Clean Your Hands in the Context of Covid-19
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Supporting a Person with Washing and Dressing
Factsheet 504LP Supporting a January 2021 person with washing and dressing As a person’s dementia progresses, they will need more help with everyday activities such as washing, bathing and dressing. For most adults, these are personal and private activities, so it can be hard for everyone to adjust to this change. You can support a person with dementia to wash and dress in a way that respects their preferences and their dignity. This factsheet is written for carers. It offers practical tips to help with washing, bathing, dressing and personal grooming. 2 Supporting a person with washing and dressing Contents n How dementia affects washing and dressing — Focusing on the person — Allowing enough time — Making washing and dressing a positive experience — Creating the right environment n Supporting the person with washing and bathing — How to help the person with washing, bathing and showering: tips for carers — Aids and equipment — Skincare and nails — Handwashing and dental care — Washing, drying and styling hair — Hair removal — Using the toilet n Dressing — Helping a person dress and feel comfortable: tips for carers — Shopping for clothes together: tips for carers n Personal grooming — Personal grooming: tips for carers n When a person doesn’t want to change their clothes or wash n Other useful organisations 3 Supporting a person with washing and dressing Supporting a person with washing and dressing How dementia affects washing and dressing The way a person dresses and presents themselves can be an important part of their identity. Getting ready each day is a very personal and private activity – and one where a person may be used to privacy, and making their own decisions. -
Hand Hygiene: Clean Hands for Healthcare Personnel
Core Concepts for Hand Hygiene: Clean Hands for Healthcare Personnel 1 Presenter Russ Olmsted, MPH, CIC Director, Infection Prevention & Control Trinity Health, Livonia, MI Contributions by Heather M. Gilmartin, NP, PhD, CIC Denver VA Medical Center University of Colorado Laraine Washer, MD University of Michigan Health System 2 Learning Objectives • Outline the importance of effective hand hygiene for protection of healthcare personnel and patients • Describe proper hand hygiene techniques, including when various techniques should be used 3 Why is Hand Hygiene Important? • The microbes that cause healthcare-associated infections (HAIs) can be transmitted on the hands of healthcare personnel • Hand hygiene is one of the MOST important ways to prevent the spread of infection 1 out of every 25 patients has • Too often healthcare personnel do a healthcare-associated not clean their hands infection – In fact, missed opportunities for hand hygiene can be as high as 50% (Chassin MR, Jt Comm J Qual Patient Saf, 2015; Yanke E, Am J Infect Control, 2015; Magill SS, N Engl J Med, 2014) 4 Environmental Surfaces Can Look Clean but… • Bacteria can survive for days on patient care equipment and other surfaces like bed rails, IV pumps, etc. • It is important to use hand hygiene after touching these surfaces and at exit, even if you only touched environmental surfaces Boyce JM, Am J Infect Control, 2002; WHO Guidelines on Hand Hygiene in Health Care, WHO, 2009 5 Hands Make Multidrug-Resistant Organisms (MDROs) and Other Microbes Mobile (Image from CDC, Vital Signs: MMWR, 2016) 6 When Should You Clean Your Hands? 1. Before touching a patient 2. -
WASH Pledge: Guiding Principles a Business Commitment to WASH
WASH Pledge: Guiding principles A business commitment to WASH In collaboration with 22 WASHWASH Pledge:Pledge: GuidingGuiding principlesprinciples Contents Foreword | 4 Summary | 5 Introduction | 6 WBCSD Pledge for access to safe water, sanitation and hygiene | 9 Guiding principles | 10 Guidance on water, sanitation and hygiene at the workplace | 13 WASH at the workplace: points of reference for WASH Pledge self-assessment | 13 1. General 13 2. Workplace water supply 14 3. Workplace sanitation 15 4. Workplace hygiene and behavior change 16 5. Value/supply chain WASH 17 6. Community WASH 17 Educational and behavior change activities | 18 WASH across the value chain | 20 WASH Pledge self-assessment tool for business | 24 3 WASH Pledge: Guiding principles Foreword