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Download MNA Mosby`s Long Term Care Assistant Chapter 1
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MNA Mosby’s Long Term Care Assistant Chapter 21 Grooming Grooming Measures Promotes comfort, safety and health Prevents infection Meet love and belonging and self esteem needs Hair Care Alopecia – loss of hair Occurs with aging Heredity Cancer treatments Stress, poor nutrition,some medications Hair Care Hirsutism – excessive body hair in women and children Heredity Abnormal amounts of male hormone Hair Care Dandruff – excessive dry white flakes from the scalp Eyebrows and ear canals can be effected Use Medicated shampoos Hair Care Pediculosis – Lice May be on head, body or in pubic area Eggs attach to furniture, clothing, linens. Easily spread Use medicated shampoos, lotions, creams Linens must be washed, furniture sprayed, items bagged. Hair Care Provided with am care and prn Encourage resident to brush, comb own hair Increases blood flow to scalp Never cut hair w/o permission Style age appropriate Report and record Shampooing Usually done on resident’s bath or shower day Can also shampoo: at the sink in the bed Report and record Shaving Electric razors: resident will have his own Not used if resident is on O2 Used for residents with dementia Disposable razor: follow standard precautions One time use Place in sharps container Apply pressure to nicks or cuts Not used if resident on anticoagulant Shaving Soften beard with warm, wet cloth Encourage resident to do as much as possible Apply shaving cream Shave in the direction of the hair growth Mustaches and Beards: Hold the skin taut Apply after shave Report and record Shampoo Trim prn Care of Nails and Feet Prevents infection, injury and odors Feet are easily injured and infected Poor circulation prolongs healing Gangrene and amputations are serious complications Nails are easier to trim after soaking or bathing Trim nails straight across Use clippers not scissors Care of Nails and Feet Some LTCF Nursing assistants do not trim or cut nails if the resident has: Diabetes Poor circulation of legs and feet Taking drugs that effect blood clotting Has very thick or ingrown nails NEVER Allow NAs to trim nails. Care of Nails and Feet Soak feet in wash basin Soak hands in emesis basin Use orange stick to push back cuticles and clean under nails Apply Lotion Report and record Changing Clothing Provide privacy Encourage resident to do as much as possible Allow resident to make choices Remove from strong side first Put on weak side first Take from the strong and give to the weak Review Alopecia ? Loss of hair Review Fingernails are cut with Nail clippers Review How can you soften the nails? Soaking in warm water Review What is pediculosis? Lice Review Brushing and combing hair is done With am care and prn ________________________. Review Mr. Lopez has dementia. How will you shave him? With an electric razor Review Where are disposable razors placed after use? In the sharps container Review What is used to push back cuticles or clean under the nails? Orange stick Review In what direction do you shave? With the hair growth Review Older persons usually have their hair washed 1-2x per week. True or False Review When assisting the resident with dressing, how are garments removed? From the strong side first Review When assisting the resident with dressing, how are put on? on the weak side first Review PC after meals S without C with IV intravenous HS bedtime OOB QOD Out of bed Every other day QID 4X day Questions??
