LESSON 7.1:: Maintain A Healthy and Safe Environment
LESSON 7.1:: Maintain A Healthy and Safe Environment
LESSON 7.1:: Maintain A Healthy and Safe Environment
1:
MAINTAIN A
HEALTHY AND SAFE
ENVIRONMENT
ASSESSMENT CRITERIA:
6
Safety Precautions for the Aged:
7
Safety in the Bathroom
▸ Check if the toilet is secured to the floor and the seat to the
toilet.
▸ Check if the client can get up and down safely and if he needs
additional support.
▸ Check if the hot and cold water faucet is marked correctly.
▸ Check if the tub is too deep and if the client can get in and out
safely.
▸ Check if the client becomes weak while bathing.
▸ Check if there is proper ventilation in the bathroom.
▸ Check if the tiles are slippery when wet and if the bathmat is
secure on the floor.
8
LESSON 7.1-2
“Hazards identification and
risk reduction strategies”
9
Introduction
10
Hazards appraisal
▸ Walkways and stairways (inside and outside)
Note an uneven sidewalks or paths, broken or loose steps, absence
of hand rails or placement on only one side of stairways, insecure
handrails, congested hallways or other traffic areas, and adequacy of
lighting at night.
▸ Floors
Note uneven and highly polished or slippery floors and any
unanchored rags or mats.
▸ Furniture
Note hazardous placement of furniture with sharp corners. Note
chairs or stools that are too low to get into and out of or that provide
inadequate support.
11
▸ Bathroom (s)
Note presence of grab bars around tubs and toilets, non-slip
surfaces in tubs and shower stalls, handheld shower head, adequacy
of night lighting, need for raised toilet sit or bath chair in tub or
shower, is of access to shelves, and water temperature regulated at
a maximum of 49oC (120oF)
▸ Kitchen
Note pilot lights (gas stoves) in need of repair, inaccessible storage
areas, and hazardous furniture
▸ Bedrooms
Note adequacy of lighting, in particular the availability of night-
lights and accessibility of light switches, is of access to commode,
urinal or bedpan, and need of hospital bed or bedrails.
12
▸ Electrical
Note unanchored or frayed electrical cords and outlets that are
overloaded or near water
▸ Fire protection
Note presence or absence of smoke detectors, fire extinguisher, and fire
escape plan, improper storage of combustibles (ex. Gasoline) or
corrosives (ex. Rust remover)
▸ Toxic substances
Note improperly labeled cleaning solutions
▸ Communication devices
Note presence of method to call for help, such as a telephone or intercom
in the bedroom or elsewhere (ex, kitchen), and access to emergency
telephone numbers
13
▸ Medications
Note medications kept beyond date of expiration, adequacy of lighting
cabinet or storage, and method of disposal of sharp objects such as
needles used for injections
▸ Infection
Note the changes within various body systems that can promote
infections. Avoiding situations that can contribute to infection is
necessary. Contact with persons who have known or suspected
infections should be avoided, as should in shopping malls, classrooms,
movie theaters. Vaccines should be kept up to date.
14
▸ Clothing
Note for shoes that are too large, offer poor support, or have high heels
can lead to falls. Tight-fitting shoes or garments can obstruct
circulation. Hats and scarves can decrease the visual field. Clothing that
is practical, properly fitting and conducive to activity is advisable.
▸ Body temperature
Note for fluctuating temperatures. Temperature mat not be alarming to
the CGs; however, if it is 20 C above the individual’s norm, an infection
may be present and, if undiscovered, can lead to complications.
15
LESSON 7.1-3
“PERSONAL HYGIENE/HEALTH
PROCEDURES”
16
Personal Hygiene
Hair
▸ Wash your hair every other day using soap or mild shampoo.
Avoid shampoos with borax or alkalis. Rinse well.
▸ Ladies hair should be clipped on both sides or breaded (if it is
long).
▸ Length of men’s hair should not go beyond collar and the side
hair must not cover the ear.
▸ Dry your hair after a wash.
▸ Oil the scalp, once a week, preferably an hour before hair wash.
