12. Personal Care Flashcards
describes the practices to keep the body clean
hygiene
practices to care for oneself, such as caring for fingernails and hair
grooming
T/F - CNAs should encourage residents to perform self-care whenever they can, no matter how long it takes
True
What should you do before giving any care to residents?
explain exactly what you’ll be doing and answer any questions they have
T/F - Residents can be left along during bathing as long as they are sitting down
False - residents should never be left alone during bathing
Name the 4 basic types of baths
- partial bath: cleans face, underarms, hands, and perineal area
- tub bath
- shower
- complete bed bath
Describe who needs each of the 4 types of baths: partial, tub, shower, complete bed bath
- partial: someone w/ drier, fragile, or more sensitive skin or is unable to get up for a shower/tub bath
- shower: someone who can stand or sit during shower
- tub bath: able to transfer in/out of tub; has a doctors order for a special bath using an additive
- complete bed bath: unable to get out of bed and requires a full bath
Who makes the first decision about which type of bath a resident gets?
the doctor or nurse
Personal care and bathing gives CNAs the opportunity to observe what about residents?
skin for changes
Water temperature when bathing a resident shouldn’t be any higher than what? How do you check the water temp?
105 degrees F; check with a bath thermometer or against the inside of your wrist; also have the resident check it for themselves
What is the general rule for cleaning the body?
wash from cleanest to dirtiest
List the order in which 10 body parts are washed during bathing
- eyes
- face
- ears
- neck
- arms, axilla, and hands
- chest and ABD
- legs and feet
- back
- perineal area
- buttocks
What type of people may not be bathed every day?
people with fragile, dry skin
Name the advantages and disadvantages of whirlpool baths
- pros: water movement helps clean the body, stimulate circulation, and promote wound healing
- cons: can cause a person to become dizzy or feel faint
When are back rubs generally given to residents?
after bathing or prior to going to bed; also regularly to relive pain or discomfort
What is the minimum number of times per day oral care must be performed?
2x per day
substance that accumulates on the teeth from food and bacteria
plaque
plaque can turn into these hard deposits if left on the teeth too long
tartar
term for lacking teeth or being toothless
edentulous
type of dental appliance that replaces missing teeth; may be permanent or may be removable for cleaning
bridge
What should dentures be placed in when they are being stored?
denture solution or in clean moderate/cool water so they don’t dry out and crack
Name 3 things that can cause the mouth to become dry
lack of fluids, breathing through the mouth, and oxygen therapy
crusts that develop on lips, gums and teeth that contain microorganisms
sordes
What type of residents are at a high risk of aspiration?
residents who are unconscious
What part of a resident’s face can become dry when a person is unconscious? What is the reason for this?
the eyes due to an absent blink reflex and air around the person
Name some benefits of grooming.
- has a positive effect on self-esteem, attitude, and independence
- person more likely to feel physically better
T/F - CNAs must wear gloves when shaving residents due to risk of exposure to blood
True
In what direction should you shave a resident?
in the direction of the hair growth
What type of razor is the safest and easiest type to use?
electric razor
How do you dispose of disposable razors and the blades of safety razors?
place them in a biohazard container for sharps
T/F - you should recap a disposable razor before throwing it in a biohazard container
False - don’t recap it as it can cause cuts
a small stick made of wood that helps clean under the nails
orangewood stick
Why do some facilities not allow CNAs to cut residents nails?
if accidentally cut, residents with poor circulation can develop an infection that can lead to a severe wound or amputation
T/F - CNAs can cut a resident’s hair if the resident requests it or if their hair is extremely matted or tangled
False - CNAs should never cut residents’ hair
medical term for infestation of lice
pediculosis
Signs and sxs of lice
- intense itching/scratching on scalp, neck, or body
- lice eggs can be seen on hair, behind ears, and on neck (brown before hatching, white after hatching)
- lice droppings may be visible on sheets/pillows; look like fine black powder
How are lice transmitted?
- sharing personal items
- sexual contact
- sleeping in the same bed with someone who has lice
T/F - if there is a lice infestation, items that cannot be washed must be thrown away
False - they can be put in a large plastic back that is tightly sealed for 2 weeks; then removed, cleaned, and reused
If someone has a weaker side, which side should should be dressed and undressed first?
- dressed: weaker/affected side first
- undressed: stronger/unaffected side first
When a resident has an IV in place, where should the IV bag be kept at all times when dressing them?
IV bag should be kept above the IV site at all times
If someone has an IV in place, which side should be dressed and undressed first?
- dressed: IV side first
- undressed: remove clothing starting with side without IV
