11. CCA Study Note: Compassionate Grooming, Dressing, and Wig Care

The Big Picture

Grooming and dressing involve more than completing a personal care task. The CCA focuses on the whole client by respecting dignity, independence, personal choices, privacy, and safety.

Wig care also requires careful attention. Follow the client’s care plan, protect the wig from damage, and check agency policy before washing it.

Look for Nova Scotia CCA Notes throughout this page for current provincial guidance.

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Course Notes: Key Ideas You Need to Know

Compassionate Grooming and Dressing

When helping with grooming and dressing, focus on the whole client instead of only finishing the task. Support dignity, independence, individualized care, preferences, privacy, and safety.

Protect the Client’s Dignity and Property

A clean, neat appearance and clean clothing support the client’s dignity and often help the client feel good about their appearance.

Handle personal care items carefully, including:

  • hygiene products
  • shavers
  • hair dryers
  • brushes and combs
  • perfumes
  • other personal care items

Treat clothing carefully too. Avoid damaging zippers, tearing clothing, losing buttons, or causing other damage.

Report: If damage occurs, notify your supervisor.

Support Independence

Encourage the client to do as much as possible independently. Provide help only when the client needs it.

Dressing and undressing are activities of daily living (ADLs). These activities stimulate circulation and increase muscle strength and flexibility. They also increase confidence and self-esteem.

Give the client extra time to dress and undress independently. Patience and understanding matter when a client needs more time.

When the client has self-care devices, encourage their use. Dressing and undressing devices listed for this care include:

  • button hooks
  • sock pullers
  • shoe removers
  • pantyhose aids
  • trouser pulls
  • pant clips

Individualize the Care

Client-centred care should fit the individual client.

Consider the client’s:

  • choices
  • physical strengths and limitations
  • cognitive strengths and limitations
  • personality
  • care plan

Clients differ in their routines, likes, dislikes, strengths, and limitations. Adjust the care to those supported individual differences.

Respect Grooming and Clothing Preferences

Encourage personal choices whenever possible. Do not impose your own grooming standards on the client.

Ask the client:

  • how they want their hair styled
  • which hair products they use
  • which shaving products they use
  • what clothing they want to wear

Protect Privacy

Provide privacy during dressing, undressing, and grooming.

Do not expose the client while helping with dressing or undressing.

Dressing and Undressing Safety

Remember two important rules:

  • DAF: Dress the affected side first.
  • RUF: Remove clothing from the unaffected side first.

Clients wearing elastic anti-embolic stockings or bandages need frequent checks.

Check for:

  • reduced circulation
  • swelling
  • skin breakdown

Report: Tell the supervisor about your observations. The information helps provide complete care to the client.

Anti-Embolic Stockings

Anti-embolic stockings are close-fitting, circular knitted elastic stockings. They are designed to help prevent swelling in the lower extremities or blood clots by increasing venous return to the heart.

They are also called compression stockings or thromboembolic devices, abbreviated TED.

Why Clients Wear Wigs

Clients wear wigs for different reasons.

Practices differ among Orthodox Jewish married women. Some remove all their hair and wear only a head covering, while others wear a wig to cover their hair.

Other clients wear wigs after hair loss related to:

  • natural aging
  • chemotherapy treatment for cancer
  • illness
  • scalp injury

Some people have been bald since birth.

Alopecia means hair loss.

People also wear wigs for warmth, modesty, or body image. Proper care helps keep the wig clean, attractive, and comfortable.

Follow the Care Plan for Wig Care

Follow the wig-maintenance directions in the client’s care plan.

Some wigs cost a great deal to replace, so careful handling matters.

Storing a Wig

After removing the wig:

  1. Place it on a wig stand or head form to help maintain its shape.
  2. Smooth straight hair or fluff curls with a wire brush or pick.
  3. Cover the wig with a hair net that preserves the style without matting .
  4. Keep the wig away from heat sources such as radiators and vents.
  5. Keep it away from humid areas such as showers.
  6. Keep it away from dusty areas.

Check Agency Policy Before Washing a Wig

The client, family, hairdresser, or a representative from a specialty store usually handles wig washing and care.

First: Check your agency’s policy before washing a client’s wig.

Some agencies do not allow support workers to wash a client’s wig or hairpiece.

How Often a Wig Is Washed

Washing frequency depends on how often the client wears the wig and the conditions around its use.

General washing frequencies are:

  • every 6 to 8 uses in warm climates
  • every 12 to 15 uses in cooler climates

Wash the wig about once a week when the client is especially active, uses heavy hairspray, or lives in an especially humid climate or an area with poor air quality. This schedule removes excess perspiration and dirt.

Washing a Wig

Before washing a client’s wig, check agency policy and follow the maintenance directions in the client’s care plan. If washing is allowed, use these steps in order:

  1. Gently and completely smooth a straight-hair wig or fluff a curly-hair wig with a wire brush or pick.
  2. Add one capful of wig shampoo or baby shampoo to a basin of cool water. Never use hot water.
  3. Gently immerse the wig and soak it for 2 minutes.
  4. Rinse it well by swishing it in clean, cool water.
  5. Gently squeeze out excess water. Do not twist the wig.
  6. For extra shine and softness, apply wig conditioner and leave it on for 5 minutes.
  7. Rinse the wig again in clean, cool water.
  8. Gently squeeze out the excess water again without twisting.

Drying a Wig

After washing:

  1. Tightly finger-squeeze each curl.
  2. Gently blot straight-hair and curly-hair wigs with a towel to remove excess water.
  3. Let the wig air-dry on a clean, dry towel or on a wire head form that allows air circulation.
  4. Keep the wig away from heat sources and direct sunlight.
  5. Never use a blow-dryer or another heat appliance on a synthetic wig.
  6. Do not comb, brush, or pick a wet wig unless you are completely restyling it.
  7. Shake the wig periodically as it dries.
  8. Wait until the wig is fully dry before styling it normally.

Wearing a Wig

After the client becomes accustomed to the wig, they can wear it during daily activities.

Avoid: Protect synthetic wigs from blasts of heat, including heat released when quickly opening an oven door.