Chapter 23

Question 1

alopecia

Answer 1

hair loss / thinning ; caused by heredity, male pattern baldness, aging, chemotherapy

Question 2

dandruff

Answer 2

excess amounts of dry skin flakes on scalp and sometimes ear canal / eyebrows; itching is common

Question 3

hirsutism

Answer 3

excess body hair in all groups; caused by heredity / abnormal amounts of male hormone

Question 4

pediculosis (lice)

Answer 4

infestation of insects that feed on lice
- contagious by contact w/ person / surface

Question 5

pediculosis capitis

Answer 5

head lice

Question 6

pediculosis pubis

Answer 6

crabs; lice in pubic hairs

Question 7

pediculosis corporis

Answer 7

body lice

Question 8

treatment of lice ?

Answer 8

• medicated shampoos / lotions / creams specific to lice
• thorough bathing
• room is cleaned
• wash clothes / linens in hot water

Question 9

scabies

Answer 9

skin disorder cause by female mites burrowing into the skin
- rash / intense itching
- highly contagious by close contact w/ person / surface

Question 10

treatment of scabies ?

Answer 10

• special creams used to kill mites
• room is cleaned
• wash clothing / linens in hot water

Question 11

what is the point of grooming ?

Answer 11

• prevent infection
• promote comfort
• increase love, belonging, self-esteem needs

Question 12

what is done for overall grooming ?

Answer 12

• washing / brushing hair
• shaving as needed
• trimming fingernails
  persons helps as much as safely possible

Question 13

how often is brushing / combing hair done ?

Answer 13

• personal discretion
• does themselves if possible to promote independence
• person chooses when / how its done
• assist as needed

Question 14

brushing non-matted hair procedure ?

Answer 14

1) position the person (chair or fowlers)
2) place towel on back / shoulders and person puts any eyewear back in the case
3) part hair down middle; and separate those halves in half (1/4th sections)
4) brush scalp to ends (if person prefers vice-versa)
5) remove towel and style hair as preferred

Question 15

brushing matted hair ?

Answer 15

same as non-matted
- small sections of matting at a time
- brushing from ends to scalp
- adding more matting sections after one section is unmatted

Question 16

how often is shampooing done ?

Answer 16

• persons preference; all affected by hair / scalp condition, hairstyle, personal choice
• done on bath days if not done by hairdresser / barber
• method depends on person’s condition

Question 17

how to prevent shampoo getting in person’s eye ?

Answer 17

• have person tilt their head back when pouring water
• cover their eyes with a washcloth
• cup the top of their head to make a barrier

Question 18

what do you need to know when shampooing person ?

Answer 18

• when to shampoo
• what method
• what shampoo / conditioner to use
• how to use person’s products
• person’s position limits
• water temp (105°F)
• hair is curled / rolled up before drying
• person concerns

Question 19

what should you report to nurse when shampooing ?

Answer 19

• scalp sores
• flaking
• itching
• rash
• extreme / patchy hair loss
• extremely dry / oily hair
• matted / tangled hair
• infestation
• how person handled procedure
• person concerns

Question 20

bed shampoo procedure ?

Answer 20

1) cover / position person; flatten bed
2) place waterproof pad / replace pillow w/ shampoo basin supporting head / neck w/ towel
3) fill water pitcher w/ water (105°F)
4) person hold wash cloth over the eyes
5) wet the hair, apply small amounts of shampoo / lather in hands
6) shampoo hair from hairline to neckline and rinse repeating until water is clean then condition
7) remove supplies, dry person with towel
covering then the scalp
8) comb / style hair

Question 21

electric shavers are for what kinds of persons ?

Answer 21

• healing problems
• taking anticoagulants
• older persons

Question 22

ways of hair removal ?

Answer 22

• shaving
• waxing
• hair removal products
• plucking
• threading
  etc.

Question 23

common places of shaving ?

Answer 23

men: facial hair
women: facial hair, underarms, legs

Question 24

proper use of electric shaver ?

Answer 24

• clean before / after use; opening the head and emptying the razor / brush out hairs
• use on clean / dry face or pre-electric shave oil thing
• use on sensitive areas first as it heats up
• go in small circles over the face
  (manufacturer instructs for against / follow hair growth)

Question 25

proper use of safety razor ?

Answer 25

- soften hair before shaving; warm towel - lather area - shave in correct direction - rinse then dry razor often

Question 26

correct shaving direction for facial hair ?

Answer 26

with growth

Question 27

correct shaving direction for underarms

Answer 27

with growth

Question 28

correct shaving direction for legs

Answer 28

against growth

Question 29

what do you need to know before shaving ?

Answer 29

- what shaver to use - taking anticoagulants - when / what to shave - tender / sensitive areas - person concerns

Question 30

what should you report when shaving ?

Answer 30

- nicks / cuts / bleeding (at once) - irritation

Question 31

when should you shave underarms / legs ?

Answer 31

after bathing

Question 32

how to give nail / foot care to persons w/ dementia ?

Answer 32

- calm setting - follow person's habits / routine - supplies already ready - explain step-by-step - converse about enjoyable topic - be gentle / respectful do nail care another time if person resists

Question 33

how long do you soak hands for nail care ?

Answer 33

5-10min in kidney basin

Question 34

how long do you soak feet for care ?

Answer 34

15-20min in kidney basin / foot-bath

Question 35

nail care safety ?

Answer 35

- usually do not trim toenails; podiatrist - check between toes / feet for cracks / sores - do not apply lotion between toes - frequent hand hygiene to confused persons - wear gloves for nail care - nail / hand care given on over-bed table - feet care given in your lap - always support foot / ankle during care

Question 36

order of nail care ?

Answer 36

1) clean under fingernails w/ orangewood stick / washcloth 2) push cuticles back w/ orangewood stick / washcloth if wanted 3) trim fingernails straight across w/ nail clippers 4) file / shape nail 5) apply lotion

Question 37

how do you file nails ?

Answer 37

in one direction; going both ways weakens nail

Question 38

order of feet care ?

Answer 38

1) soak feet in water basin / bath 15-20min 2) lay one foot at a time into towel-covered lap 3) wash foot / in-between toes w/ soap towel 4) return foot back into bath to rinse 5) wash the other foot 6) dry thoroughly 7) lotion feet; not between toes support foot / ankle as needed