Unit 9 Personal Care And Grooming: Relationship To Self-Esteem Nurse Aide I Course DHSR Approved Curriculum-Unit 9
Personal Care And Grooming: Relationship To Self-Esteem Introduction <ul><li>Nurse aides are the members of the health car...
Personal Care And Grooming: Relationship To Self-Esteem Introduction (continued) <ul><li>Personal grooming is important fo...
DHSR Approved Curriculum-Unit 9 Personal Care And Grooming
<ul><li>9.0 Provide for the resident’s personal care and grooming needs and identify the role of the nurse aide in meeting...
Daily Hygiene Needs <ul><li>Bathing </li></ul><ul><li>Skin care </li></ul><ul><li>Back care </li></ul><ul><li>Oral hygiene...
<ul><li>9.1.1 Describe factors that affect a resident’s personal hygiene practices. </li></ul>DHSR Approved Curriculum-Uni...
Factors That Affect Hygiene Practices <ul><li>Culture </li></ul><ul><li>Family Practices </li></ul><ul><li>Illness </li></...
Factors That Affect Hygiene Practices (continued) <ul><li>Economics </li></ul><ul><ul><li>Unable to afford deodorant, sham...
<ul><li>9.1.2 Discuss the role of the nurse aide and how personal care can be used to promote self-esteem and well-being. ...
Personal Care and Grooming:  Role of the Nurse Aide <ul><li>Assist to follow their personal hygiene practices  </li></ul><...
Personal Care and Grooming:  Role of the Nurse Aide (continued) <ul><li>Promote independence and self esteem  </li></ul><u...
DHSR Approved Curriculum-Unit 9 Oral Hygiene
<ul><li>9.2 Define and discuss oral hygiene. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Oral Hygiene <ul><li>Definition: measures used to keep mouth and teeth clean and free of microorganisms </li></ul>DHSR App...
Oral Hygiene (continued) <ul><li>Purpose </li></ul><ul><ul><li>Prevent odors </li></ul></ul><ul><ul><li>Prevent infections...
Oral Hygiene (continued) <ul><li>Oral hygiene is provided: </li></ul><ul><ul><li>Before breakfast </li></ul></ul><ul><ul><...
Oral Hygiene (continued) <ul><li>Observations to report: </li></ul><ul><ul><li>Foul mouth odors </li></ul></ul><ul><ul><li...
<ul><li>9.2.1 List seven principles to practice when brushing teeth. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Principles For Brushing Teeth <ul><li>Hold brush at 45 degree angle </li></ul><ul><li>Use circular motion to brush teeth <...
Special Mouth Care Products   <ul><li>Swabs </li></ul><ul><li>Toothettes: </li></ul><ul><ul><li>usually soaked in mouthwas...
<ul><li>9.2.2 Discuss the care of a resident’s dentures. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Denture Care   <ul><li>Handle carefully – expensive to replace </li></ul><ul><li>Clean as often as natural teeth </li></ul...
Denture Care (continued) <ul><li>Store dry, in water or in special solution </li></ul><ul><li>For long term storage, put c...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.3 Demonstrate the procedure for assisting the resident with oral hygiene. </li></ul>DHSR Approved Curriculum-Uni...
<ul><li>9.4 Demonstrate the procedure for providing mouth care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
<ul><li>9.5 Demonstrate the procedure for providing mouth care for the unconscious resident. </li></ul>DHSR Approved Curri...
<ul><li>9.6 Demonstrate assisting with denture care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Nail Care
<ul><li>9.7 Discuss the care of the resident’s nails and feet. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Nail Care <ul><li>Requires daily cleaning and trimming of fingernails and toenails as needed </li></ul><ul><li>Maintain na...
<ul><li>9.7.1 List three purposes of nail and foot care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Nail Care (continued) <ul><li>Purpose </li></ul><ul><ul><li>Prevent infection </li></ul></ul><ul><ul><li>Prevent injury </...
<ul><li>9.7.2 Identify factors to be considered when giving a resident nail care. </li></ul>DHSR Approved Curriculum-Unit ...
Nail Care: Factors To Consider <ul><li>Easier to trim and clean after soaking </li></ul><ul><li>Nail clipper used to cut a...
Nail Care: Factors To Consider (continued) <ul><li>Use file or emery board to smooth rough edges </li></ul><ul><li>Use car...
