02a Enable Clients to maintain their Personal Hygiene and ...

ENABLE CLIENT’S TO MAINTAINTHEIR PERSONAL HYGIENE AND

APPEARANCE

www.jet-training.org.uk/[email protected]/07775643169

Jet Training, Care Plus1, Minehead Road, Norton Fitzwarren, Taunton, Somerset, TA2 6NSTelephone 01823 270845 Mobile 07775643169

Email: [email protected]

CONTINUOUS TRAINING PROGRAMMEMODULE TWO

© John Eaton 2009

Candidate Name ........................................................................

Assessor ....................................................................................

The Name of the Game is to Train

FOREWARD

The Jet Continuous Training and Development Modules are designed to Inform, Educate andProbe the Candidates Knowledge and Understanding of the subject matter to confirm their

competence on the subject. It is equivalent to NVQ Unit Y2

This Continuous Training Programme Module is designed to help the candidate in several ways.

To aid the understanding of what the criteria is asking for

To give advice and guidance as to what is required

To gain definitions to help the candidate understand the wording that underpins the criteria

To give relevant answers to the Knowledge Specicification Questioning

Information has been collected from previous NVQ training which still has validity as specifictraining needs and is specific to the subject matter.

Each Unit has its own Jet Certification

I wish you well with your training.

John Eaton RMN, RGN, RN (New York) DipRSA D32/33/34/36

Certificate ofSuccessful Completion

of the

Enable Clients to Maintain theirPersonal Hygiene and Appearance

Modulerecognises

..................................................................................................

as having met the

Competence Requirement of this Module

Date .......................................... Signature .............................

SKILL FORCE

The materials and toiletries requested or available include:

• Soap• Shampoo• Nail cutters• Toothpaste and brush• Denture cleaner and fixative• Moisturiser• Deodorant• Cosmetics (lipstick, makeup etc)• Skin Creams• Specialist Skin preparations• Talcum Powder• Cologne (male or female)• Shaving foam• Shaving materials

ENABLE CLIENT’S TO MAINTAINTHEIR PERSONAL HYGIENE AND

APPEARANCEENABLE CLIENTS TO

MAINTAIN THEIR PERSONALCLEANLINESS

.

Client’s are given the opportunity to choose their personal hygiene facilities, such as:

• Bath• Specialist bath facility• Shower• Shower toilet• Strip wash• Bed bath

Candidate Y N Candidate Initial

Understanding


Understanding


Understanding

Trainee Signed .......................................................................................................................... Date .................................

Assessor Initial ..................................................................... Competent Y [ ] N [ ] ................................. Date

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Client’s agree with the carer and care team the degree of support that is required for the type ofpersonal hygiene care and are encouraged to be as self-managing as possible

The client may use these facilities and materials that are of their preference and needs.

Where there is a conflict between the client’s needs, wishes , preferences and choice regardingtheir personal cleanliness, the plan of care and the availability of facilities and materials arediscussed with the client and resolved amicably.

The temperature of the water and of the room is consistent with the client’s preference andcondition and within legal constraints. Toiletries, materials and equipment are safe and availablewithin client reach and help call facilities and/or equipment are at hand. The level of privacy isconsistent with the level of risk involved.

Any problems that are found are discussed with the client and where specialist involvement isrequired, this is arranged with their agreement.

After use, washing facilities are clean and ready for the next client to use and waste products aredisposed of in a safe manner and place


Understanding

It would be difficult to persuade a client of the need for personal hygiene is the carer has aproblem in that aspect. It is therefore sensible for the carer to have good hygiene practices asstandard. The type of clothing worn will also have an impact and would need to be consistentin being sensible and practical for both personal and Health and Safety reasons. Whereprotective clothing is required, the client needs to be informed and the reasons explained.


Understanding

Toiletries, materials and equipment are safe and available within client reach and help callfacilities and/or equipment are at hand.


Understanding


Understanding


Understanding


Understanding



6


Understanding

The type of clothing worn will also have an impact and would need to be consistent in beingsensible and practical for both personal and Health and Safety reasons. Where protective cloth-ing is required, the client needs to be informed and the reasonsexplained.

The client’s dignity must be promoted as much as possible when assisting a client and withminimum discomfort.


Understanding


Understanding



7

The client’s dignity must be promoted as much as possible when assisting a client and withminimum discomfort. Any problems that are found are discussed with the client and wherespecialist involvement is required, this is arranged with their agreement. After use, washingfacilities are clean and ready for the next client to use and waste products are disposed of in asafe manner and place.

The level of privacy is consistent with the level of risk involved.