▸ Bangs should be avoided.
17
Skin
▸ Soap and water are essential for keeping the skin
clean.
▸ A good bath once or twice a day is recommended.
▸ Those who are involved in active sports or work
out to a sweat would do well to take a bath after the
activity.
▸ Germicidal or antiseptic soaps are not essential for
the daily bath. You can use a bath sponge for
scrubbing.
18
Teeth
▸ Brush your teeth twice a day and rinse well after every
meal. Brushing before going to bed is important. (This is
especially recommended for people with a sweet tooth).
▸ While brushing, pay attention to the fact that you are
getting rid of the food particles stuck in between the teeth
and in the crevices of the flatter teeth at the back, the
molars and pre molars.
▸ Brush down on the upper teeth and brush up on the lower
teeth. Use a circular motion. Pay attention to the tongue
and the inner surface of teeth as well.
▸ No tooth decay to avoid bad breath.
19
Hands
▸ Wash hands thoroughly with soap and water before and
after every meal and after visiting the toilet.
▸ Soaping and rinsing should cover the areas between
fingers, nails and back of the hand. Hands should be
dried with a clean towel after wash.
▸ The towel at the wash stand has to be washed and
changed every day.
▸ While handling food avoid scratching, or touching the
ears, nose, mouth or other body orifices.
20
Nails
▸ Keep your nails short.
▸ Do not keep your nails painted continuously. It causes
the keratin, of which nails are made, to split.
▸ Pamper your hands and nails once every three weeks
with a manicure. This requires soaking your hands in
warm water for ten minutes, massaging of hands,
thorough cleaning and shaping of nails.
▸ Choose your manicure kit with care.
21
Feet
▸ Give your feet a good scrub with a
sponge, pumice stone or foot scrubber
that is not made of very abrasive
material when having a bath.
▸ Dry after bath between toes.
▸ Keep toenails clipped.
22
▸ Shoes and socks
▸ Those who use shoes constantly need to slip them off now and then.
This airs the socks a bit and makes them less smelly.
▸ Wear cotton socks. Wear a clean pair every day.
▸ Powder your feet before wearing socks. Many people have sweaty
feet, and socks and shoes can get quite smelly.
▸ Shoes should be clean and well polished, heels in good condition.
▸ Black socks for men should changed daily with fresh ones
▸ Ladies should wear stockings but must ensure it has no “run” or
damage
23
Menstrual Hygiene
▸ Technology offers sanitary pads, tampons or
menstrual cups or caps to deal with the flow.
▸ Absorbent pads may be noticeable in form
fitting clothes. They cause some soreness on
the inner thighs.
▸ Some women prefer tampon to external
pads. A plug of absorbent cotton or gauze is
inserted inside. But these should not be left
unchanged beyond six hours. The cleaned
and re used.
24
Ear
▸ Clean and free from visible dirt inside and
outside
▸ Earrings are never appropriate for men;
ladies in uniform should never wear
dangling earrings
25
GOOD HYGIENE
PRACTICES
The most important way to reduce the spread of
infections is hand washing - always wash
regularly with soap and warm water. Also
important is to get a vaccine for those infections
and viruses that have one, when available.
26
Ways to can reduce or slow the spread of infections include;
27
▸ wash your hands after coughing, sneezing or using
tissues
▸ if working with children, have them play with hard
surface toys that can be easily cleaned
▸ do not touch your eyes, nose or mouth (viruses can
transfer from your hands and into the body)
▸ Do not share cups, glasses, dishes or cutlery.
28
Workplaces can help reduce the spread of infectious disease
by:
29
▸ removing magazines and papers from waiting areas or
common rooms (such as tea rooms and kitchens)
▸ considering cleaning a person's workstation or other
areas where they have been if a person has suspected
or identified influenza making sure ventilation
systems are working properly
30
Social distancing
is a strategy where you try to avoid crowded
places, large gatherings of people or close
contact with a group of people. In these
situations, viruses can easily spread from
person to person. In general, a distance of one
meter (3 feet) will slow the spread of a disease,
but more distance is more effective.
31
LESSON 7.1-4 :“Environment Protection Policy Implementation”
.
32
Introduction
When you receive your assignment and the client’s care plan, your supervisor will tell
you what housekeeping tasks you will be expected to do.
Remember, it is often difficult for families to realize what is important in keeping a
house clean and that the caregiver is not there to perform all the housekeeping tasks.
Clean environment keep harmful bacteria under control. By cleaning bathrooms
regularly, you decrease the chances for the spread of communicable diseases, foods
stored in specific places are easy to find and can be used more often with less time and
energy being spent to look for them. Accidents are less likely in areas kept orderly. It is
especially important to keep clutter away from stairways and areas where people walk
frequently.
Clean environment also tend to make us feel better. When things are looking their
best, we are more often relaxed and comfortable. It also gives us a feeling of pride when
others visit. A client will tend to be healthier and happier in an environment that is clean
and comfortable.
33
▸ Cleaning a client’s home.
▸ “Clean” usually refers to an area free of pathogens and clutter. To
some people a dust-free home is the only clean home. Other cares
little about dust. Such differences in values are important to
recognize. Try to meet the client’s values. If your values and the
client’s needs are different, consult your supervisor.
▸ Cleaning equipment available to you in the house may differ from
equipment in your house. Do not use any equipment unless you are
sure how it works. If the equipment is not in good condition, do not
use it. Report anything unsafe to your supervisor. Encourage to the
family to check all equipment regularly and maintain it in perfect
working order. This prevents accidents
34 and assists with maintaining
▸ How to keep a house clean
▸ Make a list of what you need to keep the house clean. Remember to
use products already in the home. Do not insist that the client
Necessary supplies Nice to have
purchase
Hot water your brand of cleaning products.
Dust pan Your list might look like
Soap and detergent Vacuum cleaner
this.
Broom Scouring pads
Vinegar mop
Scrub pad wastebaskets
Baking soda
bucket
Trash container
35
Basic kinds of cleaning products
36
▸ Be sure you know how to use the appliances in the house. If you are
not sure, ask!
▸ When using any cleaning product, use the following care:
▸ Read the instructions on the label. Follow the directions in the order
they are given and use the amount suggested.
▸ Do not mix cleaning products unless you have been instructed to do
so. Mix products may cause chemical reactions that will hurt you and
the surface you are cleaning.
▸ Do not leave cleaners on a surface for a long time. Use care in how
much you scrub a surface
▸ Change the cleaning water when it is only moderately dirty, and rinse
if needed to avoid streaking or filming.
37
Using Common Cleaning Products
38
▸ Store all cleaning products safely away from children and pets, away
from heat sources, and in their original containers. Store cleaning tools
and supplies safely as close as possible to where you will use them.
▸ Line garbage pails with plastics or paper bags. Do not put wet objects
directly into paper bags wrap them first.
39
When using equipment, keep in mind the following safety
points;
40
LESSON 7.1-5
“The Spread of Infectious
Diseases and Cross Infection”
41
Introduction:
Chain of Infection
Route of transmission
– the way in which the
pathogen travels from
the portal of exit of one
host to the portal of
entry of
43another.
Interrupting Bacteria Transmission
44
INFECTION CONTROL
Clean:
▸ This means uncontaminated.
▸ It refers to those articles and places from which disease cannot
spread.
▸ Clean areas contain food, dishes, and clean equipment.
▸ No waste material is ever brought into this area.
45
INFECTION CONTROL
Dirty
▸ This refers to those areas that have come in contact with disease
causing or carrying agents.
▸ We make a distinction between items that are dirty with human
waste, such as wound drainage or fecal matter, and bed sheets that
are only soiled.
▸ Articles that are dirty with potentially infectious material brought
into the dirty area for initial cleaning or disposal.
▸ This could be linen, bath water, or equipment. Articles that are only
soiled are cleaned in the usual way
46
▸ ▪ Hand washing is the single most important infection
control practice.
▸ All caregivers, clients and family members
should learn hand washing techniques.
▸ ▪ Microorganisms are transient flora until the
hands are washed.