Today, over 785 million people healthier population and increased and quality, within their operations are still without access to safe productivity.3 and across their value chain, in drinking water, another 2.2 billion all global markets. As employers lack safely managed drinking A proposed first step in and members of society, we water services and an estimated accelerating business action is for encourage businesses to 4.2 billion lack access to safely companies to commit to WBCSD’s commit to the Pledge to ensure managed sanitation services.1 Pledge for Access to Safe Water, appropriate access to safe water, This is incompatible not only Sanitation and Hygiene (WASH sanitation and hygiene for their with the World Business Council Pledge). This Pledge aims to have own employees, thus making a for Sustainable Development’s businesses commit to securing direct contribution to addressing (WBCSD) Vision 2050, where nine appropriate access to safe WASH one of the most pressing public billion people are able to live well for all employees in all premises health challenges of our times. -
Hand Hygiene Behaviors in a Representative Sample of Polish
pathogens Article Hand Hygiene Behaviors in a Representative Sample of Polish Adolescents in Regions Stratified by COVID-19 Morbidity and by Confounding Variables (PLACE-19 Study): Is There Any Association? Dominika Skolmowska 1, Dominika Gł ˛abska 1,* and Dominika Guzek 2 1 Department of Dietetics, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-776 Warsaw, Poland; [email protected] 2 Department of Food Market and Consumer Research, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (SGGW-WULS), 159C Nowoursynowska Street, 02-776 Warsaw, Poland; [email protected] * Correspondence: [email protected]; Tel.: +48-22-593-71-34 Received: 1 October 2020; Accepted: 28 November 2020; Published: 1 December 2020 Abstract: The hand hygiene may possibly influence the course of the COVID-19 pandemic, but the multifactorial influence on hand hygiene knowledge and behaviors is proven. The aim of the study was to analyze hand hygiene behaviors in a national representative sample of Polish adolescents in regions stratified by COVID-19 morbidity, while taking socioeconomic status of the region, as well rural or urban environment, into account as possible interfering factors. The study was conducted Polish Adolescents’ COVID-19 Experience (PLACE-19) Study population (n = 2323) that was recruited based on a random sampling of schools, while the pair-matching procedure was applied within schools and age, in order to obtain adequate number of boys and girls, representative for the general Polish population (n = 1222). The participants were asked about their handwashing habits while using Handwashing Habits Questionnaire (HHQ) and about applied procedure of washing hands. -
Age Distribution of Influenza-Like Illness+ (ILI) Cases in New Hampshire
Bureau of Infectious Disease Control Coronavirus Disease 2019 (COVID-19) Guidance for Long-term Care Facilities (LTCF) March 12, 2020 Persons older than 60 years and those with chronic medical conditions such as diabetes, hypertension and cardiovascular disease may be at higher risk for severe illness and death from COVID-19. Long-term care facilities have experience managing respiratory infections and outbreaks among residents and staff and should apply the same outbreak management principles to COVID-19. These recommendations are specific for nursing homes, including skilled nursing facilities, and may be applicable to some assisted living facilities. The New Hampshire Division of Public Health Services (DPHS) recommends adherence to CMS Guidance for Infection Control and Prevention of Coronavirus Disease 2019 (COVID-19) in nursing homes. Based on the regional epidemiology, we suggest limiting visitation (rather than the more permissive “discouraging visitation”) as described in CMS guidance. Facilities may elect to implement stricter visitor policies, according to their circumstances including resources and setting. Facilities should immediately implement active screening of visitors. Visitors should be instructed to wash hands or use alcohol-based hand rub upon entry. NH DPHS provides a visitor screening tool here for facilities to utilize. Note this is modified from the CMS tool to more accurately reflect the evolving epidemic. The NH screening tool assesses visitors for the following: o Signs or symptoms of respiratory infection, such as fever, cough, shortness of breath, or sore throat. o In the last 14 days, contact with someone with a confirmed diagnosis of COVID-19, or who is under investigation for COVID-19, or is ill with respiratory illness. -
