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Published byLinda Mathews Modified over 8 years ago
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AM and PM Care › AM care: Offering bedpan/urinal or assist to bathroom Assist residents with washing face and hands Performing mouth care before or after breakfast as needed › PM care: Offering bedpan/urinal or assist to bathroom Assist with washing face and hands Mouth care Snack and back rub as allowed
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How you assist the resident is essential to promoting independence and dignity What skills you assist with and how much help you provide is different for each resident › A person who has had a stroke recently would need more assistance than someone who has a broken foot that is nearly healed
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Maintain a professional attitude Be sure to explain to the residents exactly what you are going to be doing Offer the bathroom or a bedpan first Allow them to make as many decisions about the care as possible - encourage them to do as much as they can during care
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Observe the resident for any problems or changes that have occurred Look at their environment › Look especially for physical and mental changes as well as unsafe surroundings › Report concerns to the nurse Take a break if the resident becomes tired.
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Ask if the resident would like anything else Leave the resident’s room neat and tidy Call light within reach Bed in lowest position
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Skin color, temperature and reddened areas Mobility Flexibility Comfort level Strength and ability to perform ADLs Mental and emotional state Resident complaints
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Safety Razor › Has a safety casing over the blade to prevent cuts. › Requires shaving cream or soap Electric razor › Easiest and safest to use › Doesn’t require soap or shaving cream Disposable razor › Discarded after use › Requires soap or shaving cream
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Explain to Resident and ask permission Gather supplies and wash hands
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Place gloves after washing hands Place towel over resident’s chest to protect clothing
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Before using razor (safety or disposable) › Soften beard and skin with warm washcloth for a few minutes › Lather the face with shaving cream
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Then using the razor go with the direction the hair is growing. Generally shave cheek area first, around mouth and then the neck.
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Use basin of water to rinse off razor after each stroke. Clean all of the shaving cream off the resident’s face and neck.
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Notify the nurse if you nick the resident Avoid shaving directly over prominent Adam’s apple Apply after-shave if resident desires Always replace call signal and needed items within resident’s reach.
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How your hair looks affects your mental well-being Some residents get their hair done at a salon Brushing and combing hair Always place a towel across the shoulders
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Alopecia: hair loss › Baldness › Cancer treatments, skin diseases, stress, poor nutrition, pregnancy, and hormone changes. Hirsutism: excessive body hair in women and children Dandruff: excessive amount of dry, white flakes Pediculosis: infestation of lice
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Know the resident’s limitations Affected side › Side of the resident that is weakened due to stroke When dressing, start with the affected side first (reverse this when undressing) › Put the weaker arm through a sleeve first › With pants, have the resident sit down and pull the pants over both legs
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Allow the resident to pick his/her own clothes (but check cleanliness and if appropriate for weather) Encourage the resident to dress in regular clothes rather than pajamas Provide privacy Allow the resident to do as much as is possible to dress/undress themselves Front-fastening bras are easier for residents to manage alone
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Ask the resident if they have a cleaning cloth, and if so then use that. Otherwise…. Use a washcloth, soap and warm water to wash off glasses.
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Types of bed pans and urinals › Fracture pan Flatter than a regular bed pan Used for residents that cannot raise their hips › Regular Bedpan › Urinal › Portable commode Chair with a toilet seat and a removable container underneath
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Incontinent Patients who cannot control the muscles of the bowels or bladder Diarrhea can cause temporary incontinence Be sure to offer the bathroom very frequently If they are wearing incontinence pads or briefs, change often (at least every 2 hrs) Keep the resident clean, dry and odor free Frequent perineal care is required
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Helps with mobility for bed bound patients Wash face, hands, underarms and perineum daily to every other day › Perineum: area between the genitals and the anus Elderly: older skin produces less perspiration and oil › If the skin is especially dry and fragile, the resident should only bathe once or twice a week.
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Use products approved by the facility or that the resident prefers Make sure the room is warm enough prior to bathing Make sure the water temperature is safe and comfortable Gather all supplies before giving the bath so that the resident is not left alone Follow the care plan
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Check with the nurse to see if a shower or a tub bath is more appropriate than a bed bath Partial Bed Bath › Done on days when a complete bed bath or shower is not done › Washing face, underarms and hands, perineal care
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Clean tub and shower before and after use Make sure bathroom or shower room floor is dry Check that hand rails, grab bars and lifts are working correctly Have resident use safety bars when getting into or out of the tub or shower.
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Place needed items in reach Never leave the resident alone. Avoid using bath oils Test water temp with your wrist before resident gets in; it should be warm and not scalding hot
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