<ul><li>CHCISC301A  </li></ul><ul><li>Provide support to meet personal  </li></ul><ul><li>care needs  </li></ul>
Personal Hygiene
Consider…. <ul><li>What is “normal” hygiene? </li></ul><ul><li>What does  your  hygiene routine include? </li></ul><ul><li...
ADL’s associated with meeting a client’s hygiene needs <ul><li>Maintaining safe environment </li></ul><ul><li>Communicatin...
Purposes of Hygiene / Bathing <ul><li>Cleansing the skin – to minimise skin irritation by removing perspiration, some bact...
<ul><li>Improved self-image and promotion of relaxation – a feeling of comfort and being refreshed </li></ul><ul><li>As a ...
Activity  <ul><li>Research a culture (not your own culture)  Prepare a five minute presentation which you  will post to th...
Neglect of Personal Hygiene <ul><li>SKIN  - growth of bacteria and fungi </li></ul><ul><li>- unpleasant body odour </li></...
<ul><li>NAILS   -   dirty = increased bacteria </li></ul><ul><li>  - ingrown = infection and pain </li></ul><ul><li>MOUTH ...
<ul><li>EARS  -   accumulated dirt and wax =  </li></ul><ul><li>discomfort, and perhaps hearing loss </li></ul><ul><li>NOS...
Factors influencing individual hygiene practices <ul><li>Body image </li></ul><ul><li>Social practices </li></ul><ul><li>S...
<ul><li>Personal preferences </li></ul><ul><li>Stage of development across lifespan </li></ul><ul><li>Level of independenc...
Principles <ul><li>Thorough physical and functional assessment </li></ul><ul><li>Provision of safety, privacy and comfort ...
Hygiene Care <ul><li>Regardless of the type of hygiene a client </li></ul><ul><li>undergoes, the carer needs to : </li></u...
<ul><li>Maintain warmth  – room warm, prevent chilling, control drafts, avoid prolonged wet skin, keep covered as possible...
Preparation <ul><li>Read the Care Plan </li></ul><ul><li>Introduce self </li></ul><ul><li>Explain what you are going to do...
Showering <ul><li>Assist to bathroom </li></ul><ul><li>Offer toilet facilities </li></ul><ul><li>Turn on taps and adjust t...
Activity  <ul><li>Read the case study </li></ul><ul><li>Eliza’s care plan states: </li></ul><ul><li>Showering:  </li></ul>...
Activity (cont) <ul><li>Answer the questions: </li></ul><ul><li>Write the dialogue that you will have with Eliza when you ...
Aids and Equipment  <ul><li>Utilise aids – rails, shower chair etc </li></ul><ul><li>Assist into shower </li></ul>
<ul><li>Ask client/resident if they like to use soap on face </li></ul><ul><li>Encourage and prompt to highest level of in...
<ul><li>Wash perineum,  groin  & buttocks area last (use gloves) –  encourage client to do this </li></ul><ul><li>Discard ...
Observations <ul><li>Skin </li></ul><ul><li>Hair </li></ul><ul><li>Abilities </li></ul><ul><li>Changes in capabilities </l...
Reporting,  Respect  & Dignity <ul><li>Report & Record any changes </li></ul><ul><li>Dignity, self esteem and respect is m...
Clothing and Dressing <ul><li>Encourage choices as able </li></ul><ul><li>Provision of suitable clothing – clean and dry, ...
<ul><li>Energy conservation when dressing </li></ul><ul><li>Check re order of layers, especially underclothes </li></ul><u...
Additional Hygiene Activities <ul><li>Hair care, facial shaving </li></ul><ul><li>Mouth care – brushing, mouth wash </li><...
Eye Care <ul><li>Extremely important to clean clients eyes if unable to do so </li></ul><ul><li>Clean gently with face was...
Ageing & the Mouth <ul><li>Many clients > 65 y have no natural teeth </li></ul><ul><li>Membranes in mouth weaken  </li></u...
Oral Hygiene <ul><li>Maintains mouth, teeth, gums and lips </li></ul><ul><li>Brushing teeth removes food particles, plaque...
Brushing <ul><li>Ideally 4x per day, but usually BD </li></ul><ul><li>Straight handled toothbrush - larger handle or doubl...
Do’s & Don'ts <ul><li>DO encourage the client to brush their own teeth/dentures </li></ul><ul><li>DO ensure correct techni...
