unit 9-personal care and grooming (1)

8/14/2019 Unit 9-Personal Care and Grooming (1)

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DHSR Approved Curriculum-Unit 9 1

Unit 9

Personal Care And Grooming:Relationship To Self-Esteem

Nurse Aide I Course


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Personal Care And Grooming:

Relationship To Self-Esteem

IntroductionNurse aides are the members ofthe health care team responsible forproviding personal care and groomingfor the resident.

They encourage the resident to doas much as possible for themselves,

but assist as needed with personalcleanliness, oral hygiene, nail care,shaving, dressing, care of hair and skincare.


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Personal Care And Grooming:

Relationship To Self-Esteem

Introduction(continued)

Personal grooming is important for

a positive self-image and every effortshould be made to encourage andassist the resident to maintain a

pleasing and attractive appearance.


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9.0 Provide for the residents personalcare and grooming needs andidentify the role of the nurse aide inmeeting these needs.

9.1 List the daily hygienic needs of anindividual.


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Daily Hygiene Needs

Bathing

Skin care

Back care Oral

hygiene

Shaving

Shampooing

hair

Hair care Nail care

Perineal care

Dressing and

undressing


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9.1.1 Describe factors that affect aresidents personal hygiene

practices.


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Factors That Affect Hygiene

Practices

Culture Family Practices

Illness Individual preferencesBath in morning or before going to

bedFrequency of bathing, shavingShampooing hair daily or weekly


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Factors That Affect Hygiene

Practices

(continued)

EconomicsUnable to afford

deodorant, shampoo,

etc.

Unable to affordutilities


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9.1.2 Discuss the role of the nurseaide and how personal care can

be used to promote self-esteem

and well-being.


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Personal Care and Grooming:

Role of the Nurse Aide

Assist to follow their

personal hygiene practices

Encourage to do as much oftheir daily care as possible

Assist residents to select

their own clothing


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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


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9.2 Define and discuss oral hygiene.


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Oral Hygiene

Definition: measures used to

keep mouth and teeth clean

and free of microorganisms


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Oral Hygiene(continued)

PurposePrevent odors

Prevent infections

Prevent tooth decay andloss of teeth

Prevent gum disease

Increase comfort

Enhance taste of food


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Oral hygiene is provided:

Before breakfast

After mealsAt bedtime

Other times as

requested or necessary


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Observations to report:Foul mouth odors

Bleeding

Loose or broken teeth ordentures

Sores in or around mouth

Coated tongue

Complaints of pain


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Principles For Brushing Teeth

Hold brush at 45 degree angle Use circular motion to brush teeth

Brush well where teeth and gumsmeet

Brush all surfaces

Brush upper teeth first

Brush gently

Offer diluted mouth wash


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9.2.2 Discuss the care of a residentsdentures.


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Denture Care

Handle carefully expensive toreplace

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 canwarp dentures


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Denture Care(continued)

Store dry, in water or in specialsolution

For long term storage, put

container holding dentures inbedside stand


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9.3 Demonstrate the procedure forassisting the resident with oral

hygiene.


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9.5 Demonstrate the procedure forproviding mouth care for the

unconscious resident.


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9.6 Demonstrate assisting withdenture care.


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9.7 Discuss the care of the residentsnails and feet.


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Nail Care

Requires daily cleaning andtrimming of fingernails and

toenails as needed

Maintain nails by keeping

nails:

short

clean

free of rough edges


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9.7.1 List three purposes of nail andfoot care.


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Nail Care(continued)

Purpose

Prevent infection

Prevent injuryPrevent odors


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9.7.2 Identify factors to be consideredwhen giving a resident nail care.


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Nail Care: Factors To Consider

Easier to trim and clean aftersoaking

Nail clipper used to cut andtrim nails

Clip nails straight across

Softened cuticle can bepushed back with orange stick


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Nail Care: Factors To Consider(continued)

Use file or emery board to smoothrough edges

Use care not to injure skin whenclipping


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Nail Care: Factors To Consider(continued)

Diabetics and residents with

circulatory problems will have their

nails trimmed only by a licensednurse or podiatrist

Review resident care plan and check

with supervisor prior to trimmingnails


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Factors To Consider In Foot Care

Wash feet using warm water

and mild soap

Dry feet carefully, especiallybetween the toes

Apply lotion to tops and

bottoms of feet only, notbetween the toes


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(continued)

Check feet daily for:

redness, warmth or constant pain

numbness or tinglingdry, cracked skin

swelling

blisters, cuts, scratches or othersores

ingrown toenails, corns, calluses


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(continued)

Do not use a heatingpad on residents feet

Keep footwear on;residents never gobarefoot

Change socks andshoes daily


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(continued)

Foot injuries andinfections can lead togangrene and

amputation, especially indiabetics

Notify supervisor

immediately of anyunusual observations ofthe feet


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9.8 Demonstrate cleaning andtrimming a residents nails.


