Unit 9 Personal Care And Grooming: Relationship To Self-Esteem

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Unit 9Personal Care And Grooming Relationship
To Self-Esteem

• Nurse Aide I Course

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Personal Care And Grooming Relationship To
Self-EsteemIntroduction

• 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.

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Personal Care And Grooming Relationship To
Self-EsteemIntroduction(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.

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Personal Care And Grooming
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• 9.0 Provide for the residents personal care and
  grooming needs and identify the role of the nurse
  aide in meeting these needs.
• 9.1 List the daily hygienic needs of an
  individual.

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Daily Hygiene Needs

• Shampooing hair
• Hair care
• Nail care
• Perineal care
• Dressing and undressing

• Bathing
• Skin care
• Back care
• Oral hygiene
• Shaving

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• 9.1.1 Describe factors that affect a residents
  personal hygiene practices.

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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

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Factors That Affect Hygiene Practices(continued)

• Economics
• Unable to afford deodorant, shampoo, etc.
• Unable to afford utilities

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• 9.1.2 Discuss the role of the nurse aide 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 of their 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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Oral Hygiene
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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)

• Purpose
• Prevent odors
• Prevent infections
• Prevent tooth decay and loss of teeth
• Prevent gum disease
• Increase comfort
• Enhance taste of food

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Oral Hygiene(continued)

• Oral hygiene is provided
• Before breakfast
• After meals
• At bedtime
• Other times as requested or necessary

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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

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• 9.2.1 List seven principles to practice when
  brushing teeth.

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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 gums meet
• Brush all surfaces
• Brush upper teeth first
• Brush gently
• Offer diluted mouth wash

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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

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• 9.2.2 Discuss the care of a residents dentures.

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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

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Denture Care(continued)

• Store dry, in water or in special solution
• For long term storage, put container holding
  dentures in bedside stand

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Demonstration and Return Demonstration
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• 9.3 Demonstrate the procedure for assisting the
  resident with oral hygiene.

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• 9.4 Demonstrate the procedure for providing mouth
  care.

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

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• 9.6 Demonstrate assisting with denture care.

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Nail Care
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• 9.7 Discuss the care of the residents nails and
  feet.

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Nail Care

• Requires daily cleaning and trimming 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 and foot care.

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Nail Care(continued)

• Purpose
• Prevent infection
• Prevent injury
• Prevent odors

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

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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

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Nail Care Factors To Consider(continued)

• Use file or emery board to smooth rough edges
• Use care not to injure skin when clipping

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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

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

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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

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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

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Factors To Consider In Foot Care(continued)

• Do not use a heating pad on residents feet
• Keep footwear on residents never go barefoot
• Change socks and shoes daily

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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

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Demonstration and Return Demonstration
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• 9.8 Demonstrate cleaning and trimming a
  residents nails.

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• 9.9 Demonstrate foot care.

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Assisting Resident With Shaving
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• 9.10 Discuss the nurse aides responsibility in
  assisting the resident with shaving.

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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 consider when
  shaving a resident.

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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

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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

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Demonstration and Return Demonstration
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• 9.11 Demonstrate assisting the resident with
  shaving.

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Hair Care
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• 9.12 Describe ways to assist the resident with
  hair care.

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Hair Care

• Hair care includes
• Daily brushing and combing
• Styling
• Shampooing

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• 9.12.1 Review factors to consider for daily hair
  care.

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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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Factors To Consider For 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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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

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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

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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

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• 9.12.2 Discuss considerations used when
  shampooing a residents hair.

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Shampooing Considerations

• Frequency individualized
• Residents shampoo, conditioner and other hair
  care products are used
• Resident assisted to beauty shop if available

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• 9.12.3 List the various methods for shampooing
  hair.

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Shampooing Considerations(continued)

• Methods of shampooing
• during shower
• at sink
• using stretcher
• in bed

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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

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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

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Demonstration and Return Demonstration
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• 9.13 Demonstrate caring for the residents hair.

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

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Dressing And Undressing
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• 9.15 Identify the general principles of dressing
  and undressing a resident.

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Dressing And Undressing

• Encourage resident to choose own clothing
• Dress daily own clothing and underwear
• Make sure clothes are in good repair

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Dressing And Undressing(continued)

• Dress weak or affected side first
• Undress weak or affected side last
• Ensure clothing is appropriate for weather and
  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 on backwards

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Dressing And Undressing(continued)

• Be gentle
• Always be patient and provide time for residents
  to do as much as possible for themselves

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Demonstration and Return Demonstration
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• 9.16 Demonstrate the procedure for dressing and
  undressing the resident.

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Bathing
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• 9.17 Identify the purposes of bathing a resident.

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Bathing Resident

• Purpose of Bathing
• Removes perspiration, dirt and microorganisms
• Stimulates circulation
• Exercises body parts

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Bathing Resident(continued)

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

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• 9.17.1 Discuss the various methods of bathing a
  resident.

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Bathing Resident

• Methods of Bathing
• Partial bath 
• Complete bed bath 
• Tub bath 
• Shower 

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• 9.17.2 Identify guidelines for bathing a resident.

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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

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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 105F for tub or
  shower

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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

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

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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

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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

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Demonstration and Return Demonstration
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• 9.18 Demonstrate the procedure for giving a
  complete bed bath and partial bath.

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

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Perineal Care
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• 9.20 Discuss giving perineal care.

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Perineal Care

• Used to clean genital and anal areas
• Prevents infection
• Prevents odors
• Promotes comfort

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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

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Perineal Care(continued)

• Delicate area that needs special care
• Use warm water
• Wash gently
• Rinse well
• Pat dry

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Demonstration and Return Demonstration
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• 9.21 Demonstrate giving perineal care.

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Giving a Back Rub
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• 9.22 Discuss giving a back rub.

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Giving A Back Rub

• Purpose 
• Stimulate circulation 
• Prevent skin breakdown 
• Soothing
• Refreshing

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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

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Demonstration and Return Demonstration
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• 9.23 Demonstrate giving a back rub.

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THE END