Chapter 6 - Basics
- 2. Tasks that are concerned with a person’s body, appearance, and hygiene. AM care: Bathroom Wash face and hands. Hair care, dressing, shaving, mouth care/dentures before breakfast
- 3. PM Care: Bathroom Wash face and hands Snack Mouth care/Dentures Nightclothes Backrub (if requested)
- 4. The care you give may be different for different residents. Some may be more independent Some may be entirely dependent on you Adjust your demeanor with each person based on what they need and who they are.
- 5. Explain what you are doing Have them do what they can Provide privacy – this is a right Look for any new changes Skin Mood Ability to help themselves Any other complaints Report changes to the nurse
- 6. Pressure points-boney prominences Pressure sores (ulcers) Watch for reddened or white areas, this could be the beginning… Stages of breakdown – see page 122 Observe and report – pg 123
- 7. Inspect Keep clean and dry Reposition at least every 2 hours. Give good peri care Change linens when needed. Be gentle when moving and dressing Use draw sheet/lift sheet when moving in bed
- 8. Foam boots Bed cradles/foot boards Orthotic devices – supportive devices Trochanter rolls – hip precautions Pillows Hand rolls Splints If these are in the care plan, put them on.
- 9. Wash from head down Make sure to read pgs 125 – 129 thoroughly! For shampooing, use special device if giving bed bath. Modified bed bath…one of our skills In classroom, clean face, one arm, and armpit In clinical, clean face, hands, armpits, genital area In clinical, promote independence: washcloth
- 10. Fingernails May trim carefully, if resident not diabetic Clean nails per guidelines in book. Not one of our skills, but you need to know how to do this. Foot Care One of our skills, make sure to wash, rinse, dry between toes
- 11. Hair combing/brushing Shaving – Shave up on neck, down on face Dressing – if weak side Old garment/gown off strong side first, weak side last New garment/gown on weak side first, finishing on strong side last May be called “weak”, “involved”, “affected,” never good or bad side.
- 12. Put stockings on in bed, if possible. Oral Care: Includes dentures and mouth, see supplies needed on page 142 – Read completely
- 13. Includes: Taking resident to bathroom Using bedpan if in bed Using Bedside Commode – transferring with gait belt. If using BSC, will take “pail” or “bucket” to dirty utility room and clean, per facility protocol Giving urinal to a male
- 14. Turn on a schedule Supine Lateral – right and left sides Fowler’s – 45 degree ankle Prone – not often used for elderly resident. Logrolling – turn resident as one unit – needs 2 people to help – back, neck, hip surgury Use draw sheet, pillows between legs
- 15. Prevention is the best thing Keep call light close Answer call lights promptly If resident faints or falls when you are transferring, Bend knees and brace against resident and lower to the floor. Do not try to “catch” the resident. You could end up with an injury yourself If ambulating or transferring, ALWAYS use your gait belt, even if others do not!
- 16. Hoyer lift Sit to stand They prevent wear and tear on the body. We will learn how to use these in class!