Nail Care: Factors To Consider (continued) <ul><li>Diabetics and residents with circulatory problems will have their nails...
<ul><li>9.7.3 Identify factors to be considered when giving a resident foot care. </li></ul>DHSR Approved Curriculum-Unit ...
Factors To Consider In Foot Care   <ul><li>Wash feet using warm water and mild soap </li></ul><ul><li>Dry feet carefully, ...
Factors To Consider In Foot Care (continued)   <ul><li>Check feet daily for: </li></ul><ul><ul><li>redness, warmth or cons...
Factors To Consider In Foot Care (continued)   <ul><li>Do not use a heating pad on resident’s feet </li></ul><ul><li>Keep ...
Factors To Consider In Foot Care (continued)   <ul><li>Foot injuries and infections can lead to gangrene and amputation, e...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.8 Demonstrate cleaning and trimming a resident’s nails. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
<ul><li>9.9 Demonstrate foot care.  </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Assisting Resident With Shaving
<ul><li>9.10 Discuss the nurse aide’s responsibility in assisting the resident with shaving. </li></ul>DHSR Approved Curri...
Assisting Resident With Shaving <ul><li>Daily activity for men </li></ul><ul><li>Promotes: </li></ul><ul><ul><li>Physical ...
<ul><li>9.10.1 Review the factors to consider when shaving a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Assisting Resident With Shaving <ul><li>Factors to consider: </li></ul><ul><ul><li>Electric razor provides greatest safety...
Assisting Resident With Shaving (continued) <ul><li>Factors to consider (continued): </li></ul><ul><ul><li>Use care not to...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.11 Demonstrate assisting the resident with shaving. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Hair Care
<ul><li>9.12 Describe ways to assist the resident with hair care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Hair Care <ul><li>Hair care includes </li></ul><ul><ul><li>Daily brushing and combing </li></ul></ul><ul><ul><li>Styling <...
<ul><li>9.12.1 Review factors to consider for daily hair care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Factors To Consider For  Daily Hair Care <ul><li>Because hair style is personal preference, ask about style </li></ul><ul>...
Factors To Consider For  Daily Hair Care (continued) <ul><li>Protect resident’s clothing by placing towel around shoulders...
Factors To Consider For  Daily Hair Care (continued) <ul><li>Brushing hair: </li></ul><ul><ul><li>refreshes resident </li>...
Factors To Consider For  Daily Hair Care (continued) <ul><li>Section hair and work on one area at a time </li></ul><ul><li...
Factors To Consider For  Daily Hair Care (continued) <ul><li>Residents are encouraged to do as much as possible for themse...
<ul><li>9.12.2 Discuss considerations used when shampooing a resident’s hair. </li></ul>DHSR Approved Curriculum-Unit 9 Ob...
Shampooing Considerations <ul><li>Frequency individualized </li></ul><ul><li>Resident’s shampoo, conditioner and other hai...
<ul><li>9.12.3 List the various methods for shampooing hair. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Shampooing Considerations (continued) <ul><li>Methods of shampooing: </li></ul><ul><ul><li>during shower </li></ul></ul><u...
Shampooing Considerations (continued) <ul><li>Eyes and ears protected </li></ul><ul><li>Hair dried as fast as possible </l...
Shampooing Considerations (continued) <ul><li>Barbers or beauticians may be contacted by facility to care for hair of resi...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.13 Demonstrate caring for the residents’ hair. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
<ul><li>9.14 Demonstrate shampooing hair of resident who is in bed. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Dressing And Undressing
<ul><li>9.15 Identify the general principles of dressing and undressing a resident. </li></ul>DHSR Approved Curriculum-Uni...
Dressing And Undressing <ul><li>Encourage resident to choose own clothing  </li></ul><ul><li>Dress daily own clothing and ...
Dressing And Undressing (continued) <ul><li>Dress weak or affected side first </li></ul><ul><li>Undress weak or affected s...
Dressing And Undressing (continued) <ul><li>Encourage resident to wear clothing that matches and is clean and neat </li></...
Dressing And Undressing (continued) <ul><li>Be gentle </li></ul><ul><li>Always be patient and provide time for residents t...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.16 Demonstrate the procedure for dressing and undressing the resident. </li></ul>DHSR Approved Curriculum-Unit 9...
DHSR Approved Curriculum-Unit 9 Bathing
<ul><li>9.17 Identify the purposes of bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Bathing Resident <ul><li>Purpose of Bathing </li></ul><ul><ul><li>Removes perspiration, dirt and microorganisms </li></ul>...