Dentures <ul><li>Need regular cleaning to avoid gingival infection or irritation </li></ul><ul><li>Are personal property a...
Dentures  cont. <ul><li>Store in LABELLED cup near client </li></ul><ul><li>Discourage removal and wrapping in tissue/serv...
Brushing Teeth -  the steps <ul><li>Equipment needed: </li></ul><ul><li>Soft bristled toothbrush </li></ul><ul><li>Non abr...
Brushing Teeth -  the steps <ul><li>Wash hands and apply gloves </li></ul><ul><li>Inspect mouth </li></ul><ul><li>Assess c...
Brushing Teeth -  the steps <ul><li>Brush inner and outer surfaces of upper and lower teeth from gum to crown of tooth </l...
Brushing Teeth -  the steps <ul><li>Brush over surface of the tongue (gently and not too far) </li></ul><ul><li>Allow clie...
Brushing teeth -  the steps <ul><li>Floss (if required) </li></ul><ul><li>Assist client to comfortable position and clear ...
Activity  <ul><li>Work with a partner and following the instructions brush the other person’s teeth </li></ul><ul><li>Swap...
Cleaning Dentures -  the steps <ul><li>Equipment required: </li></ul><ul><li>Soft toothbrush </li></ul><ul><li>Denture too...
Cleaning Dentures -  the steps <ul><li>Fill basin with water </li></ul><ul><li>Remove dentures - ask client to do </li></u...
Cleaning Dentures -  the steps <ul><li>Apply toothpaste to denture and brush surfaces </li></ul><ul><li>Hold dentures clos...
Cleaning Dentures -  the steps <ul><li>Clean undersurfaces as well </li></ul><ul><li>GENTLY rub over gums </li></ul><ul><l...
Mouth care for debilitated clients <ul><li>Position client on their side - explain </li></ul><ul><li>Arrange towel over ch...
Mouth care for debilitated clients <ul><li>May need more than one swab </li></ul><ul><li>Apply a thin layer of water solub...
 
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Personal hygiene aifl mar 11

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Personal hygiene aifl mar 11

  1. 1. <ul><li>CHCISC301A </li></ul><ul><li>Provide support to meet personal </li></ul><ul><li>care needs </li></ul>
  2. 2. Personal Hygiene
  3. 3. Consider…. <ul><li>What is “normal” hygiene? </li></ul><ul><li>What does your hygiene routine include? </li></ul><ul><li>How may values and beliefs related to hygiene differ? </li></ul><ul><li>How do you feel about supporting peoples hygiene needs? </li></ul>
  4. 4. ADL’s associated with meeting a client’s hygiene needs <ul><li>Maintaining safe environment </li></ul><ul><li>Communicating </li></ul><ul><li>Eliminating </li></ul><ul><li>Maintaining body temperature </li></ul><ul><li>Personal cleansing and dressing </li></ul><ul><li>Mobility </li></ul><ul><li>Nutrition and hydration </li></ul><ul><li>Self esteem and expressing sexuality </li></ul><ul><li>Comfort </li></ul><ul><li>Grooming – including facial shave, hair, make up </li></ul>
  5. 5. Purposes of Hygiene / Bathing <ul><li>Cleansing the skin – to minimise skin irritation by removing perspiration, some bacteria and dead skin cells </li></ul><ul><li>Reduction of body odours </li></ul><ul><li>Stimulation of circulation, through use of warm water and touch – perhaps also to reduce pain and muscle spasm </li></ul>
  6. 6. <ul><li>Improved self-image and promotion of relaxation – a feeling of comfort and being refreshed </li></ul><ul><li>As a source of activity – involving position change, mobilisation and movement of the extremities, which may help to maintain limb and joint function </li></ul>
  7. 7. Activity <ul><li>Research a culture (not your own culture) Prepare a five minute presentation which you will post to the forum. </li></ul><ul><li>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. </li></ul>
  8. 8. Neglect of Personal Hygiene <ul><li>SKIN - growth of bacteria and fungi </li></ul><ul><li>- unpleasant body odour </li></ul><ul><li>- increased incidence of skin infections </li></ul><ul><li>HAIR - becomes greasy </li></ul><ul><li>- scalp encrusts = irritation/itchy </li></ul><ul><li>- scratching = broken skin </li></ul>
