Chapter 21 Grooming Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Chapter 21Chapter 21

GroomingGrooming

Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

GroomingGrooming Grooming measures:Grooming measures:

Are important to many peopleAre important to many people Prevent infection and promote comfortPrevent infection and promote comfort Address love, belonging, and self-esteem needsAddress love, belonging, and self-esteem needs

People differ in their grooming measures.People differ in their grooming measures. The person should tend to his or her own The person should tend to his or her own

grooming measures to the extent possible.grooming measures to the extent possible. The person may use adaptive devices for The person may use adaptive devices for

grooming.grooming.

Slide 2Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

Grooming Aides (sock assist and Grooming Aides (sock assist and button hook device)button hook device)

Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved. Slide 3

Hair CareHair Care Skin and scalp conditionsSkin and scalp conditions

Alopecia means hair lossAlopecia means hair loss..• Male pattern baldness occurs with aging.Male pattern baldness occurs with aging.

• Hair also thins in some women with aging.Hair also thins in some women with aging.

• Other causes include cancer treatments, skin disease, Other causes include cancer treatments, skin disease, stress, poor nutrition, pregnancy, some drugs, and stress, poor nutrition, pregnancy, some drugs, and hormone changes.hormone changes.

Hirsutism is excessive body hairHirsutism is excessive body hair..• It can occur in men, women, and children from heredity It can occur in men, women, and children from heredity

and abnormal amounts of male hormones.and abnormal amounts of male hormones.

Dandruff is the excessive amount of dry, white Dandruff is the excessive amount of dry, white flakes from the scalp.flakes from the scalp.


Hair Conditions (alopecia, Hair Conditions (alopecia, hirsutism, dandruff)hirsutism, dandruff)


Pediculosis (lice) is the infestation with wingless insects.Pediculosis (lice) is the infestation with wingless insects.

• Pediculosis Pediculosis capitiscapitis is the infestation of the is the infestation of the scalpscalp with lice. with lice.

• Pediculosis Pediculosis pubispubis is the infestation of the is the infestation of the pubicpubic hair with lice. hair with lice.

• Pediculosis Pediculosis corporiscorporis is the infestation of the is the infestation of the bodybody with lice. with lice.

• Report signs and symptoms of lice to the nurse at once.Report signs and symptoms of lice to the nurse at once. Complaints of a tickling feeling or something moving in the Complaints of a tickling feeling or something moving in the

hairhair ItchingItching IrritabilityIrritability Sores on the head or body caused by scratchingSores on the head or body caused by scratching RashRash

Slide 6

Hair Care (cont’d)Hair Care (cont’d)

LiceLice


Scabies is a skin disorder caused by a female Scabies is a skin disorder caused by a female mite.mite.• The female mite burrows into the skin and lays eggs.The female mite burrows into the skin and lays eggs.

• The person has a rash and intense itching.The person has a rash and intense itching.

• Common sites are between fingers, wrists, underarms, Common sites are between fingers, wrists, underarms, thighs and genital area. thighs and genital area.

• Scabies is highly contagious.Scabies is highly contagious.

• Persons at risk include those living in crowded living Persons at risk include those living in crowded living settings and those with weakened immune systems.settings and those with weakened immune systems.

• Treated with special creamsTreated with special creams

• Clothing and linens are washed in hot waterClothing and linens are washed in hot water



ScabiesScabies


Brushing and combing hairBrushing and combing hairo Encourage patients and residents to do their own Encourage patients and residents to do their own

hair care.hair care.o Assist as needed.Assist as needed.

o To brush and comb hair, start at the scalp. Then To brush and comb hair, start at the scalp. Then brush or comb to the hair ends.brush or comb to the hair ends.

• Do not braid hair without the person’s consent.Do not braid hair without the person’s consent.• Never cut matted or tangled hair.Never cut matted or tangled hair.• Special measures are needed for curly, coarse, Special measures are needed for curly, coarse,

and dry hair.and dry hair.• The person’s hair care practices and products are The person’s hair care practices and products are

part of the care plan.part of the care plan.



Shampooing Shampooing Shampoo methods include:Shampoo methods include:

• During the shower or tub bathDuring the shower or tub bath

• At the sinkAt the sink

• On a stretcherOn a stretcher

• In bedIn bed

Hair is dried and styled as quickly as possible Hair is dried and styled as quickly as possible after the shampoo.after the shampoo.