Bathing Resident (continued) <ul><li>Purpose of Bathing  (continued) </li></ul><ul><ul><li>Refreshes, relaxes and promotes...
<ul><li>9.17.1 Discuss the various methods of bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Bathing Resident <ul><li>Methods of Bathing </li></ul><ul><ul><li>Partial bath  </li></ul></ul><ul><ul><li>Complete bed ba...
<ul><li>9.17.2 Identify guidelines for bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Guidelines for Bathing <ul><li>Receive instructions from supervisor regarding method of bathing and skin care products to ...
Guidelines for Bathing (continued) <ul><li>Use good body mechanics </li></ul><ul><li>Keep covered for warmth and privacy <...
Guidelines for Bathing (continued) <ul><li>Rinse skin completely if not using no-rinse product </li></ul><ul><li>Encourage...
<ul><li>9.17.3 Observe the condition of the skin and report any unusual observations. </li></ul>DHSR Approved Curriculum-U...
Skin Observations While Bathing <ul><li>Color of skin, lips, nail beds and sclera of eyes </li></ul><ul><li>Location and d...
Skin Observations While Bathing (continued) <ul><li>Pale or reddened areas, especially over bony parts </li></ul><ul><li>D...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.18 Demonstrate the procedure for giving a complete bed bath and partial bath. </li></ul>DHSR Approved Curriculum...
<ul><li>9.19 Demonstrate the procedure for giving a tub bath or shower. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Perineal Care
<ul><li>9.20 Discuss giving perineal care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Perineal Care <ul><li>Used to clean genital and anal areas </li></ul><ul><ul><li>Prevents infection </li></ul></ul><ul><ul...
Perineal Care <ul><li>Rules of medical asepsis and Standard Precautions followed </li></ul><ul><ul><li>Work from cleanest ...
Perineal Care (continued) <ul><li>Delicate area that needs special care </li></ul><ul><ul><li>Use warm water </li></ul></u...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.21 Demonstrate giving perineal care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 Giving a Back Rub
<ul><li>9.22 Discuss giving a back rub. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
Giving A Back Rub <ul><li>Purpose  </li></ul><ul><ul><li>Stimulate circulation  </li></ul></ul><ul><ul><li>Prevent skin br...
Giving A Back Rub (continued) <ul><li>Use a combination of strokes </li></ul><ul><ul><li>Long, smooth strokes – relaxing <...
DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
<ul><li>9.23 Demonstrate giving a back rub. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
DHSR Approved Curriculum-Unit 9 THE END
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Personal care-and-grooming

  1. 1. Unit 9 Personal Care And Grooming: Relationship To Self-Esteem Nurse Aide I Course DHSR Approved Curriculum-Unit 9
  2. 2. Personal Care And Grooming: Relationship To Self-Esteem Introduction <ul><li>Nurse aides are the members of the health care team responsible for providing personal care and grooming for the resident. </li></ul><ul><li>They encourage the resident to do as much as possible for themselves, but assist as needed with personal cleanliness, oral hygiene, nail care, shaving, dressing, care of hair and skin care. </li></ul>DHSR Approved Curriculum-Unit 9
  3. 3. Personal Care And Grooming: Relationship To Self-Esteem Introduction (continued) <ul><li>Personal grooming is important for a positive self-image and every effort should be made to encourage and assist the resident to maintain a pleasing and attractive appearance. </li></ul>DHSR Approved Curriculum-Unit 9
  4. 4. DHSR Approved Curriculum-Unit 9 Personal Care And Grooming
  5. 5. <ul><li>9.0 Provide for the resident’s personal care and grooming needs and identify the role of the nurse aide in meeting these needs. </li></ul><ul><li>9.1 List the daily hygienic needs of an individual. </li></ul>DHSR Approved Curriculum-Unit 9 Objectives