NAEYC Standard 5 (Health), Especially Topic C: Maintaining a Healthful Environment
Cleaning, Sanitizing, and Disinfection Frequency Table Definitions1 › Cleaning2 –Physically removing all dirt and contamination, oftentimes using soap and water. The friction of cleaning removes most germs and exposes any remaining germs to the effects of a sanitizer or disinfectant used later. › Sanitizing3 –Reducing germs on inanimate surfaces to levels considered safe by public health codes or regulations. Sanitizing may be appropriate for food service tables, high chairs, toys, and pacifiers. › Disinfecting–Destroying or inactivating most germs on any inanimate object, but not bacterial spores. Disinfecting may be appropriate for diaper tables, door and cabinet handles, toilets, and other bathroom surfaces. › Detergent–A cleaning agent that helps dissolve and remove dirt and grease from fabrics and surfaces. Soap can be considered a type of detergent. › Dwell Time–The duration a surface must remain wet with a sanitizer/disinfectant to work effectively. › Germs–Microscopic living things (such as bacteria, viruses, parasites and fungi) that cause disease. Cleaning, Sanitizing, and Disinfection Frequency Table 1 Cleaning, Sanitizing, and Disinfecting Frequency Table1 Relevant to NAEYC Standard 5 (Health), especially Topic C: Maintaining a Healthful Environment Before After Daily Areas each each (End of Weekly Monthly Comments4 Use Use the Day) Food Areas Clean, Clean, Food preparation Use a sanitizer safe for and then and then surfaces food contact Sanitize Sanitize If washing the dishes and utensils by hand, Clean, use a sanitizer safe -
Emergency Sanitation the Loss of Clean Running Water Or Loss of A
Emergency Sanitation The loss of clean running water or loss of a functional sewer system after a disaster can dramatically increase the chances of diarrheal diseases and outbreaks. Just one gram of human feces may have 100 parasite eggs, 1,000 parasite cysts, 1 million bacteria, and as many as 10 million viruses! With this risk all around us, it underscores the importance of staying clean and disposing of human and other waste properly after a disaster. Pathogens that may present a risk after a disaster include Escherichia Coli (E. Coli), Leptospirosis, hepatitis A, norovirus, and in some situations Vibrio cholerae and Salmonella enterica. Exposure to disease causing pathogens may occur as a result of contaminated water, sharing of water containers and cooking equipment, or the loss of basic sanitation such as the ability to wash hands thoroughly. Even brushing your teeth with water that is not safe for consumption can result in exposure to pathogens. Avoiding exposure to these pathogens starts with a careful assessment of water quality following a disaster. Because municipal water lines run parallel to sewer lines, even a small break in both lines can result in cross-contamination. Follow guidance from local officials on use of municipal water following a disaster (e.g., shutting off water to house, treating water before use, or flushing system). Once a reliable, clean water source has been established, emphasis should be placed on two key priorities: a) providing a mechanism for personal hygiene and handwashing and b) managing human waste. Personal Hygiene and Handwashing Any questionable tap water used for drinking and personal hygiene (hand-washing, brushing teeth) must be boiled or otherwise disinfected. -
Euthenics, There Has Not Been As Comprehensive an Analysis of the Direct Connections Between Domestic Science and Eugenics