Understanding


Understanding

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Candidate Name:

Why is it important for all parts of the of the body to be washed

1a. Types of Personal Care

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Candidate Name:

Why is washing hair an important task

1b. Types of Personal Care

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Candidate Name:

Why is shaving and removing of surplus hair an important task

1c. Types of Personal Care



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Candidate Name:

Why is nail care an important task

1d. Types of Personal Care



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Candidate Name:

Why is oral hygiene an important task

1e. Types of Personal Care



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Candidate Name:

What would you do if a client complained of soreness or discomfortresulting from personal hygiene

1a. Problems



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Candidate Name:

How would you identify changes in the client condition from observationof the clients personal hygiene

1b. Problems



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Candidate Name:

How would you approach and encourage a client who had a generalreluctance to keep clean

1c. Problems



1 o The client should always be self-managing regardless of their conditiono If the client has no toiletries, materials and facilities they will have to go withouto The client has an opportunity to choose toiletries, materials and facilitieso Personal Homes toiletries, materials are not allowed in the Home

2 o Where there is a conflict between client wishes and needs, they are resolved amicablyo Where there is no conflict between client wishes and needs, they are resolved amicablyo Where there is a conflict between client wishes and needs, they are not resolved amicablyo Where there is a conflict between client wishes and needs, they are unresolved amicably

3 o I had a late night last night and should have washed before coming to worko I generally wear cut jeans and high heals to work as its fashionableo I pride myself with my appearance, even when I advise the client I have to wear a

gowno There is a uniform but I think clients prefer normal casual clothing

4 o The client may use these facilities and materials that are of their preference and needs.o The client may not use these facilities and materials that are of their preference and

needso The client may use these facilities and materials to do as they wisho The client may use these facilities and materials and invite their families at any time

5 o As I felt a little impetuous, I increased the room and water temperature to see what would happen

o The room and water temperature’s were at the wrong levels for the clients preference and condition

o As I felt a little impetuous, I decreased the room and watertemperature to see what would happen

o The room and water temperature’s were at the right levels for the clients preference and condition

ALTERNATIVE STATEMENTSA CARER SHOULD UNDERSTAND THE FOLLOWING

One of the four answers below is correct



1 6

6 o I left the razor blade on the floor away from the call bell, then client cut their foot trying to pick it up and had to wait for help

o I like to leave toiletries a little to far for client’s to get, to see how they respond. There is no call bell so they would have to shout if needed

o All toiletries, materials and equipment must be placed safely and within the clients reach

o The toiletries, materials and equipment were placed safely out of reachof the client and call bell

7 o Client’s privacy must be balanced with the risks involvedo Client’s privacy must be unbalanced with the risks involvedo Client’s privacy must be balanced without the risks involvedo Client’s privacy must not be balanced with the risks involved

8 o Dignity and minimising discomfort are prime objectives in maintaining personal cleanliness

o Dignity and minimising discomfort are not relevant to personal hygiene and cleanliness issues

o Dignity and minimising discomfort are incompatible with maintaining personal cleanliness

o Indignity and maximising discomfort are compatible with maintaining personal cleanliness

9 o Problems are not discussed with clients and then passed to the person who can give specialised help with the clients agreement

o Problems are discussed without clients and then passed to the person who can give specialised help with the clients agreement

o Problems are discussed with clients and then not passed to the person who can give specialised help with the clients agreement

o Problems are discussed with clients and then passed to the person who can give specialised help with the clients agreement

10 o After use, facilities are cleaned and ready for the next use, waste products are not disposed in a safe place and manner

o After use, facilities are not cleaned or ready for the next use, waste products are disposed in a safe place and manner

o After use, facilities are cleaned and ready for the next use, waste products are disposed in an unsafe place and manner

o After use, facilities are cleaned and ready for the next use, waste products are disposed in a safe place and manner



1 7

RANGE1. TYPES OF PERSONAL HYGIENE

Five from ten are correct

1 o Bathing (including bed-bathing), showering and washing all body parts is not necessary for personal hygiene

o Bathing, (including bed-bathing), showering and washing all body parts is necessary for personal hygiene

o Hair washing is for bad hair dayso Hair washing is essential for both cleanliness and a feeling of well beingo Shaving and removal of surplus hair is a necessary activity for clean shaven individualso Shaving and removal of surplus hair is an unnecessary activityo Nail care (including trimming and general care) is part of the overall personal hygiene

careo Nail care (including trimming and general care) is not part of the overall personal hygiene

careo Oral hygiene (including cleaning of teeth, dentures, tongue, palate and gums) is only

necessary with individuals who have bad breatho Oral hygiene (including cleaning of teeth, dentures, tongue, palate and gums) is part of

the overall personal hygiene care

2. PROBLEMS

Three from six are correct

2 o Soreness, pain or discomfort resulting from personal hygiene care does not need to be recorded and is not brought to the attention of the person in charge

o Soreness, pain or discomfort resulting from personal hygiene care must be recorded and brought to the attention of the person in charge

o Changes in the client’s condition is an issue to bring to others attentiono Changes in the client’s condition is not an issue to bring to others attentiono The client was reluctant to keep clean and that is their righto The client was reluctant to keep clean, though was persuaded by the carer after discussion



