1. MNA Mosby’s Long Term Care Assistant Chapter 21 Grooming

2. Grooming Measures Promotes comfort, safety and health
Prevents infection
Meet love and belonging and self esteem needs

3. Hair Care Alopecia – loss of hair Occurs with aging Heredity
Cancer treatments
Stress, poor nutrition,some medications

4. Hair Care Hirsutism – excessive body hair in women and children
Heredity
Abnormal amounts of male hormone

5. Hair Care Dandruff – excessive dry white flakes from the scalp
Eyebrows and ear canals can be effected
Use Medicated shampoos

6. 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.

7. 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

8. Shampooing Usually done on resident’s bath or shower day
Can also shampoo:
at the sink
in the bed
Report and record

9. 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

10. Shaving Mustaches and Beards: Shampoo Trim prn
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
Hold the skin taut
Apply after shave
Report and record
Mustaches and Beards:
Shampoo
Trim prn

11. 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

12. Care of Nails and Feet Some LTCF NEVER Allow NAs to trim nails.
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

13. 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

14. Take from the strong and give to the weak
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

15. Review
Alopecia ?
Loss of hair

16. Review
Fingernails are cut with
Nail clippers

17. Review
How can you soften the nails?
Soaking in warm water

18. Review
What is pediculosis?
Lice

19. With am care and prn Review Brushing and combing hair is done
________________________.
With am care and prn

20. With an electric razor Review
Mr. Lopez has dementia. How will you shave him?
With an electric razor

21. Review
Where are disposable razors placed after use?
In the sharps container

22. Review
What is used to push back cuticles or clean under the nails?
Orange stick

23. Review
In what direction do you shave?
With the hair growth

24. Review
Older persons usually have their hair washed 1-2x per week.
True or False

25. Review
When assisting the resident with dressing, how are garments removed?
From the strong side first

26. Review
When assisting the resident with dressing, how are put on?
on the weak side first

27. Review after meals PC S C without IV HS with OOB QOD intravenous QID
bedtime
Out of bed
Every other day
4X day

28. Questions??