University of Massachusetts Amherst ScholarWorks@UMass Amherst Masters Theses 1911 - February 2014 2011 Eugenothenics: The Literary Connection Between Domesticity and Eugenics Caleb J. true University of Massachusetts Amherst Follow this and additional works at: https://scholarworks.umass.edu/theses Part of the History of Science, Technology, and Medicine Commons, United States History Commons, Women's History Commons, and the Women's Studies Commons true, Caleb J., "Eugenothenics: The Literary Connection Between Domesticity and Eugenics" (2011). Masters Theses 1911 - February 2014. 730. Retrieved from https://scholarworks.umass.edu/theses/730 This thesis is brought to you for free and open access by ScholarWorks@UMass Amherst. It has been accepted for inclusion in Masters Theses 1911 - February 2014 by an authorized administrator of ScholarWorks@UMass Amherst. For more information, please contact [email protected]. EUGENOTHENICS: THE LITERARY CONNECTION BETWEEN DOMESTICITY AND EUGENICS A Thesis Presented by CALEB J. TRUE Submitted to the Graduate School of the University of Massachusetts Amherst in partial fulfillment of the requirements for the degree of MASTER OF ARTS September 2011 History © Copyright by Caleb J. True 2011 All Rights Reserved EUGENOTHENICS: THE LITERARY CONNECTION BETWEEN DOMESTICITY AND EUGENICS A Thesis Presented By Caleb J. True Approved as to style and content by: _______________________________ Laura L. Lovett, Chair _______________________________ Larry Owens, Member _______________________________ Kathy J. Cooke, Member ________________________________ Joye Bowman, Chair, History Department DEDICATION To Kristina. ACKNOWLEDGEMENTS First and foremost, I would like to thank my advisor, Laura L. Lovett, for being a staunch supporter of my project, a wonderful mentor and a source of inspiration and encouragement throughout my time in the M.A. -
Factsheet: Hand Hygiene
Sub Factsheet: Hand Hygiene Measure Background Framework.”7 Leapfrog’s new hand hygiene standard replaces the National Quality Forum’s Safe Practice #19 Unclean hands are one of the primary ways pathogens – Hand Hygiene - which had previously been used in the are transmitted throughout the healthcare Leapfrog Hospital Survey. environment. Evidence shows that microorganisms can survive on hands for varying lengths of time, some Leapfrog’s new hand hygiene standard applies to both surviving for multiple hours.1 If those caring for patients hospitals and ASCs and includes five domains: do not take the proper steps to clean their hands, these monitoring, feedback, training and education, pathogens can easily be transmitted from one patient to infrastructure, and culture. The standard encourages another patient. In addition to patient-to-patient facilities to adopt a multimodal approach to hand transfer of pathogens, contaminated hands can also hygiene, emphasizing the importance of monitoring and transfer bacteria to clean surfaces. It is estimated that feedback. up to 13% of contact between contaminated hands and clean surfaces can result in cross-contamination.1 This Hospitals and ASCs meeting the Hand Hygiene risk of spreading bacteria in a healthcare environment standard… makes hand hygiene a pivotal patient safety practice.2 • Adhere to the monitoring domain by: o Collecting hand hygiene compliance data Despite the clear evidence and guidelines for proper on at least 200 hand hygiene hand hygiene procedures, studies have shown that on -
The State of Handwashing in 2017: Annual Research Summary What We Learned About Handwashing in 2017
The State of Handwashing in 2017: Annual Research Summary What We Learned about Handwashing in 2017 Introduction The Global Burden of Disease study 2016 (GBD 2016) found that from 2006-2016, the number of global deaths attributable to unsafe water, sanitation, and hygiene (WASH) decreased by 25%, while lost disability-adjusted life years (DALYs) decreased by more than 35%.1 Among the top ten leading risks in 1990, rates of unsafe sanitation and unsafe water (in addition to child growth failure) have declined the most over the period of 1990–2016. However, in low socio-demographic index (SDI) countries, unsafe WASH is still the third largest contributor to the global burden of disease at 7.8% of DALYs. It is estimated that inadequate hand hygiene results in nearly 300,000 deaths annually, with the majority of deaths being among children younger than 5 years old.2 In this summary, we outline key themes and findings from 117 handwashing-related research papers published in 2017. Findings are summarized in narrative form, with methodology and findings of individual studies summarized in tables. This summary presents the overarching findings of the literature on handwashing published in 2017, and explores specific data and context. Findings are categorized by six key themes: • Access and coverage (page 1) • Benefits of handwashing with soap (page 2) • Measuring handwashing compliance (page 5) • Handwashing behavior change (page 8) • Drivers of handwashing (page 12) • Measuring the efficacy of handwashing hardware including various types of soaps and rubs (page 16). Access and Coverage Research continues to show disparities in access to water and soap for handwashing at the household level in low and middle-income countries. -
