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Client Care Tips For Your CNAs – Dressing & Grooming
Helping clients with grooming and dressing is part of a nursing assistant’s job. Do the CNAs in your workplace know how important this day job is to their clients? Are they using the dress-up event as an opportunity to observe customers? By sharing the following information and tips at your next CNA incumbent meeting, you can make your assistant think differently about personal care.
Look good…feel even better!
At first glance, getting ready for the day is so clear-cut and easy that we often don’t give it a second thought. We just get dressed, brush our teeth, comb our hair, and do whatever else needs to be done to look presentable. Now, imagine if:
- Your arms are stiff and you can’t put your shirt on.
- You can’t reach to zip it up or snag your bra.
- Your leg hurts and you can’t reach your socks or shoes.
- Your fingers are bent from arthritis and you can’t tie your shoes.
- You don’t remember how to put your clothes on or in what order.
- Your arms shake so badly that you can’t brush your teeth, comb your hair, or shave.
For people with physical or mental disabilities, getting dressed can often be difficult to do alone. Sometimes they may take out their frustrations on those around them.
This is where you come in. With your help and encouragement, your clients won’t feel discouraged about their appearance or ashamed of not being able to dress themselves in private.
A dozen benefits of good grooming
- Allowing your customers to choose their own clothing makes them feel independent and in charge.
- Encouraging clients to do their best when dressing helps foster team spirit and gives them a sense of belonging.
- Letting your clients do as much as possible on their own helps them become more self-reliant.
- Showing your approval when dressing and grooming will give clients a sense of being valued.
- Looking good can boost each client’s self-esteem and can even help banish a bad mood!
- Dressing clients helps protect the skin from injury and maintain proper body temperature.
- Make sure the client’s clothing fits well so that all their body systems are not restricted.
- Brushing your client’s hair promotes a healthy scalp and strong hair.
- Providing daily oral care can prevent painful mouth conditions and protect the mouth from oral diseases.
- Keeping your client’s nails trimmed without ragged edges can prevent nicks and cuts that can lead to infection.
- Reporting toenail changes helps your client receive podiatrist care as needed. This can prevent complications in people with diabetes, heart disease, or poor circulation.
- Moving the client’s joints and muscles during grooming helps maintain body movement and prevents contractures.
important clue
Dressing up missions give you a daily chance to look for clues that trouble may be brewing. E.g:
- Pay attention to your customers’ facial expressions. Clients may tell you they are in no pain, but their expression may reveal the truth.
- Clients get dressed several times a day. While assisting them, examine the entire body, noting any areas of redness, rashes, bedsores, or other skin changes.
- Report any unusual body odor. A strange smell could be a sign of illness.
- Some health conditions can cause body swelling. Watch for signs of swelling in the hands (such as tight rings) and signs of swelling in the feet (such as shoes and socks suddenly becoming too small).
- Check for head lice when you comb or brush your client’s hair. (Lice can happen to anyone — young or old, dirty or clean, rich or poor.) Look for white eggs called “lice.” They look like small pieces of dandruff but don’t wash off or flake off. Instead, they stick firmly to the hair.
- If you provide nail care, look for white or yellow areas on your finger and toenails. Your client may have nail fungus.
Dress and Grooming Challenge
For confused clients, grooming and dressing involves many steps and the use of many different skills. This can be a very chaotic time. People with dementia may be more cooperative if you give them something to do. Ask them to help by putting toothpaste on their toothbrush, holding socks while you put on your shoes, or folding some towels while you brush their hair.
Consider using the “mirror technique” when helping a confused client. For example, hold a toothbrush and pretend to brush their teeth to help the client learn how to do the task on their own.
When clients have trembling extremities, sit and talk with them for a few minutes before starting treatment, as some types of tremors improve when clients feel relaxed. Encourage them to use their other arm for support while performing tasks like shaving or brushing their teeth.
To help visually impaired clients feel in control, tell them the style and/or color of the clothing and guide their hands where to put their grooming supplies. Speak up when you come and go, keep them aware of their surroundings, and let them know if they are alone or with other people.
Remember that many people with arthritis suffer from “morning stiffness.” Their joints may be especially swollen and painful when grooming and dressing in the morning. Clients with arthritis are encouraged to put on their legs and feet first, as this requires the most energy. Let them sit and dress and groom as much as possible – to save energy and avoid bending over for too long.
If a client asks you for pain medication before getting dressed, let the nurse or family member know that the client is in pain and needs attention.
Remember that some of your clients may remain silent about their pain due to fear, their beliefs, or their cultural traditions. Be sure to look for nonverbal signs of pain, such as:
- Clenching or grinding your teeth.
- Rubbing or holding a body part.
- Cried.
- Loss of interest in your own appearance.
- Changes in blood pressure (usually higher).
- sweat.
When you assist a client with personal care, remember that it is your responsibility to notify your supervisor when you know or suspect a client is in pain. Every client has the right to have less pain!
safe question
Keep in mind that some of your clients may find it safer and easier to get dressed lying down – especially when pulling up their pants.If the client is weak on one side, encourage him or her to put on weaker side first.
Report frayed cords on grooming equipment like hair dryers or electric shavers to keep you and your clients safe.
Consider using a “buddy system” when caring for a client with a history of aggression. This is not so that you can “syndicate” customers, but rather to remain safe while performing customer service.
Keep in mind that some people experience lightheadedness when their body temperature drops. Help your clients maintain an even body temperature, dress them for the weather and keep them out of drafts.
When your client is in a wheelchair, be sure to adjust their clothing to prevent clothing from being pulled into the wheel.
the bottom line
Remember that everyone has the right to be involved in their own care. So, encourage your clients to get involved in their personal care. Even if they don’t have enough strength to dress themselves, they may wash their face or comb their hair.
Taking a step back and letting your customers “do things for themselves” takes patience and understanding. But allowing your clients to be as independent as possible when it comes to dressing and grooming can have a positive impact on their health and improve their overall quality of life.
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