  6. 6. Daily Hygiene Needs <ul><li>Bathing </li></ul><ul><li>Skin care </li></ul><ul><li>Back care </li></ul><ul><li>Oral hygiene </li></ul><ul><li>Shaving </li></ul><ul><li>Shampooing hair </li></ul><ul><li>Hair care </li></ul><ul><li>Nail care </li></ul><ul><li>Perineal care </li></ul><ul><li>Dressing and undressing </li></ul>DHSR Approved Curriculum-Unit 9
  7. 7. <ul><li>9.1.1 Describe factors that affect a resident’s personal hygiene practices. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  8. 8. Factors That Affect Hygiene Practices <ul><li>Culture </li></ul><ul><li>Family Practices </li></ul><ul><li>Illness </li></ul><ul><li>Individual preferences </li></ul><ul><ul><li>Bath in morning or before going to bed </li></ul></ul><ul><ul><li>Frequency of bathing, shaving </li></ul></ul><ul><ul><li>Shampooing hair daily or weekly </li></ul></ul>DHSR Approved Curriculum-Unit 9
  9. 9. Factors That Affect Hygiene Practices (continued) <ul><li>Economics </li></ul><ul><ul><li>Unable to afford deodorant, shampoo, etc. </li></ul></ul><ul><ul><li>Unable to afford utilities </li></ul></ul>DHSR Approved Curriculum-Unit 9
  10. 10. <ul><li>9.1.2 Discuss the role of the nurse aide and how personal care can be used to promote self-esteem and well-being. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  11. 11. Personal Care and Grooming: Role of the Nurse Aide <ul><li>Assist to follow their personal hygiene practices  </li></ul><ul><li>Encourage to do as much of their daily care as possible  </li></ul><ul><li>Assist residents to select their own clothing  </li></ul>DHSR Approved Curriculum-Unit 9
  12. 12. Personal Care and Grooming: Role of the Nurse Aide (continued) <ul><li>Promote independence and self esteem  </li></ul><ul><li>Encourage use of deodorant, perfume, aftershave lotion, and cosmetics </li></ul><ul><li>Be patient and encouraging </li></ul>DHSR Approved Curriculum-Unit 9
  13. 13. DHSR Approved Curriculum-Unit 9 Oral Hygiene
  14. 14. <ul><li>9.2 Define and discuss oral hygiene. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  15. 15. Oral Hygiene <ul><li>Definition: measures used to keep mouth and teeth clean and free of microorganisms </li></ul>DHSR Approved Curriculum-Unit 9
  16. 16. Oral Hygiene (continued) <ul><li>Purpose </li></ul><ul><ul><li>Prevent odors </li></ul></ul><ul><ul><li>Prevent infections </li></ul></ul><ul><ul><li>Prevent tooth decay and loss of teeth </li></ul></ul><ul><ul><li>Prevent gum disease </li></ul></ul><ul><ul><li>Increase comfort </li></ul></ul><ul><ul><li>Enhance taste of food </li></ul></ul>DHSR Approved Curriculum-Unit 9
  17. 17. Oral Hygiene (continued) <ul><li>Oral hygiene is provided: </li></ul><ul><ul><li>Before breakfast </li></ul></ul><ul><ul><li>After meals </li></ul></ul><ul><ul><li>At bedtime </li></ul></ul><ul><ul><li>Other times as requested or necessary </li></ul></ul>DHSR Approved Curriculum-Unit 9
  18. 18. Oral Hygiene (continued) <ul><li>Observations to report: </li></ul><ul><ul><li>Foul mouth odors </li></ul></ul><ul><ul><li>Bleeding </li></ul></ul><ul><ul><li>Loose or broken teeth or dentures </li></ul></ul><ul><ul><li>Sores in or around mouth </li></ul></ul><ul><ul><li>Coated tongue </li></ul></ul><ul><ul><li>Complaints of pain </li></ul></ul>DHSR Approved Curriculum-Unit 9
  19. 19. <ul><li>9.2.1 List seven principles to practice when brushing teeth. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  20. 20. Principles For Brushing Teeth <ul><li>Hold brush at 45 degree angle </li></ul><ul><li>Use circular motion to brush teeth </li></ul><ul><li>Brush well where teeth and gums meet </li></ul><ul><li>Brush all surfaces </li></ul><ul><li>Brush upper teeth first </li></ul><ul><li>Brush gently </li></ul><ul><li>Offer diluted mouth wash </li></ul>DHSR Approved Curriculum-Unit 9
  21. 21. Special Mouth Care Products <ul><li>Swabs </li></ul><ul><li>Toothettes: </li></ul><ul><ul><li>usually soaked in mouthwash or plain water </li></ul></ul><ul><ul><li>hydrogen peroxide, salt water solution if specified on care plan </li></ul></ul><ul><li>Petroleum jelly for dry lips </li></ul>DHSR Approved Curriculum-Unit 9
