1. DFS Approved Curriculum-Unit 91 Unit 9 Personal Care And Grooming: Relationship To Self-Esteem Nurse Aide I Course

2. DFS Approved Curriculum-Unit 92 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.

3. DFS Approved Curriculum-Unit 93 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.

4. DFS Approved Curriculum-Unit 94

5. 5 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.

6. DFS Approved Curriculum-Unit 96 Daily Hygiene Needs Bathing Skin care Back care Oral hygiene Shaving Shampooing hair Hair care Nail care Perineal care Dressing and undressing

7. DFS Approved Curriculum-Unit 97 9.1.1Describe factors that affect a resident’s personal hygiene practices.

8. DFS Approved Curriculum-Unit 98 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

9. DFS Approved Curriculum-Unit 99 Factors That Affect Hygiene Practices (continued) Economics –Unable to afford deodorant, shampoo, etc. –Unable to afford utilities

10. DFS Approved Curriculum-Unit 910 9.1.2Discuss the role of the nurse aide and how personal care can be used to promote self-esteem and well-being.

11. DFS Approved Curriculum-Unit 911 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

12. DFS Approved Curriculum-Unit 912 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

13. DFS Approved Curriculum-Unit 913

14. DFS Approved Curriculum-Unit 914 9.2Define and discuss oral hygiene.

15. DFS Approved Curriculum-Unit 915 Oral Hygiene Definition: measures used to keep mouth and teeth clean and free of microorganisms

16. DFS Approved Curriculum-Unit 916 Oral Hygiene (continued) Purpose –Prevent odors –Prevent infections –Prevent tooth decay and loss of teeth –Prevent gum disease –Increase comfort –Enhance taste of food

17. DFS Approved Curriculum-Unit 917 Oral Hygiene (continued) Oral hygiene is provided: –Before breakfast –After meals –At bedtime –Other times as requested or necessary

18. DFS Approved Curriculum-Unit 918 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

19. DFS Approved Curriculum-Unit 919 9.2.1List seven principles to practice when brushing teeth.

20. DFS Approved Curriculum-Unit 920 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

21. DFS Approved Curriculum-Unit 921 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

22. DFS Approved Curriculum-Unit 922 9.2.2Discuss the care of a resident’s dentures.

23. DFS Approved Curriculum-Unit 923 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

24. DFS Approved Curriculum-Unit 924 Denture Care (continued) Store dry, in water or in special solution For long term storage, put container holding dentures in bedside stand

25. DFS Approved Curriculum-Unit 925

26. DFS Approved Curriculum-Unit 926 9.3Demonstrate the procedure for assisting the resident with oral hygiene.

27. DFS Approved Curriculum-Unit 927 9.4Demonstrate the procedure for providing mouth care.

28. DFS Approved Curriculum-Unit 928 9.5Demonstrate the procedure for providing mouth care for the unconscious resident.

29. DFS Approved Curriculum-Unit 929 9.6Demonstrate assisting with denture care.

30. DFS Approved Curriculum-Unit 930

31. DFS Approved Curriculum-Unit 931 9.7Discuss the care of the resident’s nails and feet.

32. DFS Approved Curriculum-Unit 932 Nail Care Requires daily cleaning and trimming of fingernails and toenails as needed Maintain nails by keeping nails: –short –clean –free of rough edges

33. DFS Approved Curriculum-Unit 933 9.7.1List three purposes of nail and foot care.

34. DFS Approved Curriculum-Unit 934 Nail Care (continued) Purpose –Prevent infection –Prevent injury –Prevent odors

35. DFS Approved Curriculum-Unit 935 9.7.2Identify factors to be considered when giving a resident nail care.

36. DFS Approved Curriculum-Unit 936 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

37. DFS Approved Curriculum-Unit 937 Nail Care: Factors To Consider (continued) Use file or emery board to smooth rough edges Use care not to injure skin when clipping

38. DFS Approved Curriculum-Unit 938 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

39. DFS Approved Curriculum-Unit 939 9.7.3Identify factors to be considered when giving a resident foot care.

40. DFS Approved Curriculum-Unit 940 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

41. DFS Approved Curriculum-Unit 941 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

42. DFS Approved Curriculum-Unit 942 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

43. DFS Approved Curriculum-Unit 943 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

44. DFS Approved Curriculum-Unit 944

45. DFS Approved Curriculum-Unit 945 9.8Demonstrate cleaning and trimming a resident’s nails.

46. DFS Approved Curriculum-Unit 946 9.9Demonstrate foot care.

47. DFS Approved Curriculum-Unit 947

48. DFS Approved Curriculum-Unit 948 9.10Discuss the nurse aide’s responsibility in assisting the resident with shaving.

49. DFS Approved Curriculum-Unit 949 Assisting Resident With Shaving Daily activity for men Promotes: –Physical comfort –Psychological well-being

50. DFS Approved Curriculum-Unit 950 9.10.1Review the factors to consider when shaving a resident.

51. DFS Approved Curriculum-Unit 951 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

52. DFS Approved Curriculum-Unit 952 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

53. DFS Approved Curriculum-Unit 953

54. DFS Approved Curriculum-Unit 954 9.11Demonstrate assisting the resident with shaving.

55. DFS Approved Curriculum-Unit 955

56. DFS Approved Curriculum-Unit 956 9.12Describe ways to assist the resident with hair care.

57. DFS Approved Curriculum-Unit 957 Hair Care Hair care includes –Daily brushing and combing –Styling –Shampooing

58. DFS Approved Curriculum-Unit 958 9.12.1Review factors to consider for daily hair care.

59. DFS Approved Curriculum-Unit 959 Factors To Consider For Daily Hair Care Because hair style is personal preference, ask about style Make brushing and combing part of morning care