Check with the nurse before curling or rolling up Check with the nurse before curling or rolling up hair.hair.


ShavingShaving

Many men shave for comfort and mental Many men shave for comfort and mental well-being.well-being.

Always shave in the direction of hair growthAlways shave in the direction of hair growth Many women:Many women:

Shave their legs and underarmsShave their legs and underarms Shave facial hair Shave facial hair Use other hair-removal methodsUse other hair-removal methods

• Waxing, hair removal products, plucking, threadingWaxing, hair removal products, plucking, threading


Shaving (cont’d)Shaving (cont’d)

Safety razors or electric shavers are used.Safety razors or electric shavers are used. Follow agency policy for cleaning electric shavers.Follow agency policy for cleaning electric shavers.

Safety razors are not used on persons who:Safety razors are not used on persons who: Have healing problems Have healing problems Take anticoagulant drugs-use electric razor only!Take anticoagulant drugs-use electric razor only!

Soften the beard before shaving. Soften the beard before shaving. Mustaches and beards need daily care.Mustaches and beards need daily care.

Ask the person how to groom his mustache or beard.Ask the person how to groom his mustache or beard. Never trim a mustache or beard without the person’s Never trim a mustache or beard without the person’s

consent.consent.


Nail and Foot CareNail and Foot Care Nail and foot care prevents infection, injury, Nail and foot care prevents infection, injury,

and odors.and odors. Ensure the feet are washed, rinsed and dried Ensure the feet are washed, rinsed and dried

thoroughlythoroughly Hangnails, ingrown nails, and nails torn away Hangnails, ingrown nails, and nails torn away

from the skin cause skin breaks.from the skin cause skin breaks. Long or broken nails can scratch skin or snag Long or broken nails can scratch skin or snag

clothing.clothing. Dirty feet, socks, or stockings harbor microbes Dirty feet, socks, or stockings harbor microbes

and cause odors.and cause odors.


Trimming and clipping toenails can easily Trimming and clipping toenails can easily cause injuries.cause injuries.

Use nail clippers to cut fingernails.Use nail clippers to cut fingernails.• Cut fingernails straight across and use file to shapeCut fingernails straight across and use file to shape

• Never use scissorsNever use scissors..

Some agencies do not let nursing assistants cut Some agencies do not let nursing assistants cut or trim toenails.or trim toenails.

Never cut the diabetic patient’s toenails!Never cut the diabetic patient’s toenails!• Follow agency policy.Follow agency policy.


Nail and Foot Care (cont’d)Nail and Foot Care (cont’d)

Changing Clothing Changing Clothing and Hospital Gownsand Hospital Gowns

You may need to assist with changing garments.You may need to assist with changing garments. Follow these rules:Follow these rules:

• Provide for privacy.Provide for privacy.• Encourage the person to do as much as possible.Encourage the person to do as much as possible.• Let the person choose what to wear.Let the person choose what to wear.• Make sure garments and footwear are the correct size.Make sure garments and footwear are the correct size.• Remove clothing from the strong or “good” side first.Remove clothing from the strong or “good” side first.• Put clothing on the weak side first.Put clothing on the weak side first.• Support the arm or leg when removing or putting on a Support the arm or leg when removing or putting on a

garment.garment.


Changing hospital gownsChanging hospital gowns Gowns are usually worn for IV therapy.Gowns are usually worn for IV therapy.

• Some agencies have special gowns for IV therapy that Some agencies have special gowns for IV therapy that open along the sleeve and close with ties, snaps, or open along the sleeve and close with ties, snaps, or Velcro.Velcro.

• Sometimes standard gowns are used.Sometimes standard gowns are used.

• To change the gown, the arm with no IV is removed To change the gown, the arm with no IV is removed first, then the gown is slipped over the IV site and first, then the gown is slipped over the IV site and removed from the bag. removed from the bag.

• If the patient has an IV with an IV pump, the arm with If the patient has an IV with an IV pump, the arm with the IV is not put through the gown! The nurse will have the IV is not put through the gown! The nurse will have to assistto assist


Changing Clothing Changing Clothing and Hospital Gowns (cont’d)and Hospital Gowns (cont’d)

Chapter 21 Grooming Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.

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Transcript of Chapter 21 Grooming Copyright © 2012 by Mosby, an imprint of Elsevier Inc. All rights reserved.