  22. 22. <ul><li>9.2.2 Discuss the care of a resident’s dentures. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  23. 23. Denture Care <ul><li>Handle carefully – expensive to replace </li></ul><ul><li>Clean as often as natural teeth </li></ul><ul><li>Protect from loss or breakage </li></ul><ul><li>Store safely, when out of mouth, in labeled container </li></ul><ul><li>Never use hot water, which can warp dentures </li></ul>DHSR Approved Curriculum-Unit 9
  24. 24. Denture Care (continued) <ul><li>Store dry, in water or in special solution </li></ul><ul><li>For long term storage, put container holding dentures in bedside stand </li></ul>DHSR Approved Curriculum-Unit 9
  25. 25. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  26. 26. <ul><li>9.3 Demonstrate the procedure for assisting the resident with oral hygiene. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  27. 27. <ul><li>9.4 Demonstrate the procedure for providing mouth care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  28. 28. <ul><li>9.5 Demonstrate the procedure for providing mouth care for the unconscious resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  29. 29. <ul><li>9.6 Demonstrate assisting with denture care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  30. 30. DHSR Approved Curriculum-Unit 9 Nail Care
  31. 31. <ul><li>9.7 Discuss the care of the resident’s nails and feet. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  32. 32. Nail Care <ul><li>Requires daily cleaning and trimming of fingernails and toenails as needed </li></ul><ul><li>Maintain nails by keeping nails: </li></ul><ul><ul><li>short </li></ul></ul><ul><ul><li>clean </li></ul></ul><ul><ul><li>free of rough edges </li></ul></ul>DHSR Approved Curriculum-Unit 9
  33. 33. <ul><li>9.7.1 List three purposes of nail and foot care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  34. 34. Nail Care (continued) <ul><li>Purpose </li></ul><ul><ul><li>Prevent infection </li></ul></ul><ul><ul><li>Prevent injury </li></ul></ul><ul><ul><li>Prevent odors </li></ul></ul>DHSR Approved Curriculum-Unit 9
  35. 35. <ul><li>9.7.2 Identify factors to be considered when giving a resident nail care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  36. 36. Nail Care: Factors To Consider <ul><li>Easier to trim and clean after soaking </li></ul><ul><li>Nail clipper used to cut and trim nails </li></ul><ul><li>Clip nails straight across </li></ul><ul><li>Softened cuticle can be pushed back with orange stick </li></ul>DHSR Approved Curriculum-Unit 9
  37. 37. Nail Care: Factors To Consider (continued) <ul><li>Use file or emery board to smooth rough edges </li></ul><ul><li>Use care not to injure skin when clipping </li></ul>DHSR Approved Curriculum-Unit 9
  38. 38. Nail Care: Factors To Consider (continued) <ul><li>Diabetics and residents with circulatory problems will have their nails trimmed only by a licensed nurse or podiatrist </li></ul><ul><li>Review resident care plan and check with supervisor prior to trimming nails </li></ul>DHSR Approved Curriculum-Unit 9
  39. 39. <ul><li>9.7.3 Identify factors to be considered when giving a resident foot care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  40. 40. Factors To Consider In Foot Care <ul><li>Wash feet using warm water and mild soap </li></ul><ul><li>Dry feet carefully, especially between the toes </li></ul><ul><li>Apply lotion to tops and bottoms of feet only, not between the toes </li></ul>DHSR Approved Curriculum-Unit 9
  41. 41. Factors To Consider In Foot Care (continued) <ul><li>Check feet daily for: </li></ul><ul><ul><li>redness, warmth or constant pain </li></ul></ul><ul><ul><li>numbness or tingling </li></ul></ul><ul><ul><li>dry, cracked skin </li></ul></ul><ul><ul><li>swelling </li></ul></ul><ul><ul><li>blisters, cuts, scratches or other sores </li></ul></ul><ul><ul><li>ingrown toenails, corns, calluses </li></ul></ul>DHSR Approved Curriculum-Unit 9
  42. 42. Factors To Consider In Foot Care (continued) <ul><li>Do not use a heating pad on resident’s feet </li></ul><ul><li>Keep footwear on; residents never go barefoot </li></ul><ul><li>Change socks and shoes daily </li></ul>DHSR Approved Curriculum-Unit 9
