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Highly personal matter Determined by individual values and practices

HYGIENE. Highly personal matter Determined by individual values and practices Influence by cultural, social , familial and knowledge of individual. points to consider. Clients preferences Health Limitations Time Equipment Facilities Staff. PURPOSE OF HYGIENE. Promotes cleanliness

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Highly personal matter Determined by individual values and practices

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  1. HYGIENE • Highly personal matter • Determined by individual values and practices • Influence by cultural, social , familial and knowledge of individual

  2. points to consider • Clients preferences • Health • Limitations • Time • Equipment • Facilities • Staff

  3. PURPOSE OF HYGIENE • Promotes cleanliness • Provides comfort and relaxation • Improves self image • Conditions skin

  4. what does it involve? • Care of the • Skin • Hair • Nails • Teeth • Oral and nasal cavities • Eyes • Ears • Perineal and genital regions

  5. Points to remember • Rubbing from distal to proximal parts as it facilitates venous blood flow • Warm water dilate blood vessels • Washing removes MO’s and dead cells • Excessive washing has negative effect removing oils • Opportunity to assess individual • Physical and psychosocial

  6. Equipment • Towels • Face washers • Soap and soap dish • Basin • Toiletries • Bath blanket • Clothes • Additional bed linen • Bed pan • Water

  7. Procedure • Environment • No drafts • Privacy • Body mechanics • Bath mitt • Retains water and heat • Wash rinse dry

  8. Wash eyes • Inner to outer canthus • Wash face ( soap?) • Wash each arm with a towel underneath • Long firm strokes • Wash axilla • Soak hands • Interdigital spaces

  9. Wash abdomen and chest • Wash breasts • Wash legs • Long firm strokes • Soak feet • Interdigital spaces • Wash back • Back rub

  10. Wash genitals • Apply powders etc • Put on clean clothes • Assist with mouth care/ shaving • Record and report any significant assessments • Change water prn

  11. Perineal/genital • Gloves • Back lying position • Cover legs and abdomen • Female • Clean labias • Wipe from pubis to rectum • Rinse well and dry • Inspect for any lesions

  12. Male • Supine • Wash penis using firm strokes • Retract foreskin if required • Wash scrotum

  13. back rubs • Purpose • Relax and relieve tension • Stimulate blood circulation • Massage and lotions • Elbows, knees and heels • Do not rub reddened areas

  14. FEET • Assess • Swelling • Dryness • Pulses • Toenails • Abnormalities • Be aware of individuals with diabetes and circulatory problems

  15. common foot problems • Calluses • Corns • Plantar warts • Fissures • Tinea pedis • Bunions

  16. Foot Care • Equipment • Basin, Towel, Lotions, Soap, Cloth • Procedure • Soak for 10 minutes • Friction removes dead cells • Apply lotions • Report and record findings

  17. Nails • Assess • Shape • Brittle • Texture • Ridges

  18. Mouth • Assess • Gums • Lips • Tongue

  19. Mouth care • Include the cleaning of the teeth, dentures, mouth and tongue

  20. Teeth • Healthy teeth are maintained by • using a soft brush • using a circular motion to clean teeth and massage gums • reaching all areas of the mouth and teeth

  21. Mouth care • Must be provided for certain residents when their mouth becomes dry and uncomfortable • EXS • NBM • unconscious • Tube feed • Prolonged oxygen use

  22. Dentures • Must be removed at night and soaked in water in denture container • Cleaned using warm water, toothbrush and tooth paste • Handled with care • Gloves to be worn • Provide mouth care before replacing dentures • Moisten dentures to facilitate insertion • Label all dentures

  23. Teeth/Dentures • Brush four times a day • Removes food particles and stimulates gums • Do not use hot water on dentures as it may change shape • Label all dentures • Handle dentures with care • Floss daily if possible • Visit dentist every 6 months

  24. Hair • Assess • Hair loss • Texture • Oiliness • Infections/infestations • Brush daily • Stimulates circulation and distribute oils

  25. Shaving • Ask individual preferences • Soften bristles first • Shave in direction of hair growth • Hold skin taut around creases • Shaving cream • Dry well • Pat lotions on

  26. Dressing tips • Encourage clients to dress self on edge of bed • Encourage to dress the affected side first • Place undies in pants to make easier • Velcro • Slip on shoes • Clip on neck ties

  27. Dressing difficulties • Arthritic joints • Buttons • Lifting up arms • Weakness or paralysis • Heart or breathing problems • Tiredness and breathless • Mental confusion • Difficulty in recognising clothes • Difficulty in coordinating

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