  9. 9. <ul><li>NAILS - dirty = increased bacteria </li></ul><ul><li> - ingrown = infection and pain </li></ul><ul><li>MOUTH - unpleasant taste and halitosis </li></ul><ul><li>- dental decay, unhealthy gums and </li></ul><ul><li>mucous membranes </li></ul><ul><li>EYES - accumulated secretions = </li></ul><ul><li>discomfort, and infection risk </li></ul>
  10. 10. <ul><li>EARS - accumulated dirt and wax = </li></ul><ul><li>discomfort, and perhaps hearing loss </li></ul><ul><li>NOSE - crusting of nasal secretions = </li></ul><ul><li>increased infection risk </li></ul><ul><li>PERINEAL SECRETIONS – excessive vaginal, penile or secretions related to incontinence = irritation and possible Infection </li></ul><ul><li>UMBILICUS – accumulated powder etc = infection, irritation, rash </li></ul>
  11. 11. Factors influencing individual hygiene practices <ul><li>Body image </li></ul><ul><li>Social practices </li></ul><ul><li>Socio-economic status </li></ul><ul><li>Knowledge about the importance of hygiene </li></ul><ul><li>Cultural variables </li></ul>
  12. 12. <ul><li>Personal preferences </li></ul><ul><li>Stage of development across lifespan </li></ul><ul><li>Level of independence – physical and emotional state, motivation </li></ul><ul><li>Availability, facilities, environment </li></ul>
  13. 13. Principles <ul><li>Thorough physical and functional assessment </li></ul><ul><li>Provision of safety, privacy and comfort </li></ul><ul><li>Prevention of the spread of cross-infection </li></ul>
  14. 14. Hygiene Care <ul><li>Regardless of the type of hygiene a client </li></ul><ul><li>undergoes, the carer needs to : </li></ul><ul><li>Provide privacy – close doors & drapes, pull screens, expose only body areas being bathed </li></ul><ul><li>Maintain safety – water temp, no slips, side rails, brakes, don’t leave unattended if not safe to do so </li></ul>
  15. 15. <ul><li>Maintain warmth – room warm, prevent chilling, control drafts, avoid prolonged wet skin, keep covered as possible </li></ul><ul><li>Promote independence – encourage participation, but still conserve energy </li></ul><ul><li>Anticipate needs – all equipment available, and prepare for extras </li></ul>
  16. 16. Preparation <ul><li>Read the Care Plan </li></ul><ul><li>Introduce self </li></ul><ul><li>Explain what you are going to do </li></ul><ul><li>Choice of clothing </li></ul><ul><li>Prepare area </li></ul><ul><li>Temperature </li></ul><ul><li>Toiletries </li></ul><ul><li>Clothing </li></ul><ul><li>Aids </li></ul>
  17. 17. Showering <ul><li>Assist to bathroom </li></ul><ul><li>Offer toilet facilities </li></ul><ul><li>Turn on taps and adjust temperature </li></ul><ul><li>Assist the client/resident to undress </li></ul><ul><li>Check if client/resident wants hair washed & when (first or last in showering routine) </li></ul>
  18. 18. Activity <ul><li>Read the case study </li></ul><ul><li>Eliza’s care plan states: </li></ul><ul><li>Showering: </li></ul><ul><li>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. </li></ul><ul><li>Dressing: </li></ul><ul><li>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. </li></ul>
  19. 19. Activity (cont) <ul><li>Answer the questions: </li></ul><ul><li>Write the dialogue that you will have with Eliza when you first greet her prior to showering. </li></ul><ul><li>What might you prepare prior to suggesting Eliza undress. Include some dialogue that you will have with Eliza. </li></ul><ul><li>List the things Eliza can do for herself. </li></ul>
  20. 20. Aids and Equipment <ul><li>Utilise aids – rails, shower chair etc </li></ul><ul><li>Assist into shower </li></ul>
  21. 21. <ul><li>Ask client/resident if they like to use soap on face </li></ul><ul><li>Encourage and prompt to highest level of independence </li></ul><ul><li>Wash from head to toe at front of body </li></ul><ul><li>Check skin folds, umbilicus, between toes, nails, armpits for excoriations & cleanliness </li></ul><ul><li>Omit perineal area until last </li></ul><ul><li>Wash back </li></ul>
