1. Seat work… Text page 929 answer questions 2,3,6 only Practice vital signs!

2. Unit 9 Personal Care And Grooming: Relationship To Self-Esteem Nurse Aide I Course

3. Personal Care And Grooming: Relationship To Self-Esteem Introduction Nurse aides are the members of the health care team responsible for providing personal care and grooming for the resident. 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.

4. Personal Care And Grooming: Relationship To Self-Esteem Introduction (continued) 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.

6. 9.0Provide for the resident’s personal care and grooming needs and identify the role of the nurse aide in meeting these needs. 9.1List the daily hygienic needs of an individual.

7. Daily Hygiene Needs Bathing Skin care Back care Oral hygiene Shaving Shampooing hair Hair care Nail care Perineal care Dressing and undressing

8. 9.1.1Describe factors that affect a resident’s personal hygiene practices.

9. Factors That Affect Hygiene Practices Culture Family Practices Illness Individual preferences –Bath in morning or before going to bed –Frequency of bathing, shaving –Shampooing hair daily or weekly

10. Factors That Affect Hygiene Practices (continued) Economics –Unable to afford deodorant, shampoo, etc. –Unable to afford utilities

11. 9.1.2Discuss the role of the nurse aide and how personal care can be used to promote self-esteem and well-being.

12. Personal Care and Grooming: Role of the Nurse Aide Assist to follow their personal hygiene practices Encourage to do as much of their daily care as possible Assist residents to select their own clothing

13. Personal Care and Grooming: Role of the Nurse Aide (continued) Promote independence and self esteem Encourage use of deodorant, perfume, aftershave lotion, and cosmetics Be patient and encouraging

15. 9.2Define and discuss oral hygiene.

16. Oral Hygiene Definition: measures used to keep mouth and teeth clean and free of microorganisms

17. Oral Hygiene (continued) Purpose –Prevent odors –Prevent infections –Prevent tooth decay and loss of teeth –Prevent gum disease –Increase comfort –Enhance taste of food

18. Oral Hygiene (continued) Oral hygiene is provided: –Before breakfast –After meals –At bedtime –Other times as requested or necessary

19. Oral Hygiene (continued) Observations to report: –Foul mouth odors –Bleeding –Loose or broken teeth or dentures –Sores in or around mouth –Coated tongue –Complaints of pain

20. 9.2.1List seven principles to practice when brushing teeth.

21. Principles For Brushing Teeth Hold brush at 45 degree angle Use circular motion to brush teeth Brush well where teeth and gums meet Brush all surfaces Brush upper teeth first Brush gently Offer diluted mouth wash

22. Special Mouth Care Products Swabs Toothettes: –usually soaked in mouthwash or plain water –hydrogen peroxide, salt water solution if specified on care plan Petroleum jelly for dry lips

23. Workbook 435-437

24. 9.2.2Discuss the care of a resident’s dentures.

25. Denture Care Handle carefully – expensive to replace Clean as often as natural teeth Protect from loss or breakage Store safely, when out of mouth, in labeled container Never use hot water, which can warp dentures

26. Denture Care (continued) Store dry, in water or in special solution For long term storage, put container holding dentures in bedside stand

28. 9.3Demonstrate the procedure for assisting the resident with oral hygiene.

29. 9.4Demonstrate the procedure for providing mouth care.

30. 9.5Demonstrate the procedure for providing mouth care for the unconscious resident.

31. 9.6Demonstrate assisting with denture care.

33. 9.7Discuss the care of the resident’s nails and feet.

34. Nail Care Requires daily cleaning and trimming of fingernails and toenails as needed Maintain nails by keeping nails: –short –clean –free of rough edges

35. 9.7.1List three purposes of nail and foot care.

36. Nail Care (continued) Purpose –Prevent infection –Prevent injury –Prevent odors

37. 9.7.2Identify factors to be considered when giving a resident nail care.

38. Nail Care: Factors To Consider Easier to trim and clean after soaking Nail clipper used to cut and trim nails Clip nails straight across Softened cuticle can be pushed back with orange stick

39. Nail Care: Factors To Consider (continued) Use file or emery board to smooth rough edges Use care not to injure skin when clipping

40. Nail Care: Factors To Consider (continued) Diabetics and residents with circulatory problems will have their nails trimmed only by a licensed nurse or podiatrist Review resident care plan and check with supervisor prior to trimming nails

41. 9.7.3Identify factors to be considered when giving a resident foot care.

42. Factors To Consider In Foot Care Wash feet using warm water and mild soap Dry feet carefully, especially between the toes Apply lotion to tops and bottoms of feet only, not between the toes

43. Factors To Consider In Foot Care (continued) Check feet daily for: –redness, warmth or constant pain –numbness or tingling –dry, cracked skin –swelling –blisters, cuts, scratches or other sores –ingrown toenails, corns, calluses

44. Factors To Consider In Foot Care (continued) Do not use a heating pad on resident’s feet Keep footwear on; residents never go barefoot Change socks and shoes daily

45. Factors To Consider In Foot Care (continued) Foot injuries and infections can lead to gangrene and amputation, especially in diabetics Notify supervisor immediately of any unusual observations of the feet

47. 9.8Demonstrate cleaning and trimming a resident’s nails.

48. 9.9Demonstrate foot care.

50. 9.10Discuss the nurse aide’s responsibility in assisting the resident with shaving.

51. Assisting Resident With Shaving Daily activity for men Promotes: –Physical comfort –Psychological well-being

52. 9.10.1Review the factors to consider when shaving a resident.

