I never really considered: .one night a CNA who does not work full time came to prepare my mother for bed.
She had a cart and on the cart were clean wash cloths and towels. I had never seen this before.
She indicated that residents are supposed to be cleaned before bed.
Makes sense to me given that they are in diapers all day..
At bedtime some cna's take off the old, often wet diaper and merely replace it with a new clean dry diaper; no wiping...that urine has sat on my mother's thighs surrounding private areas until the change so some of it must be dried onto her skin...Hence, the bedtime cleaning seems appropriate.
On a few occasions I have commented to a cna, will you be doing any cleansing and I get the response oh yes at which time I've seen them grab and use a paper towel~
I have observed therefore 3 ways of preparing for bed; cleansing with washcloth and towel; no cleansing whatsoever or paper towel?
Isnt there some regulation or protocol regarding this subject?
Similarly a resident is toileted throughout the day. What I have observed and what this method is referred to is a dry diaper change. Old wet diaper removed clean new diaper placed with no wiping of any genitals or surrounding arounds.
Would you go without wiping yourself throughout the day? Further more, these patients sits for periods of time with wet diapers against their skin, the skin of the labia and the skin of the surrounding areas including but not limited to the thighs.
Whats up? Whats the rule? What is the gold stanard?
I need a knowledge base because if I don't have one the NH will say I am asking for too much care or extra care.