  22. 22. <ul><li>Wash perineum, groin & buttocks area last (use gloves) – encourage client to do this </li></ul><ul><li>Discard washer </li></ul><ul><li>Dry client/resident thoroughly, again paying attention to skin folds etc </li></ul><ul><li>Apply creams, powders as necessary and as requested </li></ul><ul><li>Dress client/resident. Ensure clothing age, activity & weather appropriate. Encourage client choice of clothing </li></ul>
  23. 23. Observations <ul><li>Skin </li></ul><ul><li>Hair </li></ul><ul><li>Abilities </li></ul><ul><li>Changes in capabilities </li></ul><ul><li>Clothing </li></ul><ul><li>Safety </li></ul>
  24. 24. Reporting, Respect & Dignity <ul><li>Report & Record any changes </li></ul><ul><li>Dignity, self esteem and respect is maintained at all times </li></ul>
  25. 25. Clothing and Dressing <ul><li>Encourage choices as able </li></ul><ul><li>Provision of suitable clothing – clean and dry, appropriate warmth/coolness, no friction, rubbing or tight bands </li></ul><ul><li>Provision of appropriate footwear, which is safe and comfortable </li></ul><ul><li>Care of personal clothing </li></ul>
  26. 26. <ul><li>Energy conservation when dressing </li></ul><ul><li>Check re order of layers, especially underclothes </li></ul><ul><li>Assist dressing gently if required – affected arm or leg into a garment first, and out last </li></ul>
  27. 27. Additional Hygiene Activities <ul><li>Hair care, facial shaving </li></ul><ul><li>Mouth care – brushing, mouth wash </li></ul><ul><li>Eye care </li></ul><ul><li>Ear and nasal care </li></ul><ul><li>Glasses and hearing aides – clean and working </li></ul><ul><li>Make-up application and removal of </li></ul><ul><li>Elimination and perineal care </li></ul>
  28. 28. Eye Care <ul><li>Extremely important to clean clients eyes if unable to do so </li></ul><ul><li>Clean gently with face washer </li></ul><ul><li>If crusted sometimes need to moisten area with water/saline first </li></ul><ul><li>GENTLY wipe from inside of eye out </li></ul><ul><li>Document and report pain, discharge , itchiness of eyes </li></ul>
  29. 29. Ageing & the Mouth <ul><li>Many clients > 65 y have no natural teeth </li></ul><ul><li>Membranes in mouth weaken </li></ul><ul><li>make it more prone to infection </li></ul><ul><li>Plates/dentures fit incorrectly </li></ul><ul><li>Weaker jaw muscles and bone shrinkage increase work of chewing, increased fatigue when eating </li></ul><ul><li>Decrease in saliva - dry mouth </li></ul>
  30. 30. Oral Hygiene <ul><li>Maintains mouth, teeth, gums and lips </li></ul><ul><li>Brushing teeth removes food particles, plaque and bacteria </li></ul><ul><li>Massages gums and relieves discomfort </li></ul><ul><li>Flossing further helps removal of plaque and tartar, reducing gingivitis and infection </li></ul><ul><li>Enhances well being, stimulates appetite </li></ul>
  31. 31. Brushing <ul><li>Ideally 4x per day, but usually BD </li></ul><ul><li>Straight handled toothbrush - larger handle or double sided brush </li></ul><ul><li>New toothbrush 3/12 or after cold </li></ul><ul><li>Use fluoride toothpaste </li></ul><ul><li>Rinse after brushing </li></ul>
  32. 32. Do’s & Don'ts <ul><li>DO encourage the client to brush their own teeth/dentures </li></ul><ul><li>DO ensure correct technique is used to prevent problems </li></ul><ul><li>DON’T take over from the client </li></ul><ul><li>DON’T brush/floss too vigorously to the gum line </li></ul>
  33. 33. Dentures <ul><li>Need regular cleaning to avoid gingival infection or irritation </li></ul><ul><li>Are personal property and need to be handled carefully </li></ul><ul><li>Should be removed at night to rest gums </li></ul><ul><li>Keep wet when out of mouth </li></ul><ul><li>to prevent warping </li></ul>
  34. 34. Dentures cont. <ul><li>Store in LABELLED cup near client </li></ul><ul><li>Discourage removal and wrapping in tissue/serviette - easily thrown out </li></ul>
