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Unit 9 Personal Care And Grooming: Relationship To Self-Esteem. Nurse Aide I Course. 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.

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unit 9 personal care and grooming relationship to self esteem

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

Nurse Aide I Course

DHSR Approved Curriculum-Unit 9

personal care and grooming relationship to self esteem introduction
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.

DHSR Approved Curriculum-Unit 9

personal care and grooming relationship to self esteem introduction continued
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.

DHSR Approved Curriculum-Unit 9

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Personal Care

And

Grooming

DHSR Approved Curriculum-Unit 9

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Objectives

9.0 Provide for the resident’s 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.

DHSR Approved Curriculum-Unit 9

daily hygiene needs
Bathing

Skin care

Back care

Oral hygiene

Shaving

Shampooing hair

Hair care

Nail care

Perineal care

Dressing and undressing

Daily Hygiene Needs

DHSR Approved Curriculum-Unit 9

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Objective

9.1.1 Describe factors that affect a resident’s personal hygiene practices.

DHSR Approved Curriculum-Unit 9

factors that affect hygiene practices
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

DHSR Approved Curriculum-Unit 9

factors that affect hygiene practices continued
Factors That Affect Hygiene Practices(continued)
  • Economics
    • Unable to afford deodorant, shampoo, etc.
    • Unable to afford utilities

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Objective

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

DHSR Approved Curriculum-Unit 9

personal care and grooming role of the nurse aide
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 

DHSR Approved Curriculum-Unit 9

personal care and grooming role of the nurse aide continued
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

DHSR Approved Curriculum-Unit 9

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Oral

Hygiene

DHSR Approved Curriculum-Unit 9

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Objective

9.2 Define and discuss oral hygiene.

DHSR Approved Curriculum-Unit 9

oral hygiene
Oral Hygiene
  • Definition: measures used to keep mouth and teeth clean and free of microorganisms

DHSR Approved Curriculum-Unit 9

oral hygiene continued
Oral Hygiene(continued)
  • Purpose
    • Prevent odors
    • Prevent infections
    • Prevent tooth decay and loss of teeth
    • Prevent gum disease
    • Increase comfort
    • Enhance taste of food

DHSR Approved Curriculum-Unit 9

oral hygiene continued17
Oral Hygiene(continued)
  • Oral hygiene is provided:
    • Before breakfast
    • After meals
    • At bedtime
    • Other times as requested or necessary

DHSR Approved Curriculum-Unit 9

oral hygiene continued18
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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Objective

9.2.1 List seven principles to practice when brushing teeth.

DHSR Approved Curriculum-Unit 9

principles for brushing teeth
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

DHSR Approved Curriculum-Unit 9

special mouth care products
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

DHSR Approved Curriculum-Unit 9

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Objective

9.2.2 Discuss the care of a resident’s dentures.

DHSR Approved Curriculum-Unit 9

denture care
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

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

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Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

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Objective

9.3 Demonstrate the procedure for assisting the resident with oral hygiene.

DHSR Approved Curriculum-Unit 9

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Objective

9.4 Demonstrate the procedure for providing mouth care.

DHSR Approved Curriculum-Unit 9

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Objective

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

DHSR Approved Curriculum-Unit 9

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Objective

9.6 Demonstrate assisting with denture care.

DHSR Approved Curriculum-Unit 9

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Nail

Care

DHSR Approved Curriculum-Unit 9

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Objective

9.7 Discuss the care of the resident’s nails and feet.

DHSR Approved Curriculum-Unit 9

nail care
Nail Care
  • Requires daily cleaning and trimming of fingernails and toenails as needed
  • Maintain nails by keeping nails:
    • short
    • clean
    • free of rough edges

DHSR Approved Curriculum-Unit 9

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Objective

9.7.1 List three purposes of nail and foot care.

DHSR Approved Curriculum-Unit 9

nail care continued
Nail Care(continued)
  • Purpose
    • Prevent infection
    • Prevent injury
    • Prevent odors

DHSR Approved Curriculum-Unit 9

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Objective

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

DHSR Approved Curriculum-Unit 9

nail care factors to consider
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

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

nail care factors to consider continued38
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

DHSR Approved Curriculum-Unit 9

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Objective

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

DHSR Approved Curriculum-Unit 9

factors to consider in foot care
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

DHSR Approved Curriculum-Unit 9

factors to consider in foot care continued
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

DHSR Approved Curriculum-Unit 9

factors to consider in foot care continued42
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

DHSR Approved Curriculum-Unit 9

factors to consider in foot care continued43
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

DHSR Approved Curriculum-Unit 9

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Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide45

Objective

9.8 Demonstrate cleaning and trimming a resident’s nails.

DHSR Approved Curriculum-Unit 9

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Objective

9.9 Demonstrate foot care.

DHSR Approved Curriculum-Unit 9

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Assisting

Resident

With

Shaving

DHSR Approved Curriculum-Unit 9

slide48

Objective

9.10 Discuss the nurse aide’s responsibility in assisting the resident with shaving.

DHSR Approved Curriculum-Unit 9

assisting resident with shaving
Assisting Resident With Shaving
  • Daily activity for men
  • Promotes:
    • Physical comfort
    • Psychological well-being

