Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the...
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Transcript of Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the...
![Page 1: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/1.jpg)
Skin Care Fair
This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40
![Page 2: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/2.jpg)
What Is The Skin Care Fair?• A pressure ulcer prevention in-service with hands on activities
that are fun!• Each activity covers one of the
Braden Scale risk factors for pressure ulcers and includes a lesson learned from The Daily Post
• Designed for the C N As and direct staff. Use as a train the trainer activity for nurses.
![Page 3: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/3.jpg)
Tools• Skin Care Fair PowerPoint• Skin Care Fair Instructions with
inventory list of required supplies• Take Home Sheet for the C N A• Ten Commandments of Wound Care• Braden Puzzle Pieces• Skin Care Fair Flyer
![Page 4: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/4.jpg)
Helpful Hints
• The instructions contain humorous scripts and hints to ensure each activity’s success.
• Allow ½ hour to set up your program.
• Don’t leave fruit unattended; the residents will eat it!
• Clean up with bleach wipes to maintain infection control.
![Page 5: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/5.jpg)
Benefits
• Active learning and CNAs love the activities
• Easy to provide• Door opener for nursing homes• Able to customize interventions to
facility’s policies• Opportunity for nursing homes to
reward staff
![Page 6: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/6.jpg)
Reaching Out
• After conducting these in-services in nursing homes, we conducted regional train-the-trainer workshops to spread the word.
![Page 7: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/7.jpg)
Skin Care Fair• 3 Categories of Activities:
•Oh, My Precious Epidermis: Hands on Activities
•Terrors of the Deep: View the stages of pressure ulcers
•Solving the Puzzle of The Braden Scale
![Page 8: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/8.jpg)
Oh,My Precious Epidermis
![Page 9: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/9.jpg)
The Barren Desert
Exercise 1
![Page 10: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/10.jpg)
The Daily Post
• Protect Dry Skin which can lead to friction injuries and skin tears
• Use moisturizers frequently and as often as necessary
• Always be on the look-out for skin changes
![Page 11: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/11.jpg)
Fragile: Handle with Care
Exercise 2
![Page 12: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/12.jpg)
The Daily Post
• Be cautious when changing incontinent products, bandages, or even their clothes
• Your elder’s skin is very fragile and can tear easily
![Page 13: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/13.jpg)
The Barrier Reef
Exercise 3
![Page 14: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/14.jpg)
Barrier Reef ExerciseSee the water beading up on Right hand?
![Page 15: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/15.jpg)
The Daily Post
• Use a moisture barrier to help protect the skin from stool and urine.
• Barrier creams and ointments only work if they are applied, and applied correctly
• These creams can be the first line of defense for your elder to stop a pressure ulcer before it develops
![Page 16: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/16.jpg)
You’re Tearing Me Apart
Exercise 4
![Page 17: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/17.jpg)
The Daily Post
• Simple movements, such as turning or lifting, can create friction and shearing, which can injure the skin.
• To move and reposition residents, use lifting devices and draw sheets. Avoid dragging.
![Page 18: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/18.jpg)
Critic’s CornerTreasure Hunt
Exercise 5
![Page 19: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/19.jpg)
Treasure Huntthe picture on the right is view from glasses with
petroleum
Seeing through the resident’s eyes
![Page 20: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/20.jpg)
The Daily Post
• Poor nutrition is a risk factor in developing a pressure ulcer.
• Assist residents to eat as necessary.• Notify the nurse if there is a decline
or change in a resident’s eating habits.
• Choose supplements that are tasty• Consider choice in dining as a
strategy to increase weight.
![Page 21: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/21.jpg)
The Princess and the Pea
Exercise 6
![Page 22: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/22.jpg)
The Daily Post
• Use support surfaces on beds and chairs to reduce pressure.
• Avoid donuts.• Use pillows or devices to raise
heels off the bed.
![Page 23: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/23.jpg)
Dorothy’s Shoes
Lions and
Tigers and
Bears
Oh MY!
Exercise 7
Pressure and Blisters andObjectsOh My!
![Page 24: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/24.jpg)
The Daily Post
• Always be on the lookout for anything that could create pressure on the skin, including the feet.
![Page 25: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/25.jpg)
Terrors of the Deep
Exercise 8
![Page 26: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/26.jpg)
Terrors of the Deep
Stage 1 Stage 2
Stage 3 Stage 4
![Page 27: Skin Care Fair This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under.](https://reader030.fdocuments.us/reader030/viewer/2022032702/56649cf55503460f949c41e5/html5/thumbnails/27.jpg)
Solving the Puzzleof
The Braden Scale*
NutritionNutrition
MobilityMobility
Friction Friction and and
SheerSheer
MoistureMoisture
Sensory Sensory PerceptionPerception
ActivityActivity
*Refers to The Braden Scale for Predicting Pressure Sore Risk, Barbara Braden and Nancy Bergstrom, 1988
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• Questions?
This material from Louisiana Health Care Review, Inc. was adapted by GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 8SOW-GA-NH-08-40