponsibility in assisting the resident with shaving.resident with shaving.
  • Assisting Resident With ShavingAssisting Resident With Shaving  Daily activity forDaily activity for menmen  Promotes:Promotes:  Physical comfortPhysical comfort  Psychological well-Psychological well- beingbeing
  • 9.10.19.10.1 Review the factors to considerReview the factors to consider when shaving a resident.when shaving a resident.
  • Assisting Resident With ShavingAssisting Resident With Shaving  Factors to consider:Factors to consider:  Electric razor provides greatestElectric razor provides greatest safetysafety  Use own equipment or a disposableUse own equipment or a disposable safety razorsafety razor  Soften beard and skin prior toSoften beard and skin prior to shavingshaving
  • Assisting Resident With ShavingAssisting Resident With Shaving (continued)(continued)  Factors to consider (continued):Factors to consider (continued):  Use care not to cut or irritate skinUse care not to cut or irritate skin while shavingwhile shaving  Shave in direction hair growsShave in direction hair grows  Do not use electric razors whenDo not use electric razors when oxygen in useoxygen in use
  • 9.119.11 Demonstrate assisting theDemonstrate assisting the resident with shaving.resident with shaving.
  • 9.129.12 Describe ways to assist theDescribe ways to assist the resident with hair care.resident with hair care.
  • Hair CareHair Care  Hair care includesHair care includes  Daily brushingDaily brushing and combingand combing  StylingStyling  ShampooingShampooing
  • 9.12.19.12.1 Review factors to consider forReview factors to consider for daily hair care.daily hair care.
  • Factors To Consider ForFactors To Consider For Daily Hair CareDaily Hair Care  Because hair style isBecause hair style is personal preference, askpersonal preference, ask about styleabout style  Make brushing andMake brushing and combing part of morningcombing part of morning carecare
  • Factors To Consider ForFactors To Consider For Daily Hair CareDaily Hair Care (continued)(continued)  Protect resident’sProtect resident’s clothing by placingclothing by placing towel around shoulderstowel around shoulders  Cover pillow withCover pillow with towel for residentstowel for residents confined to bedconfined to bed
  • Factors To Consider ForFactors To Consider For Daily Hair CareDaily Hair Care (continued)(continued)  Brushing hair:Brushing hair:  refreshes residentrefreshes resident  improves moraleimproves morale  stimulates circulationstimulates circulation  distributes natural oils evenlydistributes natural oils evenly  removes lint and dustremoves lint and dust  Handle hair gently when brushingHandle hair gently when brushing or combingor combing
  • Factors To Consider ForFactors To Consider For Daily Hair CareDaily Hair Care (continued)(continued)  Section hair and work on oneSection hair and work on one area at a timearea at a time  Note appearance of scalp andNote appearance of scalp and hairhair  Hair style should be ageHair style should be age appropriateappropriate
  • Factors To Consider ForFactors To Consider For Daily Hair CareDaily Hair Care (continued)(continued)  Residents are encouraged to do asResidents are encouraged to do as much as possible for themselvesmuch as possible for themselves  Comb and brush are cleaned afterComb and brush are cleaned after useuse  Combs and brushes are never sharedCombs and brushes are never shared
  • 9.12.29.12.2 Discuss considerations usedDiscuss considerations used when shampooing a resident’swhen shampooing a resident’s hair.hair.
  • Shampooing ConsiderationsShampooing Considerations  Frequency individualizedFrequency individualized  Resident’s shampoo,Resident’s shampoo, conditioner and otherconditioner and other hair care products arehair care products are usedused  Resident assisted toResident assisted to beauty shop if availablebeauty shop if available
  • 9.12.39.12.3 List the various methods forList the various methods for shampooing hair.shampooing hair.
  • Shampooing ConsiderationsShampooing Considerations (continued)(continued)  Methods of shampooing:Methods of shampooing:  during showerduring shower  at sinkat sink  using stretcherusing stretcher  in bedin bed
  • Shampooing ConsiderationsShampooing Considerations (continued)(continued)  Eyes and ears protectedEyes and ears protected  Hair dried as fast asHair dried as fast as possiblepossible  Cold or drafty areasCold or drafty areas eliminatedeliminated  Female residents assistedFemale residents assisted to curl or set hairto curl or set hair
  • Shampooing ConsiderationsShampooing Considerations (continued)(continued)  Barbers or beauticiansBarbers or beauticians may be contacted bymay be contacted by facility to care for hair offacility to care for hair of residentsresidents  Care plan to be checkedCare plan to be checked for any specialfor any special instructions prior toinstructions prior to shampooingshampooing
  • 9.139.13 Demonstrate caring for theDemonstrate caring for the residents’ hair.residents’ hair.
  • 9.149.14 Demonstrate shampooing hairDemonstrate shampooing hair of resident who is in bed.of resident who is in bed.
  • 9.159.15 Identify the general principles ofIdentify the general principles of dressing and undressing adressing and undressing a resident.resident.
  • Dressing And UndressingDressing And Undressing  Encourage resident toEncourage resident to choose own clothingchoose own clothing  Dress daily own clothingDress daily own clothing and underwearand underwear  Make sure clothes are inMake sure clothes are in good repairgood repair
  • Dressing And UndressingDressing And Undressing (continued)(continued)  Dress weak or affected sideDress weak or affected side firstfirst  Undress weak or affectedUndress weak or affected side lastside last  Ensure clothing isEnsure clothing is appropriate for weatherappropriate for weather and environmentand environment
  • Dressing And UndressingDressing And Undressing (continued)(continued)  Encourage resident to wearEncourage resident to wear clothing that matches andclothing that matches and is clean and neatis clean and neat  Dress should be ageDress should be age appropriateappropriate  Do not put clothing onDo not put clothing on backwardsbackwards
  • Dressing And UndressingDressing And Undressing (continued)(continued)  Be gentleBe gentle  Always be patientAlways be patient and provide time forand provide time for residents to do asresidents to do as much as possible formuch as possible for themselvesthemselves
  • 9.169.16 Demonstrate the procedure forDemonstrate the procedure for dressing and undressing thedressing and undressing the resident.resident.