  43. 43. Factors To Consider In Foot Care (continued) <ul><li>Foot injuries and infections can lead to gangrene and amputation, especially in diabetics </li></ul><ul><li>Notify supervisor immediately of any unusual observations of the feet </li></ul>DHSR Approved Curriculum-Unit 9
  44. 44. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  45. 45. <ul><li>9.8 Demonstrate cleaning and trimming a resident’s nails. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  46. 46. <ul><li>9.9 Demonstrate foot care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  47. 47. DHSR Approved Curriculum-Unit 9 Assisting Resident With Shaving
  48. 48. <ul><li>9.10 Discuss the nurse aide’s responsibility in assisting the resident with shaving. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  49. 49. Assisting Resident With Shaving <ul><li>Daily activity for men </li></ul><ul><li>Promotes: </li></ul><ul><ul><li>Physical comfort </li></ul></ul><ul><ul><li>Psychological well-being </li></ul></ul>DHSR Approved Curriculum-Unit 9
  50. 50. <ul><li>9.10.1 Review the factors to consider when shaving a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  51. 51. Assisting Resident With Shaving <ul><li>Factors to consider: </li></ul><ul><ul><li>Electric razor provides greatest safety </li></ul></ul><ul><ul><li>Use own equipment or a disposable safety razor </li></ul></ul><ul><ul><li>Soften beard and skin prior to shaving </li></ul></ul>DHSR Approved Curriculum-Unit 9
  52. 52. Assisting Resident With Shaving (continued) <ul><li>Factors to consider (continued): </li></ul><ul><ul><li>Use care not to cut or irritate skin while shaving </li></ul></ul><ul><ul><li>Shave in direction hair grows </li></ul></ul><ul><ul><li>Do not use electric razors when oxygen in use </li></ul></ul>DHSR Approved Curriculum-Unit 9
  53. 53. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  54. 54. <ul><li>9.11 Demonstrate assisting the resident with shaving. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  55. 55. DHSR Approved Curriculum-Unit 9 Hair Care
  56. 56. <ul><li>9.12 Describe ways to assist the resident with hair care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  57. 57. Hair Care <ul><li>Hair care includes </li></ul><ul><ul><li>Daily brushing and combing </li></ul></ul><ul><ul><li>Styling </li></ul></ul><ul><ul><li>Shampooing </li></ul></ul>DHSR Approved Curriculum-Unit 9
  58. 58. <ul><li>9.12.1 Review factors to consider for daily hair care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  59. 59. Factors To Consider For Daily Hair Care <ul><li>Because hair style is personal preference, ask about style </li></ul><ul><li>Make brushing and combing part of morning care </li></ul>DHSR Approved Curriculum-Unit 9
  60. 60. Factors To Consider For Daily Hair Care (continued) <ul><li>Protect resident’s clothing by placing towel around shoulders </li></ul><ul><li>Cover pillow with towel for residents confined to bed </li></ul>DHSR Approved Curriculum-Unit 9
  61. 61. Factors To Consider For Daily Hair Care (continued) <ul><li>Brushing hair: </li></ul><ul><ul><li>refreshes resident </li></ul></ul><ul><ul><li>improves morale </li></ul></ul><ul><ul><li>stimulates circulation </li></ul></ul><ul><ul><li>distributes natural oils evenly </li></ul></ul><ul><ul><li>removes lint and dust </li></ul></ul><ul><li>Handle hair gently when brushing or combing </li></ul>DHSR Approved Curriculum-Unit 9
  62. 62. Factors To Consider For Daily Hair Care (continued) <ul><li>Section hair and work on one area at a time </li></ul><ul><li>Note appearance of scalp and hair </li></ul><ul><li>Hair style should be age appropriate </li></ul>DHSR Approved Curriculum-Unit 9
  63. 63. Factors To Consider For Daily Hair Care (continued) <ul><li>Residents are encouraged to do as much as possible for themselves </li></ul><ul><li>Comb and brush are cleaned after use </li></ul><ul><li>Combs and brushes are never shared </li></ul>DHSR Approved Curriculum-Unit 9
  64. 64. <ul><li>9.12.2 Discuss considerations used when shampooing a resident’s hair. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  65. 65. Shampooing Considerations <ul><li>Frequency individualized </li></ul><ul><li>Resident’s shampoo, conditioner and other hair care products are used </li></ul><ul><li>Resident assisted to beauty shop if available </li></ul>DHSR Approved Curriculum-Unit 9
