Personal hygiene aifl mar 11Presentation Transcript
Provide support to meet personal
What is “normal” hygiene?
What does your hygiene routine include?
How may values and beliefs related to hygiene differ?
How do you feel about supporting peoples hygiene needs?
ADL’s associated with meeting a client’s hygiene needs
Maintaining safe environment
Maintaining body temperature
Personal cleansing and dressing
Nutrition and hydration
Self esteem and expressing sexuality
Grooming – including facial shave, hair, make up
Purposes of Hygiene / Bathing
Cleansing the skin – to minimise skin irritation by removing perspiration, some bacteria and dead skin cells
Reduction of body odours
Stimulation of circulation, through use of warm water and touch – perhaps also to reduce pain and muscle spasm
Improved self-image and promotion of relaxation – a feeling of comfort and being refreshed
As a source of activity – involving position change, mobilisation and movement of the extremities, which may help to maintain limb and joint function
Research a culture (not your own culture) Prepare a five minute presentation which you will post to the forum.
Include in your presentation features of that culture which may affect the way you deliver personal care – consider male / female relationships, religion, nutritional requirements, cultural occasions etc.
Neglect of Personal Hygiene
SKIN - growth of bacteria and fungi
- unpleasant body odour
- increased incidence of skin infections
HAIR - becomes greasy
- scalp encrusts = irritation/itchy
- scratching = broken skin
NAILS - dirty = increased bacteria
- ingrown = infection and pain
MOUTH - unpleasant taste and halitosis
- dental decay, unhealthy gums and
EYES - accumulated secretions =
discomfort, and infection risk
EARS - accumulated dirt and wax =
discomfort, and perhaps hearing loss
NOSE - crusting of nasal secretions =
increased infection risk
PERINEAL SECRETIONS – excessive vaginal, penile or secretions related to incontinence = irritation and possible Infection
Level of independence – physical and emotional state, motivation
Availability, facilities, environment
Thorough physical and functional assessment
Provision of safety, privacy and comfort
Prevention of the spread of cross-infection
Regardless of the type of hygiene a client
undergoes, the carer needs to :
Provide privacy – close doors & drapes, pull screens, expose only body areas being bathed
Maintain safety – water temp, no slips, side rails, brakes, don’t leave unattended if not safe to do so
Maintain warmth – room warm, prevent chilling, control drafts, avoid prolonged wet skin, keep covered as possible
Promote independence – encourage participation, but still conserve energy
Anticipate needs – all equipment available, and prepare for extras
Read the Care Plan
Explain what you are going to do
Choice of clothing
Assist to bathroom
Offer toilet facilities
Turn on taps and adjust temperature
Assist the client/resident to undress
Check if client/resident wants hair washed & when (first or last in showering routine)
Read the case study
Eliza’s care plan states:
Likes the bathroom warmed. Prefers to go to the bathroom with just her dressing gown on. Prefers to sit and wash herself. Needs prompting. Likes to have back and legs washed and dried.
Likes to choose her own clothes but may need prompting re appropriate clothing for climatic conditions. Prefers to dress in her room again just using her dressing gown from the bathroom. Can dress herself.
Answer the questions:
Write the dialogue that you will have with Eliza when you first greet her prior to showering.
What might you prepare prior to suggesting Eliza undress. Include some dialogue that you will have with Eliza.
List the things Eliza can do for herself.
Aids and Equipment
Utilise aids – rails, shower chair etc
Assist into shower
Ask client/resident if they like to use soap on face
Encourage and prompt to highest level of independence
Wash from head to toe at front of body
Check skin folds, umbilicus, between toes, nails, armpits for excoriations & cleanliness
Omit perineal area until last
Wash perineum, groin & buttocks area last (use gloves) – encourage client to do this
Dry client/resident thoroughly, again paying attention to skin folds etc
Apply creams, powders as necessary and as requested