60. DFS Approved Curriculum-Unit 960 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

61. DFS Approved Curriculum-Unit 961 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

62. DFS Approved Curriculum-Unit 962 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

63. DFS Approved Curriculum-Unit 963 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

64. DFS Approved Curriculum-Unit 964 9.12.2Discuss considerations used when shampooing a resident’s hair.

65. DFS Approved Curriculum-Unit 965 Shampooing Considerations Frequency individualized Resident’s shampoo, conditioner and other hair care products are used Resident assisted to beauty shop if available

66. DFS Approved Curriculum-Unit 966 9.12.3List the various methods for shampooing hair.

67. DFS Approved Curriculum-Unit 967 Shampooing Considerations (continued) Methods of shampooing: –during shower –at sink –using stretcher –in bed

68. DFS Approved Curriculum-Unit 968 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

69. DFS Approved Curriculum-Unit 969 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

70. DFS Approved Curriculum-Unit 970

71. DFS Approved Curriculum-Unit 971 9.13Demonstrate caring for the residents’ hair.

72. DFS Approved Curriculum-Unit 972 9.14Demonstrate shampooing hair of resident who is in bed.

73. DFS Approved Curriculum-Unit 973

74. DFS Approved Curriculum-Unit 974 9.15Identify the general principles of dressing and undressing a resident.

75. DFS Approved Curriculum-Unit 975 Dressing And Undressing Encourage resident to choose own clothing Dress daily own clothing and underwear Make sure clothes are in good repair

76. DFS Approved Curriculum-Unit 976 Dressing And Undressing (continued) Dress weak or affected side first Undress weak or affected side last Ensure clothing is appropriate for weather and environment

77. DFS Approved Curriculum-Unit 977 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

78. DFS Approved Curriculum-Unit 978 Dressing And Undressing (continued) Be gentle Always be patient and provide time for residents to do as much as possible for themselves

79. DFS Approved Curriculum-Unit 979

80. DFS Approved Curriculum-Unit 980 9.16Demonstrate the procedure for dressing and undressing the resident.

81. DFS Approved Curriculum-Unit 981

82. DFS Approved Curriculum-Unit 982 9.17Identify the purposes of bathing a resident.

83. DFS Approved Curriculum-Unit 983 Bathing Resident Purpose of Bathing –Removes perspiration, dirt and microorganisms –Stimulates circulation –Exercises body parts

84. DFS Approved Curriculum-Unit 984 Bathing Resident (continued) Purpose of Bathing (continued) –Refreshes, relaxes and promotes physical comfort –Removes odors –Allows for evaluation of skin condition

85. DFS Approved Curriculum-Unit 985 9.17.1Discuss the various methods of bathing a resident.

86. DFS Approved Curriculum-Unit 986 Bathing Resident Methods of Bathing –Partial bath –Complete bed bath –Tub bath –Shower

87. DFS Approved Curriculum-Unit 987 9.17.2Identify guidelines for bathing a resident.

88. DFS Approved Curriculum-Unit 988 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

89. DFS Approved Curriculum-Unit 989 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

90. DFS Approved Curriculum-Unit 990 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

91. DFS Approved Curriculum-Unit 991 9.17.3Observe the condition of the skin and report any unusual observations.

92. DFS Approved Curriculum-Unit 992 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

93. DFS Approved Curriculum-Unit 993 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

94. DFS Approved Curriculum-Unit 994

95. DFS Approved Curriculum-Unit 995 9.18Demonstrate the procedure for giving a complete bed bath and partial bath.

96. DFS Approved Curriculum-Unit 996 9.19Demonstrate the procedure for giving a tub bath or shower.

97. DFS Approved Curriculum-Unit 997

98. DFS Approved Curriculum-Unit 998 9.20Discuss giving perineal care.

99. DFS Approved Curriculum-Unit 999 Perineal Care Used to clean genital and anal areas –Prevents infection –Prevents odors –Promotes comfort

100. DFS Approved Curriculum-Unit 9100 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

101. DFS Approved Curriculum-Unit 9101 Perineal Care (continued) Delicate area that needs special care –Use warm water –Wash gently –Rinse well –Pat dry

102. DFS Approved Curriculum-Unit 9102

103. DFS Approved Curriculum-Unit 9103 9.21Demonstrate giving perineal care.

104. DFS Approved Curriculum-Unit 9104

105. DFS Approved Curriculum-Unit 9105 9.22Discuss giving a back rub.

106. DFS Approved Curriculum-Unit 9106 Giving A Back Rub Purpose –Stimulate circulation –Prevent skin breakdown –Soothing –Refreshing

107. DFS Approved Curriculum-Unit 9107 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

108. DFS Approved Curriculum-Unit 9108

109. DFS Approved Curriculum-Unit 9109 9.23Demonstrate giving a back rub.

110. DFS Approved Curriculum-Unit 9110