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Personal Cares

Personal Cares. Over View of Personal Cares. ADL Activities of Daily Living Brushing teeth, dressing, activities that are a part of everyday living Hygiene Practice of cleanliness to promote good health. Over View of Personal Cares.

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Personal Cares

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  1. Personal Cares

  2. Over View of Personal Cares • ADL • Activities of Daily Living • Brushing teeth, dressing, activities that are a part of everyday living • Hygiene • Practice of cleanliness to promote good health

  3. Over View of Personal Cares • Keep the client as independent as possible • Promotes self-esteem • Encourages them to stay independent • Number One protection against infection is the ____________________________ • Good hygiene promotes • Good body odor • Relaxation • Increases stimulation and circulation

  4. Hair Care • Part of daily grooming • Brush or comb every morning or before visitors • Shampooing removes oils and dirt • Shampoo once or twice a week • Shampooing • In shower • In bed • In tub • Cap

  5. Bathing / Showering • Purpose of bathing • Removes dirt • Eliminates body odor • Stimulates circulation & prevents skin breakdown • Exercises muscles • Relaxes and refreshes • Opportunity to observe of skin • Opportunity for communication with client

  6. Baths are usually given after breakfast as part of morning cares • Types of baths • Tub • Shower • Full bedbath • Partial bedbath • Always encourage the client to do as much of their care as possible!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

  7. Always encourage the client to do as much of their care as possible!!!!!!!!!!!!!!!!!!!!!!!!!!!!! • Help with areas the client is unable to reach • Tub bath should not last more than 20 min. • Loss of oil in skin tissues • Shower chair • Partial bath includes • Face, hands, armpits, perineum (genitals)

  8. Safety Rules for Bathing • Privacy • Type of bath according to doctor’s or nurses orders • Check in care-plan • Collect all equipment and resident’s personal supplies before beginning the bath • Water temperature • 105 degrees to 110 degrees

  9. Keep resident covered except for area being washed • Protect from falls • Nonskid floor mat in tub or shower • Use grab bars if available • Help client in and out of tub or shower • Keep bathroom door unlocked in case you need help • Never leave client alone • Wash Clean to Dirty!!!

  10. Rinse all soap off • Pat skin dry • Always wash skin if urine or feces touches it • Follow Universal / Standard precautions

  11. Observation • Report the following conditions • Areas of redness • Areas of blueness (cyanosis) • Rashes • Yellow thick nails • Hair loss • “lice” • Eyes: redness, irritation, one pupil larger than other

  12. Full Bedbath • Universal / Standard precautions • GLOVES • Basin of Water • Temperature 110 – 115 degrees • Use a bathblanket • Wash eyes with water only from inside out • Use a different part of the washcloth for each wipe • Ask client if soap can be used on face • Pat dry

  13. Place towel under limb being washed • Wash far limb then near limb • Work from clean to dirty • Face • Neck • Chest • Arms and axilla • Change water as necessary • water becomes soapy • Water becomes cool

  14. Partial Bath • Water temperature: 110 to 115 degrees • Face, axilla, arms, hands, perineum

  15. Modified Bedbath (CNA testing) • 1.Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible 2.Privacy is provided with a curtain, screen, or door. 3. Removes gown while keeping client covered 4. Before washing, checks water temperature for safety and comfort and asks client to verify comfort of water

  16. 5. Puts on clean gloves before washing client 6. Beginning with eyes, washes eyes with wet washcloth (no soap), using a different area of the washcloth for each eye, washing inner aspect to outer aspect then proceeds to wash face 7. Dries face with towel

  17. 8. Exposes one arm and places towel underneath arm 9. Applies soap to wet washcloth 10. Washes arm, hand, and underarm, keeping rest of body covered 11. Rinses and dries arm, hand, and underarm 12. Moves body gently and naturally, avoiding force and over-extension of limbs and joints

  18. 13. Puts clean gown on client 14. Empties, rinses, and dries basin 15. After rinsing basin, places basin in designated dirty supply area 16. Disposes of used gown and linen into soiled linen container 17. Avoids contact between candidate clothing and used linens

  19. 18. After placing basin in designated dirty supply area, and disposing of used linen, removes and disposes of gloves (without contaminating self ) into waste container and washes hands • 19. Signaling device is within reach and bed is in low position

  20. Care for Facial Hair of Client • Never shave a client unless instructed to do so • Electric razor • Disposable safety razor • Never use an electric razor on a client using oxygen

  21. Client Clothing • Allow the client to choose the clothing he/she is to wear • May limit choices • Allow the client to do as much independence in dressing or undressing as they are able to do

  22. Client with a weak side • Always put the clothing on the weak side first • Always take the clothing off the weak side last

  23. Perineal Care • Perineal Care • Refers to cleaning of the genitals and rectal area • Perineal care is given any time urine or feces touches the genitals or rectal area • Universal / Standard Precautions • Use Bath blanket to cover resident • Move top linens to bottom of bed

  24. Undrape only the area between the clients legs • Always clean front to back!!!!!!!!!! • Clean to Dirty • Water temperature: 110 – 115 degrees • Male client • Wash penis using circular motions • Wash from top of shaft to scrotum • Wash scrotum last • Then wash anal area

  25. Care of Skin • Pressure Sores • Area of skin broken down due to constant pressure or friction • Other names for pressure sores • Decubitus ulcer • Bed sores

  26. Most common sites for pressure sores: • Boney areas, areas normally covered with thinner skin • First sign of a pressure sore • REDNESS

  27. Prevention of a pressure sore • Reposition every 2 hours • Use pillows for support and to cushion areas at risk • Keep skin clean and dry • Keep skin free of urine and feces • Bed protector • Sheep skin • Bed cradle • Do not let client sit on bedpan > 5 min. • Backrubs • Linens free of wrinkles and crumbs • REPORT signs of skin breakdown

  28. Massage • Role of massage in care of client • Relaxation • Promotes stimulation of circulation

  29. Eye Care • Artificial eyes • Made of plastic material or a specific type of glass

  30. Hearing Aids • Amplifies sound and directs sound into ear • Be sure hearing aid is turned off before inserting into ear • Once in place turn hearing aid on and adjust volume • Turn off before removing hearing aid • To store hearing aid, remove battery

  31. Maintaining a hearing aid • DO NOT wash or get the hearing aid wet • DO NOT drop the hearing aid • DO NOT expose hearing aid to heat or moisture • DO NOT get lotions, sprays, shampoo on hearing aid • DO NOT let client wear hearing aids to sleep • Storing hearing aids • Turn aid off • Remove batteries • Store in container clearly labeled with client’s name

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