53. Assisting Resident With Shaving Factors to consider: –Electric razor provides greatest safety –Use own equipment or a disposable safety razor –Soften beard and skin prior to shaving

54. Assisting Resident With Shaving (continued) Factors to consider (continued): –Use care not to cut or irritate skin while shaving –Shave in direction hair grows –Do not use electric razors when oxygen in use

56. 9.11Demonstrate assisting the resident with shaving.

58. 9.12Describe ways to assist the resident with hair care.

59. Hair Care Hair care includes –Daily brushing and combing –Styling –Shampooing

60. 9.12.1Review factors to consider for daily hair care.

61. Factors To Consider For Daily Hair Care Because hair style is personal preference, ask about style Make brushing and combing part of morning care

62. Factors To Consider For Daily Hair Care (continued) Protect resident’s clothing by placing towel around shoulders Cover pillow with towel for residents confined to bed

63. Factors To Consider For Daily Hair Care (continued) Brushing hair: –refreshes resident –improves morale –stimulates circulation –distributes natural oils evenly –removes lint and dust Handle hair gently when brushing or combing

64. Factors To Consider For Daily Hair Care (continued) Section hair and work on one area at a time Note appearance of scalp and hair Hair style should be age appropriate

65. Factors To Consider For Daily Hair Care (continued) Residents are encouraged to do as much as possible for themselves Comb and brush are cleaned after use Combs and brushes are never shared

66. 9.12.2Discuss considerations used when shampooing a resident’s hair.

67. Shampooing Considerations Frequency individualized Resident’s shampoo, conditioner and other hair care products are used Resident assisted to beauty shop if available

68. 9.12.3List the various methods for shampooing hair.

69. Shampooing Considerations (continued) Methods of shampooing: –during shower –at sink –using stretcher –in bed

70. Shampooing Considerations (continued) Eyes and ears protected Hair dried as fast as possible Cold or drafty areas eliminated Female residents assisted to curl or set hair

71. Shampooing Considerations (continued) Barbers or beauticians may be contacted by facility to care for hair of residents Care plan to be checked for any special instructions prior to shampooing

73. 9.13Demonstrate caring for the residents’ hair.

74. 9.14Demonstrate shampooing hair of resident who is in bed.

76. 9.15Identify the general principles of dressing and undressing a resident.

77. Dressing And Undressing Encourage resident to choose own clothing Dress daily own clothing and underwear Make sure clothes are in good repair

78. Dressing And Undressing (continued) Dress weak or affected side first Undress weak or affected side last Ensure clothing is appropriate for weather and environment

79. Dressing And Undressing (continued) Encourage resident to wear clothing that matches and is clean and neat Dress should be age appropriate Do not put clothing on backwards

80. Dressing And Undressing (continued) Be gentle Always be patient and provide time for residents to do as much as possible for themselves

82. 9.16Demonstrate the procedure for dressing and undressing the resident.

84. 9.17Identify the purposes of bathing a resident.

85. Bathing Resident Purpose of Bathing –Removes perspiration, dirt and microorganisms –Stimulates circulation –Exercises body parts

86. Bathing Resident (continued) Purpose of Bathing (continued) –Refreshes, relaxes and promotes physical comfort –Removes odors –Allows for evaluation of skin condition

87. 9.17.1Discuss the various methods of bathing a resident.

88. Bathing Resident Methods of Bathing –Partial bath –Complete bed bath –Tub bath –Shower

89. 9.17.2Identify guidelines for bathing a resident.

90. Guidelines for Bathing Receive instructions from supervisor regarding method of bathing and skin care products to use Provide privacy Reduce drafts by closing windows, drapes and doors

91. Guidelines for Bathing (continued) Use good body mechanics Keep covered for warmth and privacy Protect safety of resident: –never leave unattended in bathtub or shower –take precautions to prevent slips and falls –have temperature no higher than 105°F for tub or shower

92. Guidelines for Bathing (continued) Rinse skin completely if not using no-rinse product Encourage to do as much as possible for self Pat skin dry Observe condition of skin

93. 9.17.3Observe the condition of the skin and report any unusual observations.

94. Skin Observations While Bathing Color of skin, lips, nail beds and sclera of eyes Location and description of rashes Dry skin Bruises or open areas on skin

95. Skin Observations While Bathing (continued) Pale or reddened areas, especially over bony parts Drainage or bleeding from wounds or orifices Skin temperature Complaints of pain or discomfort

97. 9.18Demonstrate the procedure for giving a complete bed bath and partial bath.

98. 9.19Demonstrate the procedure for giving a tub bath or shower.

100. 9.20Discuss giving perineal care.

101. Perineal Care Used to clean genital and anal areas –Prevents infection –Prevents odors –Promotes comfort

102. Perineal Care Rules of medical asepsis and Standard Precautions followed –Work from cleanest to dirtiest area (front to back) urethral area – cleanest anal area – dirtiest

103. Perineal Care (continued) Delicate area that needs special care –Use warm water –Wash gently –Rinse well –Pat dry

105. 9.21Demonstrate giving perineal care.

107. 9.22Discuss giving a back rub.

108. Giving A Back Rub Purpose –Stimulate circulation –Prevent skin breakdown –Soothing –Refreshing

109. Giving A Back Rub (continued) Use a combination of strokes –Long, smooth strokes – relaxing –Short, circular strokes – stimulating Use warmed lotion applied with palms of hands Rub 3 - 5 minutes

111. 9.23Demonstrate giving a back rub.