  66. 66. <ul><li>9.12.3 List the various methods for shampooing hair. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  67. 67. Shampooing Considerations (continued) <ul><li>Methods of shampooing: </li></ul><ul><ul><li>during shower </li></ul></ul><ul><ul><li>at sink </li></ul></ul><ul><ul><li>using stretcher </li></ul></ul><ul><ul><li>in bed </li></ul></ul>DHSR Approved Curriculum-Unit 9
  68. 68. Shampooing Considerations (continued) <ul><li>Eyes and ears protected </li></ul><ul><li>Hair dried as fast as possible </li></ul><ul><li>Cold or drafty areas eliminated </li></ul><ul><li>Female residents assisted to curl or set hair </li></ul>DHSR Approved Curriculum-Unit 9
  69. 69. Shampooing Considerations (continued) <ul><li>Barbers or beauticians may be contacted by facility to care for hair of residents </li></ul><ul><li>Care plan to be checked for any special instructions prior to shampooing </li></ul>DHSR Approved Curriculum-Unit 9
  70. 70. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  71. 71. <ul><li>9.13 Demonstrate caring for the residents’ hair. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  72. 72. <ul><li>9.14 Demonstrate shampooing hair of resident who is in bed. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  73. 73. DHSR Approved Curriculum-Unit 9 Dressing And Undressing
  74. 74. <ul><li>9.15 Identify the general principles of dressing and undressing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  75. 75. Dressing And Undressing <ul><li>Encourage resident to choose own clothing </li></ul><ul><li>Dress daily own clothing and underwear </li></ul><ul><li>Make sure clothes are in good repair </li></ul>DHSR Approved Curriculum-Unit 9
  76. 76. Dressing And Undressing (continued) <ul><li>Dress weak or affected side first </li></ul><ul><li>Undress weak or affected side last </li></ul><ul><li>Ensure clothing is appropriate for weather and environment </li></ul>DHSR Approved Curriculum-Unit 9
  77. 77. Dressing And Undressing (continued) <ul><li>Encourage resident to wear clothing that matches and is clean and neat </li></ul><ul><li>Dress should be age appropriate </li></ul><ul><li>Do not put clothing on backwards </li></ul>DHSR Approved Curriculum-Unit 9
  78. 78. Dressing And Undressing (continued) <ul><li>Be gentle </li></ul><ul><li>Always be patient and provide time for residents to do as much as possible for themselves </li></ul>DHSR Approved Curriculum-Unit 9
  79. 79. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  80. 80. <ul><li>9.16 Demonstrate the procedure for dressing and undressing the resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  81. 81. DHSR Approved Curriculum-Unit 9 Bathing
  82. 82. <ul><li>9.17 Identify the purposes of bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  83. 83. Bathing Resident <ul><li>Purpose of Bathing </li></ul><ul><ul><li>Removes perspiration, dirt and microorganisms </li></ul></ul><ul><ul><li>Stimulates circulation </li></ul></ul><ul><ul><li>Exercises body parts </li></ul></ul>DHSR Approved Curriculum-Unit 9
  84. 84. Bathing Resident (continued) <ul><li>Purpose of Bathing (continued) </li></ul><ul><ul><li>Refreshes, relaxes and promotes physical comfort </li></ul></ul><ul><ul><li>Removes odors </li></ul></ul><ul><ul><li>Allows for evaluation of skin condition </li></ul></ul>DHSR Approved Curriculum-Unit 9
  85. 85. <ul><li>9.17.1 Discuss the various methods of bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  86. 86. Bathing Resident <ul><li>Methods of Bathing </li></ul><ul><ul><li>Partial bath  </li></ul></ul><ul><ul><li>Complete bed bath  </li></ul></ul><ul><ul><li>Tub bath  </li></ul></ul><ul><ul><li>Shower  </li></ul></ul>DHSR Approved Curriculum-Unit 9
  87. 87. <ul><li>9.17.2 Identify guidelines for bathing a resident. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  88. 88. Guidelines for Bathing <ul><li>Receive instructions from supervisor regarding method of bathing and skin care products to use </li></ul><ul><li>Provide privacy </li></ul><ul><li>Reduce drafts by closing windows, drapes and doors </li></ul>DHSR Approved Curriculum-Unit 9
