1. Understand nurse skills needed for residents’ hygiene and grooming. Unit B Resident Care Skills Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing residents’ hygiene, grooming, and skin care. Understand nurse aide’s role in providing residents’ hygiene, grooming, and skin care. Indicator 5.01 Understand nurse aide skills needed for residents’ hygiene and grooming. Understand nurse aide skills needed for residents’ hygiene and grooming. 15.01Nursing Fundamentals

2. Nursing Fundamentals 72432 PERSONAL CARE AND GROOMING: RELATIONSHIP TO SELF-ESTEEM 5.01 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. Nursing Fundamentals 72433 PERSONAL CARE AND GROOMING: RELATIONSHIP TO SELF-ESTEEM 5.01 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. Nursing Fundamentals 72434 DAILY HYGIENE NEEDS 5.01 BathingBathing Skin careSkin care Back careBack care Oral hygieneOral hygiene ShavingShaving Shampooing hairShampooing hair Hair careHair care Nail careNail care Perineal carePerineal care Dressing and undressingDressing and undressing

5. Nursing Fundamentals 72435 FACTORS THAT AFFECT HYGIENE PRACTICES 5.01 CultureCulture Family PracticesFamily Practices IllnessIllness Individual preferencesIndividual preferences –Bath in morning or before going to bed –Frequency of bathing, shaving –Shampooing hair daily or weekly

6. Nursing Fundamentals 72436 FACTORS THAT AFFECT HYGIENE PRACTICES 5.01 EconomicsEconomics –Unable to afford deodorant, shampoo, etc. –Unable to afford utilities

7. Nursing Fundamentals 72437 PERSONAL CARE AND GROOMING: ROLE OF THE NURSE AIDE 5.01 Assist to follow their personal hygiene practicesAssist to follow their personal hygiene practices Encourage to do as much of their daily care as possibleEncourage to do as much of their daily care as possible Assist residents to select their own clothingAssist residents to select their own clothing

8. Nursing Fundamentals 72438 PERSONAL CARE AND GROOMING: ROLE OF THE NURSE AIDE 5.01 Promote independence and self esteemPromote independence and self esteem Encourage use of deodorant, perfume, aftershave lotion, and cosmeticsEncourage use of deodorant, perfume, aftershave lotion, and cosmetics Be patient and encouragingBe patient and encouraging

9. Nursing Fundamentals 72439 ORAL HYGIENE 5.01

10. Nursing Fundamentals 724310 ORAL HYGIENE 5.01 Definition: measures used to keep mouth and teeth clean and free of microorganisms

11. Nursing Fundamentals 724311 ORAL HYGIENE 5.01 Purpose –Prevent odors –Prevent infections –Prevent tooth decay and loss of teeth –Prevent gum disease –Increase comfort –Enhance taste of food

12. Nursing Fundamentals 724312 ORAL HYGIENE 5.01 Oral hygiene is provided: Before breakfastBefore breakfast After mealsAfter meals At bedtimeAt bedtime Other times as requested or necessaryOther times as requested or necessary

13. Nursing Fundamentals 724313 ORAL HYGIENE 5.01 Oral hygiene is provided frequently for residents receiving oxygen to prevent the mucous membranes from drying and to promote comfort

14. Nursing Fundamentals 724314 ORAL HYGIENE 5.01 Observations to report: –Foul mouth odors –Bleeding –Loose or broken teeth or dentures –Sores in or around mouth –Coated tongue –Complaints of pain

15. Nursing Fundamentals 724315 PRINCIPLES FOR BRUSHING TEETH 5.01 Hold brush at 45 degree angleHold brush at 45 degree angle Use circular motion to brush teethUse circular motion to brush teeth Brush well where teeth and gums meetBrush well where teeth and gums meet Brush all surfaces and tongueBrush all surfaces and tongue Brush upper teeth firstBrush upper teeth first Brush gentlyBrush gently Offer diluted mouth washOffer diluted mouth wash