  35. 35. Brushing Teeth - the steps <ul><li>Equipment needed: </li></ul><ul><li>Soft bristled toothbrush </li></ul><ul><li>Non abrasive toothbrush </li></ul><ul><li>Dental floss (if available) </li></ul><ul><li>Glass with water </li></ul><ul><li>Basin </li></ul><ul><li>Towel </li></ul><ul><li>Gloves </li></ul>
  36. 36. Brushing Teeth - the steps <ul><li>Wash hands and apply gloves </li></ul><ul><li>Inspect mouth </li></ul><ul><li>Assess client’s ability to brush own teeth </li></ul><ul><li>Prepare equipment - easy reach </li></ul><ul><li>Place towel over client’s chest </li></ul><ul><li>Apply toothpaste to brush - wet with water </li></ul>
  37. 37. Brushing Teeth - the steps <ul><li>Brush inner and outer surfaces of upper and lower teeth from gum to crown of tooth </li></ul><ul><li>Then brush biting surfaces of teeth with toothbrush in back and forth motion </li></ul><ul><li>Hold bristles at 45 deg angle to gum line - ensure tips of bristle rest against and penetrate under gum line </li></ul>
  38. 38. Brushing Teeth - the steps <ul><li>Brush over surface of the tongue (gently and not too far) </li></ul><ul><li>Allow client to rinse mouth swishing water across all tooth surfaces, spitting into basin </li></ul><ul><li>Gargle mouthwash (if used) </li></ul><ul><li>Wipe client’s mouth </li></ul>
  39. 39. Brushing teeth - the steps <ul><li>Floss (if required) </li></ul><ul><li>Assist client to comfortable position and clear up equipment </li></ul><ul><li>Remove gloves and wash hands </li></ul><ul><li>Document </li></ul>
  40. 40. Activity <ul><li>Work with a partner and following the instructions brush the other person’s teeth </li></ul><ul><li>Swap roles </li></ul><ul><li>Write up how you felt in each of the roles </li></ul><ul><li>Repeat the task asking your partner not to cooperate with you. </li></ul>
  41. 41. Cleaning Dentures - the steps <ul><li>Equipment required: </li></ul><ul><li>Soft toothbrush </li></ul><ul><li>Denture toothbrush </li></ul><ul><li>Sink / toothmug </li></ul><ul><li>Denture toothpaste/soap & water </li></ul><ul><li>Face washer </li></ul><ul><li>Denture cup/holder </li></ul><ul><li>Gloves </li></ul>
  42. 42. Cleaning Dentures - the steps <ul><li>Fill basin with water </li></ul><ul><li>Remove dentures - ask client to do </li></ul><ul><li>Grasp upper plate at front with index finger and thumb and pull downward </li></ul><ul><li>Grasp bottom plate and rotate on one side downward and remove from mouth </li></ul><ul><li>Inspect mouth </li></ul><ul><li>Place dentures in sink/container (cloth in sink to prevent breakage) </li></ul>
  43. 43. Cleaning Dentures - the steps <ul><li>Apply toothpaste to denture and brush surfaces </li></ul><ul><li>Hold dentures close </li></ul><ul><li>to water </li></ul><ul><li>Brush horizontally over </li></ul><ul><li>biting surfaces </li></ul><ul><li>Short strokes for inner surfaces </li></ul>
  44. 44. Cleaning Dentures - the steps <ul><li>Clean undersurfaces as well </li></ul><ul><li>GENTLY rub over gums </li></ul><ul><li>Rinse in tepid water </li></ul><ul><li>Return dentures to </li></ul><ul><li>client or store in </li></ul><ul><li>tepid water in denture </li></ul><ul><li>cup </li></ul>
  45. 45. Mouth care for debilitated clients <ul><li>Position client on their side - explain </li></ul><ul><li>Arrange towel over chest </li></ul><ul><li>Pull curtain/privacy </li></ul><ul><li>Raise bed up to protect you </li></ul><ul><li>Wash hands, don gloves </li></ul><ul><li>Clean mouth using premoistened sponge stick - chewing and inner surfaces first then roof of mouth, gums and cheeks </li></ul>
  46. 46. Mouth care for debilitated clients <ul><li>May need more than one swab </li></ul><ul><li>Apply a thin layer of water soluble gel to lips </li></ul><ul><li>Inspect mouth for disease/infection </li></ul><ul><li>Remove gloves and dispose </li></ul><ul><li>Reposition client comfortably </li></ul><ul><li>Leave area clean and tidy </li></ul><ul><li>Document </li></ul>

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