  • 9.179.17 Identify the purposes of bathing aIdentify the purposes of bathing a resident.resident.
  • Bathing ResidentBathing Resident  Purpose of BathingPurpose of Bathing  Removes perspiration,Removes perspiration, dirt anddirt and microorganismsmicroorganisms  Stimulates circulationStimulates circulation  Exercises body partsExercises body parts
  • Bathing ResidentBathing Resident (continued)(continued)  Purpose of BathingPurpose of Bathing (continued)(continued)  Refreshes, relaxes andRefreshes, relaxes and promotes physicalpromotes physical comfortcomfort  Removes odorsRemoves odors  Allows for evaluation ofAllows for evaluation of skin conditionskin condition
  • 9.17.19.17.1 Discuss the various methods ofDiscuss the various methods of bathing a resident.bathing a resident.
  • Bathing ResidentBathing Resident  Methods of BathingMethods of Bathing  Partial bath Partial bath   Complete bedComplete bed bath bath   Tub bath Tub bath   Shower Shower 
  • 9.17.29.17.2 Identify guidelines for bathingIdentify guidelines for bathing a resident.a resident.
  • Guidelines for BathingGuidelines for Bathing  Receive instructionsReceive instructions from supervisorfrom supervisor regarding method ofregarding method of bathing and skin carebathing and skin care products to useproducts to use  Provide privacyProvide privacy  Reduce drafts by closingReduce drafts by closing windows, drapes andwindows, drapes and doorsdoors
  • Guidelines for BathingGuidelines for Bathing (continued)(continued)  Use good body mechanicsUse good body mechanics  Keep covered for warmth and privacyKeep covered for warmth and privacy  Protect safety of resident:Protect safety of resident:  never leave unattended in bathtubnever leave unattended in bathtub or showeror shower  take precautions to prevent slipstake precautions to prevent slips and fallsand falls  have temperature no higher thanhave temperature no higher than 105105°°F for tub or showerF for tub or shower
  • Guidelines for BathingGuidelines for Bathing (continued)(continued)  Rinse skin completely if not usingRinse skin completely if not using no-rinse productno-rinse product  Encourage to do as much asEncourage to do as much as possible for selfpossible for self  Pat skin dryPat skin dry  Observe condition of skinObserve condition of skin
  • 9.17.39.17.3 Observe the condition of theObserve the condition of the skin and report any unusualskin and report any unusual observations.observations.
  • Skin Observations While BathingSkin Observations While Bathing  Color of skin, lips, nailColor of skin, lips, nail beds and sclera of eyesbeds and sclera of eyes  Location and descriptionLocation and description of rashesof rashes  Dry skinDry skin  Bruises or open areas onBruises or open areas on skinskin
  • Skin Observations While BathingSkin Observations While Bathing (continued)(continued)  Pale or reddened areas,Pale or reddened areas, especially over bonyespecially over bony partsparts  Drainage or bleedingDrainage or bleeding from wounds orfrom wounds or orificesorifices  Skin temperatureSkin temperature  Complaints of pain orComplaints of pain or discomfortdiscomfort
  • 9.189.18 Demonstrate the procedure forDemonstrate the procedure for giving a complete bed bath andgiving a complete bed bath and partial bath.partial bath.
  • 9.199.19 Demonstrate the procedure forDemonstrate the procedure for giving a tub bath or shower.giving a tub bath or shower.
  • 9.209.20 Discuss giving perineal care.Discuss giving perineal care.
  • Perineal CarePerineal Care  Used to clean genital and anal areasUsed to clean genital and anal areas  Prevents infectionPrevents infection  Prevents odorsPrevents odors  Promotes comfortPromotes comfort
  • Perineal CarePerineal Care  Rules of medical asepsis andRules of medical asepsis and Standard Precautions followedStandard Precautions followed  Work from cleanest to dirtiest areaWork from cleanest to dirtiest area (front to back)(front to back)  urethral area – cleanesturethral area – cleanest  anal area – dirtiestanal area – dirtiest
  • Perineal CarePerineal Care (continued)(continued)  Delicate area that needs special careDelicate area that needs special care  Use warm waterUse warm water  Wash gentlyWash gently  Rinse wellRinse well  Pat dryPat dry
  • 9.219.21 Demonstrate giving perinealDemonstrate giving perineal care.care.
  • 9.229.22 Discuss giving a back rub.Discuss giving a back rub.
  • Giving A Back RubGiving A Back Rub  Purpose Purpose   Stimulate circulation Stimulate circulation   Prevent skinPrevent skin breakdown breakdown   SoothingSoothing  RefreshingRefreshing
  • Giving A Back RubGiving A Back Rub (continued)(continued)  Use a combination of strokesUse a combination of strokes  Long, smooth strokes – relaxingLong, smooth strokes – relaxing  Short, circular strokes – stimulatingShort, circular strokes – stimulating  Use warmed lotion applied withUse warmed lotion applied with palms of handspalms of hands  Rub 3 - 5 minutesRub 3 - 5 minutes
  • 9.239.23 Demonstrate giving a back rub.Demonstrate giving a back rub.