16. Nursing Fundamentals 724316 DENTURE CARE 5.01

17. Nursing Fundamentals 724317 DENTURE CARE 5.01 Handle carefully – expensive to replaceHandle carefully – expensive to replace Clean as often as natural teethClean as often as natural teeth Protect from loss or breakageProtect from loss or breakage Store safely, when out of mouth, in labeled containerStore safely, when out of mouth, in labeled container Never use hot water, which can warp denturesNever use hot water, which can warp dentures

18. Nursing Fundamentals 724318 DENTURE CARE 5.01 Store dry, in water or in special solutionStore dry, in water or in special solution For long term storage, put container holding dentures in bedside standFor long term storage, put container holding dentures in bedside stand

19. Nursing Fundamentals 724319 REMOVING DENTURES 5.01 1.Sit resident upright 2.Apply gloves 3.Remove lower denture first, it is easier to remove 4.Grasp lower denture with a gauze for a good grip 5.Give a slight downward pull to break suction 6.Turn at an angle to get out of mouth

20. Nursing Fundamentals 724320 INSERTING DENTURES 5.01 Sit resident uprightSit resident upright Apply glovesApply gloves Apply denture adhesive if neededApply denture adhesive if needed Place upper denture into the mouth by turning it at an anglePlace upper denture into the mouth by turning it at an angle Straighten the denture and press onto upper gum line firmly and evenlyStraighten the denture and press onto upper gum line firmly and evenly Insert lower denture, press firmlyInsert lower denture, press firmly

21. 5.01Nursing Fundamentals 724321 SKILL 5.01B SKILL 5.01B Provide Denture Care Training Lab Assignment Engage in the Skill Acquisition Process for:

22. Nursing Fundamentals 724322 MOUTH CARE FOR THE UNCONSCIOUS RESIDENT 5.01

23. Providing mouth care for the unconscious resident 234.02Nursing Fundamentals Unconscious residents may be able to hear. Hearing is the last sensory function a resident loses. Talk to the resident just as you would if they were alert.

24. Nursing Fundamentals 724324 SPECIAL MOUTH CARE PRODUCTS 5.01 SwabsSwabs Toothettes:Toothettes: –usually soaked in mouthwash or plain water –hydrogen peroxide, salt water solution if specified on care plan Petroleum jelly or olive oil for dry lipsPetroleum jelly or olive oil for dry lips

25. 5.01Nursing Fundamentals 724325 SKILL 5.01C SKILL 5.01C Mouth Care for Unconscious Resident Training Lab Assignment Engage in the Skill Acquisition Process for:

26. 5.01Nursing Fundamentals 724326 NAIL CARE

27. Nursing Fundamentals 724327 NAIL CARE 5.01 Purpose: Prevent infectionPrevent infection Prevent injuryPrevent injury Prevent odorsPrevent odors

28. Nursing Fundamentals 724328 NAIL CARE 5.01 Requires daily cleaning and trimming of fingernails and toenails as neededRequires daily cleaning and trimming of fingernails and toenails as needed Maintain nails by keeping nails:Maintain nails by keeping nails: –short –clean –free of rough edges

29. Nursing Fundamentals 724329 NAIL CARE GUIDELINES 5.01 Easier to trim and clean after soakingEasier to trim and clean after soaking Nail clipper used to cut and trim nails. Use care not to injure skin when clipping.Nail clipper used to cut and trim nails. Use care not to injure skin when clipping. Clip nails straight acrossClip nails straight across

30. Nursing Fundamentals 724330 NAIL CARE GUIDELINES 5.01 Use file or emery board to smooth rough edgesUse file or emery board to smooth rough edges Softened cuticle can be pushed back with orange stickSoftened cuticle can be pushed back with orange stick

31. Nursing Fundamentals 724331 NAIL CARE CAUTION! 5.01 Diabetics and residents with circulatory problems will have their nails trimmed only by a licensed nurse or podiatrist.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.Review resident care plan and check with supervisor prior to trimming nails.

32. 5.01Nursing Fundamentals 724332 SKILL 5.01D SKILL 5.01D Providing Nail Care Training Lab Assignment Engage in the Skill Acquisition Process for: