4.1 Introduction
Daily Personal Care
When you work as a Health Care Assistant, much of the time is spent assisting clients with personal care activities that they are no longer able to do on their own. Most people are used to taking care of their personal needs and privacy, so the loss of this independence is often difficult for clients to accept. When you are caring for clients, allow them to do as much of their own care as they are able, respect their sense of modesty, and try to avoid any embarrassment to them. When you give personal care, give it in a pleasant, efficient way and don’t physically expose the client any more than is absolutely necessary. Some clients need only a minimal amount of help; others are totally dependent on you.
People may require personal care for a variety of reasons. Assistance with personal care may be temporary while a person recovers from an injury or illness, or it may be permanent and required for the remainder of their lives.
Types of Patients/Clients Who May Need Personal Care
HCAs provide personal care to a range of patients/clients, including:
- Patients/clients recovering from an illness or accident
- Patients/clients with a long-term chronic condition (e.g., heart failure, diabetes, HIV/AIDS)
- Frail patients/clients or those of advanced age
- Patients/clients who are permanently disabled
- Patient/clients who are dying
Providing personal care is a priority for the HCA. It is the most important care activity they do. Personal care provision demonstrates to the client that you are concerned about their physical health and general well-being.
Care activities are divided into two types:
- Tasks: care activities that HCAs are educated and trained to perform as part of their assigned HCA role.
- Restricted activities: higher-risk care activities outlined in health professional regulations that an HCA cannot perform without authorization (delegation) by a regulated health professional, such as a registered nurse. Restricted activities are not considered HCA tasks.
This unit explores the importance of providing personal care, and provides instruction for performing tasks related to personal care. The importance of infection control and how HCAs can work to break the chain of infection to keep clients healthy is discussed. Bathing, oral care, dressing/grooming, and toileting are topics reviewed in this unit, with an explanation of how HCAs can help with these types of tasks.
Learning Objectives
Upon completion of this unit, the successful student will be able to:
- Know the steps to assist the client with daily personal hygiene.
- Describe proper oral care.
- Know the steps to assist the client with bathing.
- Understand proper personal hygiene and perineal care.
- Understand proper skin care to decrease the risk of skin breakdown.
- Know the steps to assist the client with dressing and grooming.
- Learn the proper application of anti-embolism stockings.
Terms to Know
Care given in the morning to prepare the client for the day. It includes bathing, shaving, dressing, grooming, and oral care.
Stockings that place pressure on the legs to increase circulation and reduce a person’s risk of blood clots. They are made of stretchy material that slightly compresses the legs. The pressure is graduated, with each sock being tightest at the bottom by the foot and loosest at the top.
A complete bed bath that involves washing the entire body from head to toe.
The outer skin (or flaps of skin) around the vaginal opening. The labia majora on the outside tends to be larger and plump, covered with pubic hair. The labia minora are the inner set next to the labia majora.
A partial bed bath involves washing the face, hands, underarms and genital/perineal area.
Washing or bathing the genitalia and surrounding area. Peri-care is commonly used as a shortened form of perineal care.
The tiny area of sensitive skin between the genitals (vaginal opening or scrotum) and anus, and it’s also the bottom region of the pelvic cavity. Sometimes referred to as the peri-area.
Care given in the evening or at bedtime. It includes washing face and hands, oral care, and removing and cleaning dentures. If a client is dressed, they change into sleepwear. P.M. care may also include backrub to help a client relax before sleeping. Also called H.S. (hour of sleep) care.
The anatomical tube extending from the urinary bladder to the urethral opening (urinary meatus), through which urine (and semen in people with penises) is excreted.
The opening at the end of the urethra through which urine (and semen in people with penises) is excreted from the body.