  89. 89. Guidelines for Bathing (continued) <ul><li>Use good body mechanics </li></ul><ul><li>Keep covered for warmth and privacy </li></ul><ul><li>Protect safety of resident: </li></ul><ul><ul><li>never leave unattended in bathtub or shower </li></ul></ul><ul><ul><li>take precautions to prevent slips and falls </li></ul></ul><ul><ul><li>have temperature no higher than 105 ° F for tub or shower </li></ul></ul>DHSR Approved Curriculum-Unit 9
  90. 90. Guidelines for Bathing (continued) <ul><li>Rinse skin completely if not using no-rinse product </li></ul><ul><li>Encourage to do as much as possible for self </li></ul><ul><li>Pat skin dry </li></ul><ul><li>Observe condition of skin </li></ul>DHSR Approved Curriculum-Unit 9
  91. 91. <ul><li>9.17.3 Observe the condition of the skin and report any unusual observations. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  92. 92. Skin Observations While Bathing <ul><li>Color of skin, lips, nail beds and sclera of eyes </li></ul><ul><li>Location and description of rashes </li></ul><ul><li>Dry skin </li></ul><ul><li>Bruises or open areas on skin </li></ul>DHSR Approved Curriculum-Unit 9
  93. 93. Skin Observations While Bathing (continued) <ul><li>Pale or reddened areas, especially over bony parts </li></ul><ul><li>Drainage or bleeding from wounds or orifices </li></ul><ul><li>Skin temperature </li></ul><ul><li>Complaints of pain or discomfort </li></ul>DHSR Approved Curriculum-Unit 9
  94. 94. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  95. 95. <ul><li>9.18 Demonstrate the procedure for giving a complete bed bath and partial bath. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  96. 96. <ul><li>9.19 Demonstrate the procedure for giving a tub bath or shower. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  97. 97. DHSR Approved Curriculum-Unit 9 Perineal Care
  98. 98. <ul><li>9.20 Discuss giving perineal care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  99. 99. Perineal Care <ul><li>Used to clean genital and anal areas </li></ul><ul><ul><li>Prevents infection </li></ul></ul><ul><ul><li>Prevents odors </li></ul></ul><ul><ul><li>Promotes comfort </li></ul></ul>DHSR Approved Curriculum-Unit 9
  100. 100. Perineal Care <ul><li>Rules of medical asepsis and Standard Precautions followed </li></ul><ul><ul><li>Work from cleanest to dirtiest area (front to back) </li></ul></ul><ul><ul><ul><li>urethral area – cleanest </li></ul></ul></ul><ul><ul><ul><li>anal area – dirtiest </li></ul></ul></ul>DHSR Approved Curriculum-Unit 9
  101. 101. Perineal Care (continued) <ul><li>Delicate area that needs special care </li></ul><ul><ul><li>Use warm water </li></ul></ul><ul><ul><li>Wash gently </li></ul></ul><ul><ul><li>Rinse well </li></ul></ul><ul><ul><li>Pat dry </li></ul></ul>DHSR Approved Curriculum-Unit 9
  102. 102. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  103. 103. <ul><li>9.21 Demonstrate giving perineal care. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  104. 104. DHSR Approved Curriculum-Unit 9 Giving a Back Rub
  105. 105. <ul><li>9.22 Discuss giving a back rub. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  106. 106. Giving A Back Rub <ul><li>Purpose  </li></ul><ul><ul><li>Stimulate circulation  </li></ul></ul><ul><ul><li>Prevent skin breakdown  </li></ul></ul><ul><ul><li>Soothing </li></ul></ul><ul><ul><li>Refreshing </li></ul></ul>DHSR Approved Curriculum-Unit 9
  107. 107. Giving A Back Rub (continued) <ul><li>Use a combination of strokes </li></ul><ul><ul><li>Long, smooth strokes – relaxing </li></ul></ul><ul><ul><li>Short, circular strokes – stimulating </li></ul></ul><ul><li>Use warmed lotion applied with palms of hands </li></ul><ul><li>Rub 3 - 5 minutes </li></ul>DHSR Approved Curriculum-Unit 9
  108. 108. DHSR Approved Curriculum-Unit 9 Demonstration and Return Demonstration
  109. 109. <ul><li>9.23 Demonstrate giving a back rub. </li></ul>DHSR Approved Curriculum-Unit 9 Objective
  110. 110. DHSR Approved Curriculum-Unit 9 THE END
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