Presentation on theme: "Activities of Daily Living: Hygiene"— Presentation transcript:
1 Activities of Daily Living: Hygiene Occupationally Specific Knowledge and Skills
2 Objective:Upon completion of this lesson, you will be able to perform the tasks of the following basic hygiene activities of daily living both in the laboratory and clinical settingToday’s Focus:Oral HygieneShavingFeeding
3 What is an ADL?Take a few minutes to jot down & indentify any activity you consider anADL’s
4 The most basic of daily hygiene activities can be overlooked when one is sick or elderly.
7 Oral HygieneDefinition 1. Care of the mouth and teeth 2. Ideally should be done three times a day 3. Realistically in a nursing home/Hospital setting it is done only once a day 4. Residents should always be encouraged to be independent as much as possible
8 Oral HygieneResidents/Patients requiring frequent oral hygiene (maybe as often as every 2 hours)1. unconscious2. vomiting3. those experiencing high temperature4. those receiving certain medications5. dehydrated6. mouth breathers7. those receiving oxygen
9 Oral Hygiene If a patient has trouble swallowing ( dysphagia) use a special mouth sponge with toothpaste in the spongea. dip in ½ strength mouthwash & waterb. excess water squeezed outc. HOB with patient head turned to side while cleaning the mouth
10 Oral Hygiene (continued) When performing oral hygieneWear glovesall surfaces of the teeth should be cleanedtongue should be cleanedmouth rinsed with ½ strength mouth wash, if safe for residentgloves worn throughoutOral Hygiene Video
12 Denture CareIntroduce yourself, explain procedure, gather equipment & provide privacyHave patient rinse mouth with lukewarm to cool waterDon gloves to remove upper denture firstPlace index finger against the roof of the mouthThumb against front teethGently press and lift out at same timeYou will feel seal releaseThen remove lower dentures
13 Oral Hygiene (continued) 6. brush all surfaces of dentures, upper and lower7. before replacing dentureswash mouth & tongue with sponge cleanerrinse with ½ strength mouthwash and waterWhen replacing dentures in mouth,*** lower dentures first then uppers***Lowers help secure uppers
15 Daily ShavingA. Patients/residents should be shaved daily B. Remember, when shaving 1. use the resident’s own shaving equipment otherwise use disposable, sharp safety razors 2. if resident is receiving anticoagulants, use an electric razor if possible
16 Daily Shaving (continued) 3. If oxygen is being administereddiscontinue for this procedure if possible4. Elderly women sometimes grow hair on their faces & chinsIn some facilities shaving requires a Physician order Always check with the RN
17 Steps of Shaving a Patient: Introduce yourself, explain procedure to patient, gather equipment, secure patient privacy1.Moisten the beard with warm, wet washcloth2. Apply shaving cream3. Do not moisten beard if you intend to use an electric razor4. Start in front of the eara. hold skin tautb. bring razor down over cheek toward chinc. repeat until lather has been removed and area shaved
18 Steps of Shaving a Patient d. remove hair from under the nose & above upper lip using short, downward strokes from nose to lip e. shave skin carefully; having person tense area helps f. shave neck area on each side, bringing razor up toward chin g. use short, firm strokes; rinse razor frequently h. wash face & neck; dry thoroughly i. if skin is nicked, apply pressure directly over are & report to nurse in charge Shaving Video
20 Feeding Patients Good nutrition is essential Mealtimes are regarded as social interactive eventsPeople who eat alone often have poor appetites & poor nutritionProper mealtime preparation is important
21 Feeding the patientAllow patient to do as much for themselves as possibleWash hands, offer hand hygiene to patient & elevate the HOBgive small amounts & make certain patient has chewed & swallowed the foodif weakness exists make sure that food isn’t being packed into the cheekspatients can’t always feel food in their mouth & would not be aware of some was packed in the cheeksuse caution when removing utensils does not scrape the roof of the mouth (palate)Feeding Video
22 Feeding Patients (continued) 6. Use a straw when giving liquids-Direct the straw by holding it between two fingersHold the straw until the patient releases it from his/her mouthEXCEPTION to straw use= ASPIRATION PRECAUTIONS7. Offer fluids oftensome need it after each mouthful of solid food8. Feed as you would eat/ vary food choices9. When preparing the tray, find out how resident wants their food.For example, some do not like butter, but prefer jam, sugar in tea
23 EyeglassesA. Keep clean by rinsing with water and drying with special lens paper or soft, nonabrasive tissue. B. Store in container in bedside stand when not in use C. Glasses should be kept in easy reach of patient D. Encourage resident to wear whenever possible
24 Daily Hair Care A. Usually performed after bath B. Brushing hair stimulates circulation of the scalprefreshes the patientC. If hair is tangled1. work section by section2. untangle hair, beginning near the ends and working toward the scalp3. gum may be removed with ice or peanut butter
25 Nail CareA. Care to the fingernails is allowed by the state of Texas. Care of toenails by nurse aides is not. Due to diminished circulation of the lower extremities in elderly and ill people B. Should a cut occur, infection might set in and healing be very difficult C. Podiatrists are brought in to perform foot care D. Even where fingernails are concerned, do not do on a diabetic individual E. Procedure 1. soak nails for at least 5 minutes. 2. Nails can be cleaned while soaking 3. Use an orange stick to push cuticles back 4. Clip the nails either straight across or slightly rounded 5. File any rough edges
26 Dressing a PatientA. Let person select their clothing B. Let them do as much of the dressing as possible C. Position in front of a mirror if one is available D. Dress weakest side first, then strongest E. Undress strongest first, then weakest F. Use tools to assist the resident to care for herself/himself Dressing a Patient Video
27 Is your patient ready to step into the batter’s box this morning?
28 ActivityDivide into pairs- one person is the patient the other student is the PCTShave the patient using a safety razor with the blade cap still in place. Shaving cream to be used, procedure to be followedPerform oral hygiene on your patient using the proper procedureFeed your patient using applesauce, offering fluids with a straw and without a strawThen switch!
29 SCENARIOMr. Gonzalez is a 88 year old geriatric patient admitted to North Hills 2 days with right sided weakness, slurred speech, and facial droop (he is right handed)Dr. Smith has confirmed a Left Sided CVAYou are assigned to assist Mr. Gonzalez with his morning care todayIt is 7:30 am and the breakfast trays arrive at 8:00 amDr. Smith has written an order to shave the patient with caution ASAP and maintain ASPIRATION PRECAUTIONS during all meals!!!***** Mr. Gonzalez is rings the call bell and says,“I want to be shaved and have my teeth brushed NOW before breakfast arrives!!!!”
Your consent to our cookies if you continue to use this website.