DHSR Approved Curriculum-Unit 9

slide50

Objective

9.10.1 Review the factors to consider when shaving a resident.

DHSR Approved Curriculum-Unit 9

assisting resident with shaving51
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

DHSR Approved Curriculum-Unit 9

assisting resident with shaving continued
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

DHSR Approved Curriculum-Unit 9

slide53

Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide54

Objective

9.11 Demonstrate assisting the resident with shaving.

DHSR Approved Curriculum-Unit 9

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Hair Care

DHSR Approved Curriculum-Unit 9

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Objective

9.12 Describe ways to assist the resident with hair care.

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

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Objective

9.12.1 Review factors to consider for daily hair care.

DHSR Approved Curriculum-Unit 9

factors to consider for daily hair care
Factors To Consider For Daily Hair Care
  • Because hair style is personal preference, ask about style
  • Make brushing and combing part of morning care

DHSR Approved Curriculum-Unit 9

factors to consider for daily hair care continued
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

DHSR Approved Curriculum-Unit 9

factors to consider for daily hair care continued61
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

DHSR Approved Curriculum-Unit 9

factors to consider for daily hair care continued62
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

DHSR Approved Curriculum-Unit 9

factors to consider for daily hair care continued63
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

DHSR Approved Curriculum-Unit 9

slide64

Objective

9.12.2 Discuss considerations used when shampooing a resident’s hair.

DHSR Approved Curriculum-Unit 9

shampooing considerations
Shampooing Considerations
  • Frequency individualized
  • Resident’s shampoo, conditioner and other hair care products are used
  • Resident assisted to beauty shop if available

DHSR Approved Curriculum-Unit 9

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Objective

9.12.3 List the various methods for shampooing hair.

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

shampooing considerations continued68
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

DHSR Approved Curriculum-Unit 9

shampooing considerations continued69
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

DHSR Approved Curriculum-Unit 9

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Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide71

Objective

9.13 Demonstrate caring for the residents’ hair.

DHSR Approved Curriculum-Unit 9

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Objective

9.14 Demonstrate shampooing hair of resident who is in bed.

DHSR Approved Curriculum-Unit 9

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Dressing

And

Undressing

DHSR Approved Curriculum-Unit 9

slide74

Objective

9.15 Identify the general principles of dressing and undressing a resident.

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

dressing and undressing continued
Dressing And Undressing(continued)
  • Dress weak or affected side first
  • Undress weak or affected side last
  • Ensure clothing is appropriate for weather and environment

DHSR Approved Curriculum-Unit 9

dressing and undressing continued77
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

DHSR Approved Curriculum-Unit 9

dressing and undressing continued78
Dressing And Undressing(continued)
  • Be gentle
  • Always be patient and provide time for residents to do as much as possible for themselves

DHSR Approved Curriculum-Unit 9

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Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide80

Objective

9.16 Demonstrate the procedure for dressing and undressing the resident.

DHSR Approved Curriculum-Unit 9

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Bathing

DHSR Approved Curriculum-Unit 9

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Objective

9.17 Identify the purposes of bathing a resident.

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

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Objective

9.17.1 Discuss the various methods of bathing a resident.

DHSR Approved Curriculum-Unit 9

bathing resident86
Bathing Resident
  • Methods of Bathing
    • Partial bath 
    • Complete bed bath 
    • Tub bath 
    • Shower 

DHSR Approved Curriculum-Unit 9

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Objective

9.17.2 Identify guidelines for bathing a resident.

DHSR Approved Curriculum-Unit 9

guidelines for bathing
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

DHSR Approved Curriculum-Unit 9

guidelines for bathing continued
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

DHSR Approved Curriculum-Unit 9

guidelines for bathing continued90
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

DHSR Approved Curriculum-Unit 9

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Objective

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

DHSR Approved Curriculum-Unit 9

skin observations while bathing
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

DHSR Approved Curriculum-Unit 9

skin observations while bathing continued
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

DHSR Approved Curriculum-Unit 9

slide94

Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide95

Objective

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

DHSR Approved Curriculum-Unit 9

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Objective

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

DHSR Approved Curriculum-Unit 9

slide97

Perineal

Care

DHSR Approved Curriculum-Unit 9

slide98

Objective

9.20 Discuss giving perineal care.

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

perineal care100
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

DHSR Approved Curriculum-Unit 9

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

DHSR Approved Curriculum-Unit 9

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Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide103

Objective

9.21 Demonstrate giving perineal care.

DHSR Approved Curriculum-Unit 9

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Giving a

Back Rub

DHSR Approved Curriculum-Unit 9

slide105

Objective

9.22 Discuss giving a back rub.

DHSR Approved Curriculum-Unit 9

giving a back rub
Giving A Back Rub
  • Purpose 
    • Stimulate circulation 
    • Prevent skin breakdown 
    • Soothing
    • Refreshing

DHSR Approved Curriculum-Unit 9

giving a back rub continued
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

DHSR Approved Curriculum-Unit 9

slide108

Demonstration

and

Return

Demonstration

DHSR Approved Curriculum-Unit 9

slide109

Objective

9.23 Demonstrate giving a back rub.

DHSR Approved Curriculum-Unit 9

slide110

THE

END

DHSR Approved Curriculum-Unit 9