Skin Care Fair

1. Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40

2. What Is The Skin Care Fair? • A pressure ulcer prevention in-service with hands on activities that are fun! • Each activity covers one of the Braden Scale risk factors for pressure ulcers and includes a lesson learned from The Daily Post • Designed for the C N As and direct staff. Use as a train the trainer activity for nurses.

3. Tools • Skin Care Fair PowerPoint • Skin Care Fair Instructions with inventory list of required supplies • Take Home Sheet for the C N A • Ten Commandments of Wound Care • Braden Puzzle Pieces • Skin Care Fair Flyer

4. Helpful Hints • The instructions contain humorous scripts and hints to ensure each activity’s success. • Allow ½ hour to set up your program. • Don’t leave fruit unattended; the residents will eat it! • Clean up with bleach wipes to maintain infection control.

5. Benefits • Active learning and CNAs love the activities • Easy to provide • Door opener for nursing homes • Able to customize interventions to facility’s policies • Opportunity for nursing homes to reward staff

6. Reaching Out • After conducting these in-services in nursing homes, we conducted regional train-the-trainer workshops to spread the word.

7. Skin Care Fair • 3 Categories of Activities: • Oh, My Precious Epidermis: Hands on Activities • Terrors of the Deep: View the stages of pressure ulcers • Solving the Puzzle ofThe Braden Scale

8. Oh,My Precious Epidermis

9. The Barren Desert Exercise 1

10. The Daily Post • Protect Dry Skin which can lead to friction injuries and skin tears • Use moisturizers frequently and as often as necessary • Always be on the look-out for skin changes

11. Fragile: Handle with Care Exercise 2

12. The Daily Post • Be cautious when changing incontinent products, bandages, or even their clothes • Your elder’s skin is very fragile and can tear easily

13. The Barrier Reef Exercise 3

14. Barrier Reef ExerciseSee the water beading up on Right hand?

15. The Daily Post • Use a moisture barrier to help protect the skin from stool and urine. • Barrier creams and ointments only work if they are applied, and applied correctly • These creams can be the first line of defense for your elder to stop a pressure ulcer before it develops

16. You’re Tearing Me Apart Exercise 4

17. The Daily Post • Simple movements, such as turning or lifting, can create friction and shearing, which can injure the skin. • To move and reposition residents, use lifting devices and draw sheets. Avoid dragging.

18. Critic’s Corner Treasure Hunt Exercise 5

19. Treasure Huntthe picture on the right is view from glasses with petroleum Seeing through the resident’s eyes

20. The Daily Post • Poor nutrition is a risk factor in developing a pressure ulcer. • Assist residents to eat as necessary. • Notify the nurse if there is a decline or change in a resident’s eating habits. • Choose supplements that are tasty • Consider choice in dining as a strategy to increase weight.

21. The Princess and the Pea Exercise 6

22. The Daily Post • Use support surfaces on beds and chairs to reduce pressure. • Avoid donuts. • Use pillows or devices to raise heels off the bed.

23. Dorothy’s Shoes Lions and Tigers and Bears Oh MY! Pressure and Blisters and Objects Oh My! Exercise 7

24. The Daily Post • Always be on the lookout for anything that could create pressure on the skin, including the feet.

25. Terrors of the Deep Exercise 8

26. Terrors of the Deep Stage 1 Stage 2 Stage 3 Stage 4

27. Solving the PuzzleofThe Braden Scale* Mobility Friction and Sheer Nutrition Moisture Activity Sensory Perception *Refers to The Braden Scale for Predicting Pressure Sore Risk, Barbara Braden and Nancy Bergstrom, 1988

28. Questions? This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40