Skin Care Fair

1
Skin Care Fair
This material from Louisiana Health Care Review,
Inc. was adapted by GMCF, the Medicare Quality
Improvement Organization for Georgia, under
contract with the Centers for Medicare Medicaid
Services (CMS), an agency of the U.S. Department
of Health and Human Services. The contents
presented do not necessarily reflect CMS policy.
Publication No. 8SOW-GA-NH-08-40
2
What Is The Skin Care Fair?

• A pressure ulcer prevention
• in-service with hands on activities that are
  fun!
• Each activity covers one of the Braden Scale risk
  factors for pressure ulcers and includes a lesson
  learned from The Daily Post
• Designed for the C N As and direct staff. Use as
  a train the trainer activity for nurses.

3
Tools

• Skin Care Fair PowerPoint
• Skin Care Fair Instructions with inventory list
  of required supplies
• Take Home Sheet for the C N A
• Ten Commandments of Wound Care
• Braden Puzzle Pieces
• Skin Care Fair Flyer

4
Helpful Hints

• The instructions contain humorous scripts and
  hints to ensure each activitys success.
• Allow ½ hour to set up your program.
• Dont leave fruit unattended the residents will
  eat it!
• Clean up with bleach wipes to maintain infection
  control.

5
Benefits

• Active learning and CNAs love the activities
• Easy to provide
• Door opener for nursing homes
• Able to customize interventions to facilitys
  policies
• Opportunity for nursing homes to reward staff

6
Reaching Out

• After conducting these in-services in nursing
  homes, we conducted regional train-the-trainer
  workshops to spread the word.

7
Skin Care Fair

• 3 Categories of Activities
• Oh, My Precious Epidermis Hands on Activities
• Terrors of the Deep View the stages of pressure
  ulcers
• Solving the Puzzle of The Braden Scale

8
Oh,My Precious Epidermis

9
The Barren Desert
Exercise 1
10
The Daily Post

• Protect Dry Skin which can lead to friction
  injuries and skin tears
• Use moisturizers frequently and as often as
  necessary
• Always be on the look-out for skin changes

11
Fragile Handle with Care
Exercise 2
12
The Daily Post

• Be cautious when changing incontinent products,
  bandages, or even their clothes
• Your elders skin is very fragile and can tear
  easily

13
The Barrier Reef
Exercise 3
14
Barrier Reef ExerciseSee the water beading up on
Right hand?
15
The Daily Post

• Use a moisture barrier to help protect the skin
  from stool and urine.
• Barrier creams and ointments only work if they
  are applied, and applied correctly
• These creams can be the first line of defense for
  your elder to stop a pressure ulcer before it
  develops

16
Youre Tearing Me Apart
Exercise 4
17
The Daily Post

• Simple movements, such as turning or lifting, can
  create friction and shearing, which can injure
  the skin.
• To move and reposition residents, use lifting
  devices and draw sheets. Avoid dragging.

18
Critics Corner

• Treasure Hunt

Exercise 5
19
Treasure Huntthe picture on the right is view
from glasses with petroleum
Seeing through the residents eyes
20
The Daily Post

• Poor nutrition is a risk factor in developing a
  pressure ulcer.
• Assist residents to eat as necessary.
• Notify the nurse if there is a decline or change
  in a residents eating habits.
• Choose supplements that are tasty
• Consider choice in dining as a strategy to
  increase weight.

21
The Princess and the Pea
Exercise 6
22
The Daily Post

• Use support surfaces on beds and chairs to reduce
  pressure.
• Avoid donuts.
• Use pillows or devices to raise heels off the bed.

23
Dorothys Shoes
Lions and Tigers and Bears Oh MY!
Pressure and Blisters and Objects Oh My!
Exercise 7
24
The Daily Post

• Always be on the lookout for anything that could
  create pressure on the skin, including the feet.

25
Terrors of the Deep
Exercise 8
26
Terrors of the Deep
Stage 1
Stage 2
Stage 3
Stage 4
27
Solving the Puzzleof The Braden Scale
Mobility
Friction and Sheer
Nutrition
Moisture
Activity
Sensory Perception
Refers to The Braden Scale for Predicting
Pressure Sore Risk, Barbara Braden and Nancy
Bergstrom, 1988
28

• Questions?

This material from Louisiana Health Care Review,
Inc. was adapted by GMCF, the Medicare Quality
Improvement Organization for Georgia, under
contract with the Centers for Medicare Medicaid
Services (CMS), an agency of the U.S. Department
of Health and Human Services. The contents
presented do not necessarily reflect CMS policy.
Publication No. 8SOW-GA-NH-08-40