fundamentals of nursing

1. Nail Care
- Ms. Khyati Chaudhari

2. Definition
• Nail cutting that one of nursing care and general care for personal
hygiene is to cut nails on hands and foots.

3. Purposes
1. To keep nails clean
2. To make neatness
3. To prevent the client’s skin from scratching
4. To avoid infection caused by dirty nail

4. Equipments required
1. Nail Cutter (1)
2. Gallipot with water (1): for cotton
3. Kidney tray (1)
4. Sponge cloth (1)
5. Middle towel (1)
6. Mackintosh (1)
7. Plastic bowl in small size (1)
8. Soap with soap dish (1)

5. Gallipot

6. Procedure
CARE ACTION RATIONALE
1. Perform hand hygiene • To prevent the spread of infection
2. Gather all the required Equipments. • Organization facilitates accurate skill
performance
3. Check the client’s identification. • To assess needs
4. Explain to the client about the purpose and
the procedure.
• Providing explanation fosters cooperation
5. Put all the required Equipments to the bed-
side and set up it.
• To save the time an promote effective care
6. Assist the client to a comfortable upright
position.
• To provide for comfort

7. CARE ACTION RATIONALE
7.In sitting position:
1) Soaking
①Put a mackintosh with covering towel on the bed.
② Put the basin with warm water over the mackintosh.
③Soak the client’s fingers in a basin of warm water and
mild soap.
④Scrub and wash them up.
⑤Dry the client’s hands thoroughly by using the middle
towel covering the mackintosh.
2) Cutting
①Trim the client’s nails with nail clippers.
②Wipe all fingernails from thumb to 5th nail side by
side by wet cotton ball. One cotton ball is used for one
nail finger.
③Shape the fingernails with a file, rounding the corners
and wipe both hands by a sponge towel.
• Mackintosh can prevent the sheet from wetting
• To make nails soft, thereby you can cut nails easily
and safety
• Special orders are required before cutting the nails or
cuticles of a client with diabetes to avoid accidental
injury to soft tissues.

8. CARE ACTION RATIONALE
8. Replace Equipments and discard dirty. • To prepare Equipments for the next
procedure
9. Perform hand hygiene. • To prevent the spread of infection

9. Nursing Alert
 Never cut the toenails of the clients with diabetes or hemophilia.
These clients are particularly susceptible to injury.