1. Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Textbook For Nursing Assistants Chapter 17 - Cleanliness and Hygiene

2. Slide 2 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Cleanliness and Hygiene

3. Slide 3 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Benefits of hygiene promotes both physical and emotional health keeps the skin and the mucous membranes of the mouth healthy prevents skin conditions that could interrupt the body’s first line of defense prevents body and breath odors Hygiene and its Benefits

4. Slide 4 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Scheduling of Routine Care

5. Slide 5 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Regular Schedules Early morning care Morning (a.m.) care Afternoon care Evening (hs, hour of sleep) care Provide as needed – PRN Care For a person in coma For an incontinent person For a person who is diaphoretic Schedules

6. Slide 6 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Respecting the Individual

7. Slide 7 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Special Circumstances Personal preferences Cultural and religious beliefs Person’s wishes Adjustment in Schedules

8. Slide 8 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Assisting with Oral Care

9. Slide 9 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Problems resulting from poor oral hygiene Gingivitis Pyorrhea Dental cavities Halitosis Oral Care

10. Slide 10 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Oral care comprises: Brushing Flossing Using mouthwash Oral Care for a Person with Natural Teeth

11. Slide 11 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Dentures that fit properly allow proper chewing of food and do not hurt the mouth Personal preference for wearing dentures is to be respected Dentures are expensive and difficult to replace Oral Care for a Person with Dentures

12. Slide 12 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Breathing through open mouth leads to drying and cracking of the oral mucous membranes and lips Explain the procedure to the person even though he might not seem to be aware Guard against aspiration by turning head to side Oral Care for an Unconscious Person

13. Slide 13 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Assisting with Perineal Care

14. Slide 14 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Cleaning of the perineum and associated structures Females: The area between the bottom of the vagina and anus, as well as the vulva Males: The area between the root of the penis and the anus, as well as the penis What is Perineal Care?

15. Slide 15 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Perineal care is important for the: Prevention of infection Prevention of skin breakdown and odor Perineal care is provided at least once daily, and PRN Care must be taken to preserve the person’s modesty Perineal Care: Schedule

16. Slide 16 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Drape with bath blanket Place washcloth at top of vulva and stroke downward to anus First clean each side, then the middle Clean anal area by placing washcloth at front of body and stroking toward back When Providing Female Perineal Care

17. Slide 17 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Drape with bath blanket Pass washcloth in a circular motion, moving from tip of penis to the base If a man is uncircumcised, retract foreskin to wash, then gently return foreskin to normal position Clean anal area by placing washcloth at front of body and stroking toward back When Providing Male Perineal Care

18. Slide 18 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Assisting with Skin Care

19. Slide 19 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Makes a person feel relaxed and refreshed Cleans the skin and eliminates body odors Exercises muscles Stimulates blood flow to the skin Helps the patient or resident meet the needs of love and belonging and self-esteem Gives the nursing assistant an opportunity to observe for skin problems and bond with the patient or resident Bathing: Benefits

20. Slide 20 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Personal choice Person’s state of health Weather Person’s level of activity Person’s ability to care for himself Policies and procedures of the facility or agency Bathing: Frequency

21. Slide 21 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Soap and soapless cleansers Bath oils Lotions and creams Body powder Deodorants and antiperspirants Variety of linens Bathing: Supplies

22. Slide 22 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Complete bath Partial bath Shower or tub bath Preferred method Bed bath Alternative - bag bath Standard Bathing Techniques

23. Slide 23 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Stimulates the circulation Relaxes the patient or resident Promotes sleep Calms sick babies and confused or demented elderly people who become agitated easily Can be performed in either prone or the lateral position Promotes physical and emotional health Gives opportunity to to observe the person’s skin for potential problems Massage: Benefits

24. Slide 24 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Check with a nurse or read the person’s nursing care plan before beginning Should not be performed on a person with fractured ribs or a back injury Should not be performed on a person who has recently had back surgery Massage: Precautions

25. Slide 25 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. Back Massage Strokes Combination of gliding strokes and downstrokes

26. Slide 26 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants. End of Presentation