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

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


1
Unit 9 Personal Care And Grooming Relationship
To Self-Esteem
  • Nurse Aide I Course

2
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
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
Personal Care And Grooming
5
  • 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.

6
Daily Hygiene Needs
  • Shampooing hair
  • Hair care
  • Nail care
  • Perineal care
  • Dressing and undressing
  • Bathing
  • Skin care
  • Back care
  • Oral hygiene
  • Shaving

7
  • 9.1.1 Describe factors that affect a residents
    personal hygiene practices.

8
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
Factors That Affect Hygiene Practices (continued)
  • Economics
  • Unable to afford deodorant, shampoo, etc.
  • Unable to afford utilities

10
  • 9.1.2 Discuss the role of the nurse aide and how
    personal care can be used to promote self-esteem
    and well-being.

11
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
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
Oral Hygiene
14
  • 9.2 Define and discuss oral hygiene.

15
Oral Hygiene
  • Definition measures used to keep mouth and teeth
    clean and free of microorganisms

16
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
Oral Hygiene (continued)
  • Oral hygiene is provided
  • Before breakfast
  • After meals
  • At bedtime
  • Other times as requested or necessary

18
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
  • 9.2.1 List seven principles to practice when
    brushing teeth.

20
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
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
  • 9.2.2 Discuss the care of a residents dentures.

23
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
Denture Care (continued)
  • Store dry, in water or in special solution
  • For long term storage, put container holding
    dentures in bedside stand

25
Demonstration and Return Demonstration
26
  • 9.3 Demonstrate the procedure for assisting the
    resident with oral hygiene.

27
  • 9.4 Demonstrate the procedure for providing mouth
    care.

28
  • 9.5 Demonstrate the procedure for providing mouth
    care for the unconscious resident.

29
  • 9.6 Demonstrate assisting with denture care.

30
Nail Care
31
  • 9.7 Discuss the care of the residents nails and
    feet.

32
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
  • 9.7.1 List three purposes of nail and foot care.

34
Nail Care (continued)
  • Purpose
  • Prevent infection
  • Prevent injury
  • Prevent odors

35
  • 9.7.2 Identify factors to be considered when
    giving a resident nail care.

36
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
Nail Care Factors To Consider (continued)
  • Use file or emery board to smooth rough edges
  • Use care not to injure skin when clipping

38
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
  • 9.7.3 Identify factors to be considered when
    giving a resident foot care.

40
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
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
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

43
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
Demonstration and Return Demonstration
45
  • 9.8 Demonstrate cleaning and trimming a
    residents nails.

46
  • 9.9 Demonstrate foot care.

47
Assisting Resident With Shaving
48
  • 9.10 Discuss the nurse aides responsibility in
    assisting the resident with shaving.

49
Assisting Resident With Shaving
  • Daily activity for men
  • Promotes
  • Physical comfort
  • Psychological well-being

50
  • 9.10.1 Review the factors to consider when
    shaving a resident.

51
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
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
Demonstration and Return Demonstration
54
  • 9.11 Demonstrate assisting the resident with
    shaving.

55
Hair Care
56
  • 9.12 Describe ways to assist the resident with
    hair care.

57
Hair Care
  • Hair care includes
  • Daily brushing and combing
  • Styling
  • Shampooing

58
  • 9.12.1 Review factors to consider for daily hair
    care.

59
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
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

61
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
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
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
  • 9.12.2 Discuss considerations used when
    shampooing a residents hair.

65
Shampooing Considerations
  • Frequency individualized
  • Residents shampoo, conditioner and other hair
    care products are used
  • Resident assisted to beauty shop if available

66
  • 9.12.3 List the various methods for shampooing
    hair.

67
Shampooing Considerations (continued)
  • Methods of shampooing
  • during shower
  • at sink
  • using stretcher
  • in bed

68
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
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
Demonstration and Return Demonstration
71
  • 9.13 Demonstrate caring for the residents hair.

72
  • 9.14 Demonstrate shampooing hair of resident who
    is in bed.

73
Dressing And Undressing
74
  • 9.15 Identify the general principles of dressing
    and undressing a resident.

75
Dressing And Undressing
  • Encourage resident to choose own clothing
  • Dress daily own clothing and underwear
  • Make sure clothes are in good repair

76
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
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
Dressing And Undressing (continued)
  • Be gentle
  • Always be patient and provide time for residents
    to do as much as possible for themselves

79
Demonstration and Return Demonstration
80
  • 9.16 Demonstrate the procedure for dressing and
    undressing the resident.

81
Bathing
82
  • 9.17 Identify the purposes of bathing a resident.

83
Bathing Resident
  • Purpose of Bathing
  • Removes perspiration, dirt and microorganisms
  • Stimulates circulation
  • Exercises body parts

84
Bathing Resident (continued)
  • Purpose of Bathing (continued)
  • Refreshes, relaxes and promotes physical comfort
  • Removes odors
  • Allows for evaluation of skin condition

85
  • 9.17.1 Discuss the various methods of bathing a
    resident.

86
Bathing Resident
  • Methods of Bathing
  • Partial bath 
  • Complete bed bath 
  • Tub bath 
  • Shower 

87
  • 9.17.2 Identify guidelines for bathing a resident.

88
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
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

90
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
  • 9.17.3 Observe the condition of the skin and
    report any unusual observations.

92
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
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
Demonstration and Return Demonstration
95
  • 9.18 Demonstrate the procedure for giving a
    complete bed bath and partial bath.

96
  • 9.19 Demonstrate the procedure for giving a tub
    bath or shower.

97
Perineal Care
98
  • 9.20 Discuss giving perineal care.

99
Perineal Care
  • Used to clean genital and anal areas
  • Prevents infection
  • Prevents odors
  • Promotes comfort

100
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
Perineal Care (continued)
  • Delicate area that needs special care
  • Use warm water
  • Wash gently
  • Rinse well
  • Pat dry

102
Demonstration and Return Demonstration
103
  • 9.21 Demonstrate giving perineal care.

104
Giving a Back Rub
105
  • 9.22 Discuss giving a back rub.

106
Giving A Back Rub
  • Purpose 
  • Stimulate circulation 
  • Prevent skin breakdown 
  • Soothing
  • Refreshing

107
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
Demonstration and Return Demonstration
109
  • 9.23 Demonstrate giving a back rub.

110
THE END
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