Shaving
Should you shave a woman?
Some women need to have facial hair removed, its's a dignity issue and contributes to a woman's self esteem.
What can cause skin breakdown on hands?
hangnails, ingrown nails, nails torn awa
Opens in skin are particularly worrisome because...
it is a PORTAL for microbes
Why is it important for residents to have choices of what to wear?
Promotes independence, self esteem, self worth, respect and dignity
What are the 2 types of seizures?
grand mal, petit mal
What is a stroke? what are the risk factors?
Cerebral vascular accident, interruption of blood flow to brain caused by a clot or hemorrhage in the brain related to broken blood vessel
hypertension, hardening of the arteries, smoking and stress
Where should you discard used disposable razors?
Sharps container
What makes cutting fingernails easier?
soaking them
What are some ways that microbes grow in foot care?
dirty feet, socks, stockings, shoes and socks providing a warm, moist environment
Why is it important to button the shirt the correct way each time.
dignity, respect, great care
What are the signs of a grand mal seizure?
falling to floor, lose of consciousness, rigidity, rolling eyes, fixed stare, saliva bubbles, jerking movements, grinding/gritting teeth, incontinence
What affect will a left side stroke have? right? cerebellum?
left side stroke affect right side, right side stroke will cause changes on the left side of the body.
Cerebellum will affect balance and motor function
When should you use an electric razor on residents?
When they are on blood thinners, anticoagulants.
What should you use to cut fingernails?
Not scissors. nail clippers
How are feet injured during life in a nursing home?
What adaptive devices are available for dressing a resident?
shoe horn, dressing stick, reacher, sock aid, button hook
What should the CNA do if a resident is having a seizure?
What are the symptoms and treatment for stroke?
s/s dizziness, headache, vision changes, elevated blood pressure, weakness, numbness, tingling, paralysis, change in facial expression, difficulty swallowing/talking
tmt- medications like TPA, anticoagulation
What should you do if you nick someone shaving?
apply direct pressure with gloved hand
What equipment is needed to clip fingernails?
basin, warm water, towel, nail file, emery board, orangewood stick, clippers, lotion
Who can trim toenails in a nursing home?
ONLY podiatrist
What is adaptive equipment used for self help performing an activity of daily living?
glasses, hearing aids, artificial limbs, dentures, braces
Should you try to stop movements during a seizure?
no
How do you care for someone after a stroke?
good skin care, frequent repositioning, support affected limbs, encourage intake of meals/fluids, protect from injury, assist with range of motion, positioning for swallowing issues, assist with appropriate adaptive equipment for eating, encourage independence
BE PATIENT AND PROVIDE EMOTIONAL SUPPORT
What observations do you report to nurse when shaving?
nicks or cuts, open areas, sores, skin irritation/rash
What should be reported to the nurse after nail care?
reddened, irritated skin, calloused areas, breaks in the skin, changes in color of the skin or nails, hot or cold hands.
Why is it important to prevent wounds on the feet?
healing is prolonged in residents with poor circulation, diabetes can cause poor circulation, infections are more serious for the elderly, gangrene and amputations are serious complications
What special precautions should you take when caring for residents with prosthesis?
reddened areas, sores, drainage or very red areas
What might the resident be like after a seizure?
Post icatal phase- fatigue, confused, can last hours
What are the goals of someone who has had a stroke?
protect from injury, promote independence.
What FOOT CARE observations should you report to the nurse?
reddened, irritated, calloused areas, breaks in skin, changes in color of the skin or nails, hot or cold feet.
Where should you NOT apply lotion?
Should you re-use a prosthesis liner, sock or shrinker if it is wet or soiled?
Absolutely not, as it can cause skin break down.
What should CNA report to nurse about seizure?
how long, what the resident looked like during seizure, how the resident looked before the seizure, time of onset, eye movement, incontinence, loss of consciousness, biting of tongue/lips