Personal Grooming Cleanliness Chapter 13 Personal Grooming personal

Personal Grooming & Cleanliness Chapter 13

Personal Grooming personal cleanliness needed for physical & emotional health Confidence in appearance & attractiveness increases socialization Decisions concerning our appearance are personal (include self-image & self-esteem) Cultural, ethnic & religious beliefs should be taken into consideration when assisting a pt. with these tasks. Scheduling these activities is necessary to coordinate with patient preference, meals, therapy sessions, and social events.

Routine personal care AM care: toileting, hand & face washing, mouth & denture care, hair. Morning care: toileting, mouth care/denture care, shower or bed bath, washing & styling hair, shaving, make-up; dressing, bed making & cleaning environment. Afternoon care: toileting, mouth/denture care, hand & face washing, brush hair. PM care: before bed; toileting, mouth/denture care, , changing into sleepwear, sponge bath (face & hands, underarms, genitals, back) & back rub. Clean area & clear pathway to bathroom or have urinal close at hand for use during the night.

Mouth & Denture Care Every morning Every evening After meals After vomiting. Every 2 hrs if patient unconscious, ill, or has dry mouth due to medications. _____________________ 1. Brushing with soft bristle brush (use special toothpaste if needed) 2. Use ½ strength water mixed with mouth wash 3. Check for sores, redness, loose or broken teeth & white patches. 4. Floss 5. Lip balm 6. Report any unusual findings or c/o pain, bleeding to nurse.

Dentures: clean in sink (with face cloth in sink basin to prevent dropping & breaking) During day return to patient’s mouth. Must be left out for at least 8 hrs/ day to rest gums (usually at night when sleeping) DO NOT LET SIT in CLEANING SOLUTION After cleaning with solution, rinse & return to (labeled) container of cool water. UNCONCIOUS pt. —High Fowlers position, can not spit, head turned to side with emesis basin under chin. Observation of mucous membranes (including roof of mouth). Mouth care every 2 hrs.

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Grooming Hair care: if able wash during shower. If on bed rest use shampoo tray or cap. Brushing: from the bottom to top in sections to prevent pulling out at scalp. Style as pt. prefers or an age-appropriate fashion. Shaving: Disposable razors—use once & throw away (dull, rusty —cause skin nicks=infection). Face-downward motion, neckupward motion. Use aftershave to kill bacteria & close pores. DO NOT USE ON PT. ’S USING BLOOD THINNERS (Coumadin, heparin, xeralto) Electric razor-circular motion. DO NOT USE WITH PT. ON OXYGEN. Think—cultural sensitivity—concerning facial hair. Always use Universal Precautions when doing mouth care or shaving

Continued: Grooming Contact lens: directly on eye—need to be removed and washed in saline solution daily. Prosthetic Eyes: remove from socket—wash as directed by nurse. Clean socket & replace. Often sockets drain fluid around eye & need continuous cleaning of skin. Eyeglasses: wash with eye glass cleaner & place in holder---be careful—expensive to replace. Residents of nursing homes can’t get to eye doctor for another pair

Dressing: Increase decision making (cognitive function) and independence by having resident choose clothes. Pt. with dementia may have difficulty—narrow down to two outfits (ex. Blue or green), makes it easier to make decision… Encourage them to do as much for themselves in dressing as possible even if it takes longer (ex. Buttons, zippers) ALWAYS START WITH WEAK SIDE FIRST WHEN DRESSING---AND STRONG SIDE FIRST WHEN UNDRESSING. Be cognizant of ability to balence – such as when putting on pants or tying shoes. https: //youtu. be/gg. Wi 3 e. ZO 1 K 4

Nail Care Hands & Feet: soak in warm water, push back cuticles with warm water & face cloth, use orange stick under nails. DRY COMPLETELY IN BETWEEN FINGERS & TOES, (WARMTH & MOISTURE=BREAKDOWN) Fingernails—cut once straight across & use nail file to smooth rough edges Toe nails—NEVER, EVER CUT. (even nurses can’t) Pt. must be seen by podiatrist. Make sure Pt. has well-fitting shoes & socks to prevent blisters (that can become ulcers) Use lotion on hands, feet, and areas of dry skin—pat dry— to keep skin soft & lubricated.

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