▸ ▪ Soap, water and alcohol- based hands rubs are
effective preparations for removing transient
microorganisms.
47
Cleaning, Disinfection and Sterilization
▸ CDC GUIDELINES:
▸ ▪ Disposable gloves: Must be worn when contact is
possible with blood, all body fluids except sweat
(whether or not they contain blood you can see), skin
that has breaks in it, and all mucous membranes.
▸ ▪ Gowns or aprons: Must be worn during situations
or procedures when there has been an exposure to
blood or body fluids except sweat, draining wounds or
mucous membranes.
▸ ▪ Mask, Face shield or Goggles:
50 Must be worn
STANDARD PRECAUTIONS/COMMON SENSE
GUIDELINES
▸ Primary Prevention
▸ Providing specific protection against diseases to
prevent its occurrence is the most desirable form of
prevention. Primary preventive efforts spare the client
the cost, discomfort and the threat to the
▸ quality of life or at least to delay the onset of illness.
Preventive measures consist of counseling, education
and adoption of specific health practices or changes in
life.
52
SPECIFIC IMMUNE DEFENSE
53
ll. Secondary Prevention
56
Garbage Containers
57
▸ 2. Plastic bags and wet- strength paper bags may be used to line
these containers.
▸ 3. Cover all containers used in food preparation and utensils-
washing areas.
▸ 4. Containers stored outside the establishment must be:
▸ easy to clean
▸ provided with tight- fitting lids, doors, or covers.
▸ kept covered when not in actual use
▸ 5. Keep drain plugs in containers designed with drains, in place at
all times, except during cleaning.
▸ 6. Provide enough containers to58hold all the garbage and refuse that
Garbage Storage
▸ Caregivers should make beds with no wrinkles. Wrinkles are not only
uncomfortable; they can restrict the client’s circulation and cause painful
decubitus ulcers (bedsores). These open wounds often slow the client
recovery. Ducubiti can form quickly and are difficult to heal.
▸ Your client may have side rails on his bed. Side rails both protect the
client and assist him as he moves in the bed by providing him with
something to grab for support. If your client needs a side rail to prevent him
from falling out of bed, you could put chairs up against the bed with their
backs against the mattress. Tie the chairs together and tie them to the bed.
The same rules and procedures apply for any type of bed.
▸ Keep the bed dry and clean-change linen when necessary
▸ Keep the linen wrinkle free
▸ Make the bed to suite your particular client
62
GUIDELINES:
▸
▸ PROCEDURE:
▸
▸ 1. Assemble equipment and supplies.
▸ Two flat sheets, or one fitted and one flat sheet
▸ Cloth draw sheet (optional)
▸ One blanket
▸ One bedspread
▸ Waterproof draw sheets or waterproof pads (optional)
▸ Pillowcases
▸ Plastic laundry bag or portable linen hamper,
63
if available
7.1-7
Washing floors and
disinfecting toilet areas
64
65
▸ When using any cleaning products, the following care
should be used:
▸ ▪ Read the instruction on the label. Follow the
directions in order they are given, and
▸ use the amount suggested.
▸ ▪ Do not mix cleaning product unless you have been
instructed to do so. Mixed product may cause a
chemical reaction that will hurt you and/ or the
surface you are cleaning.
66
Basic kinds of products used for cleaning
67
SOME CLEANING CHEMICALS
2.Muriatic Acid *To be used only for *Hands should not get into direct contact with
removing cement or the acid as this can cause skin irritation. If the
plastic remains from floors remains are thick, leave solution on the area
for a few minutes or longer. Then remove the
remains with the scrapper or hard brush.
*This is not advisable for
Repeat all cement or plasters are removed,
toilet bowls since it is very
rinse thoroughly with water since any acid
strong and it can damage
that remains in the surface may cause
the tiles.
damage.
68
Mobile project
Show and explain your web,
app or software projects Place your screenshot here
69
Tablet project
Show and explain your web,
app or software projects Place your screenshot here
70
Desktop project
Show and explain your Place your screenshot here
web, app or software
projects using these
gadget templates.
71