Hand Hygiene As the Basic Method of Reducing Clostridium Difficile Infections (CDI) in a Hospital Environment
Annals of Agricultural and Environmental Medicine REVIEW ARTICLE www.aaem.pl Hand hygiene as the basic method of reducing ONLINE FIRST Clostridium difficile infectionsONLINE (CDI) in a hospital FIRST environment Zofia Maria Kiersnowska1,A-D , Ewelina Lemiech-Mirowska1,2,B-C , Michał Michałkiewicz3,E-F , Michał Marczak4,F 1 Project InterDoktorMen, Medical University of Lodz, Poland 2 Laboratory of Epidemiology, Military Institute of Hygiene and Epidemiology (WIHE), Warsaw, Poland 3 University of Technology, Institute of Environmental Engineering, Poznan, Poland 4 Department of Management and Logistics in Health Care, Medical University of Lodz, Poland A – Research concept and design, B – Collection and/or assembly of data, C – Data analysis and interpretation, ONLINE FIRST ONLINED – Writing the article, E – Critical revision of the article,FIRST F – Final approval of article Kiersnowska ZM, Lemiech-Mirowska E, Michałkiewicz M, Marczak M. Hand hygiene as the basic method of reducing Clostridium difficile infections (CDI) in a hospital environment. Ann Agric Environ Med. doi: 10.26444/aaem/131121 Abstract Introduction. Clostridium difficile spores, due to their ability to adapt to adverse conditions in a hospital environment, cause enormous difficulties associated with the effective decontamination of surfaces and equipment. Elimination of this pathogen is possible through effective implementation of the hand hygiene procedure by all hospital employees. Scientific research indicates that a properly adopted hand washing procedure reduces the risk of Clostridium difficile infection (CDI) by half. Objective. The aim of the study was to indicate the sources of nosocomial infections, mainly Clostridium difficile infection, and methods to limit them, with particular attention paid to the proper hand hygiene of the medical staff, which plays a fundamental role in the transmission of infections between hospitalized patients. -
UNICEF's Strategy for Water, Sanitation and Hygiene (2016-2030)
Strategy for Water, Sanitation and Hygiene 2016–2030 Programme Division UNICEF New York August 2016 Photo credits: Cover: ©UNICEF/UNI165987/Noorani | Preface: ©UNICEF/UNI48757/Estey | Page v: ©UNICEF/UNI136039/Dean | Page vi: ©UNICEF/UNI192021/Asselin | Page x: ©UNICEF/UNI116083/Page | Page 5: ©UNICEF/UN017153/ Shrestha | Page 7: ©UNICEF/UNI107220/Dormino | Page 8: ©UNICEF/UNI48758/Estey | Page 19: ©UNICEF/ UNI183555/Khuzaie | Page 21: ©UNICEF/UNI150695/Asselin | Page 34: ©UNICEF/UNI169769/El Baba | Page 36: ©UNICEF/UNI189335/Gilbertson VII Photo | Page 42: ©UNICEF/UNI61870/Noorani | Page 45: ©UNICEF/UNI106376/Pirozzi Design and Layout by Roberto Rossi ([email protected]) Strategy for Water, Sanitation and Hygiene 2016–2030 Preface Children need WASH – water, sanitation and We will maintain our focus on helping every child hygiene – to survive and thrive. This is true in gain access to drinking water, sanitation and times of stability and crisis, in urban and rural hygiene, including in schools and health centres, communities, and in every country around the and in humanitarian situations when children are world. WASH is important in its own right, and is most vulnerable. The Strategy signals increased also necessary for health, nutrition, education and engagement in “newer” areas such as adapting other outcomes for children. Girls and women are to climate change; services in small towns and particularly affected by poor WASH, as are people informal settlements (urban); and engaging the living with disabilities. private sector as a key partner beyond their traditional role of providing goods and services. It A great deal has been achieved over the past 25 shows how WASH can contribute to key outcomes years towards the Millennium Development Goals across the life course of a child, and how education (MDGs).