Review Ch. 12 - Grooming
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Excessive body hair in women and children.
Hirsutism. It results from heredity and abnormal amounts of male hormones.
The excessive amount of dry, white flakes from the scalp.
- Brushing and combing hair are part fo early morning care, morning care, and afternoon care. They also
are done whenever needed.
- Never cut matted or tangled hair.
- when brushing and combing hair, start at teh scalp. Then brush or comb to the hair ends. To brush or
comb through matted or tangled hair or cut hair for any other reason.
- Comb or brush through to the hair ends.
- Working up to the scalp, add small sections of hair.
- Use a wide-toothed comb for curly hair. Start at the neckline. Working upward, lift and fluff hair
- - Shampoing is usually done weekly on the person's bath or shower day.
- - Water temperature is usually 105
- - Support the back of the head with one hand as you shampoo with the back. They lean forward and
- hold a washcloth over the eyes. Support the forehead with one hand as you shampoo with the other.
- Make sure the person can breathe easily.
- - If a medicated shampoo or conditioner is used, returnm it to the nurse.
- Safety razors (blade razors) can cause nicks or cuts. They are not used for persons:
-- With dementia. They may resist care and move suddenly.
-- Who take drugs that prevent or slow down blood clotting. Bleeding occurs easily. A nick or cut can
cause serious bleeding.
- Soften the beard and skin before using a safety razor. Apply a warm washcloth or towel to the face
for a few minutes. Then lather the face with soap and water or a shaving cream. Women's legs and
underarms are shaved after bathing when teh skin is soft.
- Beards and mustaches need daily care.
- Daily wahing and combing are needed.
- Use electric shavers for persons taking drugs that prevent blood clotting (anticoaqulant drugs) Never
use safety razors.
- Shave up from the ankles when shaving legs. This is against hair growth.
- Apply direct pressure to nicks or cuts.
- Report nicks, cuts, or irritation to the nurse at once.
- Nail and foot care
- - How long to soak fingernails (usually 5 to 10 nimutes)
- - How long to soak the feet (usually 15 to 20 minutes)
- - You do not cut or trim toenails if a person:
- - Has diabetes
- - Has poor circulation to the legs and feet.
- - Has very thick nails or ingrown toenails.
- --The RN or podiatrist cuts toenails and provides foot care for these persons.
Some persons need help changing clothing and gowns. Follow these rules:
- Remove clothing from the strong or "good" side first.
- Put clothing on the weak side first.
- Support the arm or leg when removing or putting on a garment.
Gowns are usually worn for IV therapy
If the person has and IV pump and a standard gown, do not use the following prcedure. The arm with the IV is not put through the sleeve.
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