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9.9 Demonstrate foot care.


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Assisting Resident With Shaving

Daily activity for men

Promotes:

Physical comfort

Psychological

well-being


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9.10.1 Review the factors to considerwhen shaving a resident.


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Assisting Resident With Shaving(continued)

Factors to consider (continued):

Use care not to cut or irritate skin

while shavingShave in direction hair grows

Do not use electric razors when

oxygen in use


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9.12 Describe ways to assist theresident with hair care.


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Hair Care

Hair care includes

Daily brushing

and combingStyling

Shampooing


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9.12.1 Review factors to consider fordaily hair care.

F t T C id F


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Factors To Consider For

Daily Hair Care

Because hair style is

personal preference, ask

about style Make brushing and

combing part of morning

care



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Daily Hair Care

(continued) Protect residents

clothing by placing

towel around shoulders Cover pillow with towel

for residents confined

to bed



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Daily Hair Care(continued)

Brushing hair:

refreshes resident

improves moralestimulates circulation

distributes natural oils evenly

removes lint and dust Handle hair gently when brushing or

combing



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Daily Hair Care(continued)

Section hair and work on one

area at a time

Note appearance of scalpand hair

Hair style should be age

appropriate


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9.12.2 Discuss considerations usedwhen shampooing a residents

hair.


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Shampooing Considerations

Frequency individualized

Residents shampoo,

conditioner and other

hair care products are

used

Resident assisted tobeauty shop if available


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9.12.3 List the various methods forshampooing hair.



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Shampooing Considerations(continued)

Methods of shampooing:

during shower

at sinkusing stretcher

in bed



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Eyes and ears protected

Hair dried as fast aspossible

Cold or drafty areaseliminated

Female residentsassisted to curl or set hair



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Barbers or beauticiansmay be contacted byfacility to care for hair of

residents Care plan to be checked

for any special

instructions prior toshampooing


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9.13 Demonstrate caring for theresidents hair.


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9.14 Demonstrate shampooing hairof resident who is in bed.


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9.15 Identify the general principles ofdressing and undressing a

resident.

D i A d U d i


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Dressing And Undressing

Encourage resident tochoose own clothing

Dress daily own clothing

and underwear

Make sure clothes are in

good repair



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ess g d U d ess g(continued)

Dress weak or affectedside first

Undress weak or affected

side last

Ensure clothing is

appropriate for weatherand environment



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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 onbackwards


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9.16 Demonstrate the procedure for

dressing and undressing theresident.


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9.17 Identify the purposes of bathing aresident.


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Bathing Resident


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Bathing Resident(continued)

Purpose of Bathing(continued)

Refreshes, relaxes and

promotes physicalcomfort

Removes odors

Allows for evaluation ofskin condition


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9.17.1 Discuss the various methods ofbathing a resident.

B thi R id t


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Bathing Resident

Methods of Bathing

Partial bath

Complete bedbath

Tub bath

Shower


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Guidelines for Bathing


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Receive instructionsfrom supervisorregarding method of

bathing and skin careproducts to use

Provide privacy

Reduce drafts by closingwindows, drapes anddoors



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g(continued)

Use good body mechanics Keep covered for warmth and privacy Protect safety of resident:

never leave unattended in bathtubor shower

take precautions to prevent slips

and fallshave temperature no higher than105F for tub or shower



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g(continued)

Rinse skin completely if not usingno-rinse product

Encourage to do as much as

possible for self Pat skin dry

Observe condition of skin


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9.17.3 Observe the condition of theskin and report any unusual

observations.

Ski Ob ti Whil B thi


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Skin Observations While Bathing

Color of skin, lips, nailbeds and sclera of eyes

Location and description

of rashes Dry skin Bruises or open areas on

skin

Skin Observations While Bathing


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Skin Observations While Bathing(continued)

Pale or reddenedareas, especially overbony parts

Drainage or bleedingfrom wounds or orifices

Skin temperature

Complaints of pain ordiscomfort


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9.19 Demonstrate the procedure forgiving a tub bath or shower.


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9.20 Discuss giving perineal care.


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Perineal Care


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Perineal Care

Rules of medical asepsis andStandard Precautions followed

Work from cleanest to dirtiest area

(front to back)

urethral area cleanest

anal area dirtiest

Perineal Care


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(continued)

Delicate area that needs special care

Use warm water

Wash gentlyRinse well

Pat dry


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9.21 Demonstrate giving perineal

care.


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9.22 Discuss giving a back rub.


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Giving A Back Rub


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(continued)

Use a combination of strokesLong, smooth strokes relaxing

Short, circular strokes stimulating

Use warmed lotion applied withpalms of hands

Rub 3 - 5 minutes


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9.23 Demonstrate giving a back rub.


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unit 9-personal care and grooming (1)

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