1 8

Personal grooming and dressing includes:

• Combing and brushing hair• Application of make-up or other substances• Dressing and undressing

The facilities in which the client is supported and take place are both privateand comfortable

The support required and the activity undertaken are discussed and agreed with theclient

Any support given must be given in a manner that:

• Maximises client confidence• Maintains client privacy• Is consistent with the client’s personal beliefs and preferences• In accordance with the client’s care plan

Where a client is prescribed dressing aids and equipment, such as:

• Button and Zip hooks• Stocking aids• Dressing sticks

They are offered appropriate support and training in its use

SUPPORT CLIENTS IN PERSONALGROOMING AND DRESSING


Understanding


Understanding


Understanding


Understanding


Understanding



1 9

Clients are encouraged to use any prescribed accessories, such as:

SENSORY EQUIPMENT

• Hearing aids• Spectacles

PROSTHESIS

• Artificial limb• Glass eye/• False breast• Hairpiece• Wig• Dentures

ORTHOSES

• Surgical shoes• Surgical stockings• Callipers• Braces• Truss• Collars• Corsets

Where a client has concerns over the above accessories and creams, the issues arediscussed and an agreed solution is found

Clients are encouraged to use any prescribed creams, such as:• Camouflage creams• Anti-biotic creams• Steroid creams• Sun creams• Face creams• Skin creams• Moisturisers


Understanding


Understanding


Understanding



Where a client needs specific help, beyond the carer’s ability to inform or support, the advice,guidance, support and help will be referred to the appropriate member of the team

Clients are encouraged and supported to keep their personal clothing and grooming itemsclean and secure

All recordings of problems or significant changes are accurate, legible and complete


Understanding


Understanding


Understanding



2 1

Candidate Name:

Why are combing and brushing hair important for a clients confidence

1a. Personal Grooming and Dressing

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Candidate Name:

Why are application of make-up or other substances important for a clients independence

1b.Personal Grooming and Dressing

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Candidate Name:

Why are privacy and comfort important in client dressing and undressing

1c. Personal Grooming and Dressing

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ALTERNATIVE STATEMENTSA CARER SHOULD UNDERSTAND THE FOLLOWING

One of the four answers below is correct

1 o Privacy and comfort have nothing to do with grooming and dressingo Grooming and dressing are essential for horseso People need privacy and comfort for their grooming and dressingo Comfort is important, but privacy is not as we have many shared rooms

2 o I always discuss grooming and dressing needs with the client prior to any activity taking place

o I sometimes discuss grooming and dressing needs with the client prior to any activity taking place

o I never discuss grooming and dressing needs with the client prior to any activity taking place

o I always discuss grooming and dressing needs with the client after any activity taking place

3 o Support is given to minimise client confidence, privacy and ignores beliefs, preference and care plan

o Support is given to maximise client confidence, privacy and ignores beliefs, preference and care plan

o Support is given to marginalise client confidence, privacy and ignores beliefs, preference and care plan

o Support is given to merchandise client confidence, privacy and ignores beliefs, preference and care plan

4 o Dressing equipment is often extremely personal and I think it is not my responsibility to give appropriate support in this matter

o I do not dress equipment as I think it is vulgaro I always help a client when they have to use dressing equipment and offer

appropriate supporto Dressing equipment is the tools used by a chef to dress a salad



2 5

5 o I advised the client to use those creams properly and do not expect me to do it as the creams are awful

o I advised the client to use the creams in a way that was contrary to the plan of careo The client advised me that the creams were passed their sell date and I told the client

they were as well.o The client wanted the same cream, so I pinched some from the client in the next bed

