6. Procedure
CARE ACTION RATIONALE
1. Perform hand hygiene • To prevent the spread of infection
2. Gather all the required Equipments. • Organization facilitates accurate skill
performance
3. Check the client’s identification. • To assess needs
4. Explain to the client about the purpose and
the procedure.
• Providing explanation fosters cooperation
5. Put all the required Equipments to the bed-
side and set up it.
• To save the time an promote effective care
6. Assist the client to a comfortable upright
position.
• To provide for comfort
7. CARE ACTION RATIONALE
7.In sitting position:
1) Soaking
①Put a mackintosh with covering towel on the bed.
② Put the basin with warm water over the mackintosh.
③Soak the client’s fingers in a basin of warm water and
mild soap.
④Scrub and wash them up.
⑤Dry the client’s hands thoroughly by using the middle
towel covering the mackintosh.
2) Cutting
①Trim the client’s nails with nail clippers.
②Wipe all fingernails from thumb to 5th nail side by
side by wet cotton ball. One cotton ball is used for one
nail finger.
③Shape the fingernails with a file, rounding the corners
and wipe both hands by a sponge towel.
• Mackintosh can prevent the sheet from wetting
• To make nails soft, thereby you can cut nails easily
and safety
• Special orders are required before cutting the nails or
cuticles of a client with diabetes to avoid accidental
injury to soft tissues.
8. CARE ACTION RATIONALE
8. Replace Equipments and discard dirty. • To prepare Equipments for the next
procedure
9. Perform hand hygiene. • To prevent the spread of infection
9. Nursing Alert
Never cut the toenails of the clients with diabetes or hemophilia.
These clients are particularly susceptible to injury.