6 o The client said their hearing aid batteries were flat so I pretended not to hear themo The client was concerned about their prosthesis, so I told them I knew nothing about

nuclear physicso I just had to laugh at that wigo The client was upset that the dentures did not fit, so I arranged for the client to visit

the dentist

7 o Although I was out of my depth with the detail of the problem, I kept going so not to appear stupid

o As soon as I found I was getting out of my depth, I called a senior colleague to advise the client

o I advised the client that they had got it wrong and not to be so sensitive, it workedo The client stated that the calliper was the wrong size, to which I remarked that’s

nothing new in the Home

8 o I always discourage clients to keep their personal clothing and grooming products clean and secure

o I never encourage clients to keep their personal clothing and grooming products clean and secure

o I always encourage clients to keep their personal clothing and rooming products clean and secure

o I always encourage clients to keep their personal clothing and rooming products unclean and insecure

9 o I usually report significant changes in clients personal grooming and dressing but sometimes I cannot be bothered

o I usually do not report significant changes in clients personal grooming and dressing but sometimes I can be bothered

o Significant changes in the clients personal grooming and dressing are reported promptly

o Significant changes in the clients personal grooming and dressing are not reported promptly

10 o The recording of grooming and dressing issues are complete, inaccurate and legibleo The recording of grooming and dressing issues are complete, accurate and illegibleo The recording of grooming and dressing issues are incomplete, accurate and legibleo The recording of grooming and dressing issues are complete, accurate and legible



2 6

RANGE

1. PERSONAL GROOMING AND DRESSING

Three out of six are correct

1 o Combing and brushing hair is important for a clients confidenceo Combing and brushing hair is important for a clients confidenceo The application of make-up or other substances is important for a clients

independenceo The application of make-up or other substances is notimportant for a clients

independenceo Privacy and comfort can be important in client dressing and undressingo Privacy and comfort is important in client dressing and undressing



2 7

KNOWLEDGE AND UNDERSTANDINGQUESTIONS

LEGISLATION, POLICY AND GOOD PRACTICE

Which parts of the body may need specific hygiene care and why

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Why is it important to speak to a client in a way that they can understand and not use jargon

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Why should any client pain, discomfort or change be reported to theappropriate authority

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Why is personal hygiene important

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2 8

Why is it important that you as a carer should you have good personal hygiene

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Why when using special or protective clothing should this be explained to a client

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Why is Infection control important

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How can infection be limited

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Why is it important to discuss and agree personal hygiene standards with the client

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2 9

Why should a client’s privacy and dignity be maintained

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Why is it important that toiletries be the clients own and not shared with others.............................................................................................................................................................................

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Why should the client be as self-managing as possible without pressurising them.............................................................................................................................................................................

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FACTORS WHICH INFLUENCE YOU

What factors affect the client’s ability to maintain personal cleanliness.............................................................................................................................................................................

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What signs of pain and discomfort can be seen whilst personal hygiene are is being given.............................................................................................................................................................................

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What factors influence the degree of assistance required.............................................................................................................................................................................

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What part has client choice play in maintaining client personal hygiene (preferences, beliefs,race, culture and religion).............................................................................................................................................................................

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Why may there be a conflict between client choice, good hygiene practices and the plan of care.............................................................................................................................................................................

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How can the impact which the use of prosthesis, orthoses, and other accessories affect themaintenance of client personal cleanliness.............................................................................................................................................................................

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Why would a significant change in a client’s dressing and grooming cause concern and whyshould this be reported.............................................................................................................................................................................

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3 1

Why would cost have a significant influence on personal hygiene choice.............................................................................................................................................................................

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How would laundered cloth affect choice (shrinkage/allergy to chemicals etc)

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How would availability of any sort affect choice

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If you disliked a certain kind of dress choice a client had, how would you manage your viewsso that the client receives your support

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Why would a client’s choice of clothing conflict with the carers and other’s choices and prefer-ences

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3 2

HOW TO ACHIEVE IMPORTANT OUTCOMES

How would you advise a client how to clean their natural teeth and gums

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Why would changes in the client’s physical condition affect the way need to adapt methods ofdressing or adapting clothing

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Why would changes in the client’s sensory equipment affect the way need to adapt methods ofdressing or adapting clothing

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Why would changes in the client’s orthoses affect the way need to adapt methods of dressing oradapting clothing.............................................................................................................................................................................

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Why would changes in the client’s prosthesis affect the way need to adapt methods of dressingor adapting clothing

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3 3

Why would changes in the client’s camouflage creams affect the way need to adapt methods ofdressing or adapting clothing.............................................................................................................................................................................

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Why should client’s personal beliefs and preferences affect the way the client grooms anddresses and why should their choices be taken into account at all times

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02a Enable Clients to maintain their Personal Hygiene and ...

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Transcript of 02a Enable Clients to maintain their Personal Hygiene and ...