The publication provides the essential information and standards needed to characterize an emerging new branch of nail technology – Esthecaregiving.

The goal is to expand estheticians marketable skills and expertise for people who are bedridden in health care facilities and those convalescing in their own residence. The specialty can help complement bedside nursing in maintaining and promoting the mental outlook of the patient.

Health care facility administrators and medical care professionals are more than willing to make available beauty hygienic care to their patients if the services are taken to a higher level. An appointment should not be made if it knowingly puts the patient or you at risk. In most all cases, the person requesting the service will have received prior authorization from his or her physician.

The newly developed Faciplavé medical facial treatment along with other proven accessory techniques maximize efficiency and productivity while maintaining an aesthetic outcome for the bed patient.

For clarification, esthecaregivers are duly licensed in esthiology in their respective states; nationally registered to practice at a patient’s bedside in a health care facility or residence; accountable for performance that meets basic expectations with patient safety and efficiency; the need for a qualified assistant for patient pre-care then as needed; reports to the assigned nurse or responsible family member in a residence; maintains sanitation and ethics; presents service record to the assigned nurse or family upon completion and listens for instructions, if any.

Chapter One concerns the Americans With Disabilities Act governed under the Department of Labor. The act states that it is also for persons unable to perform everyday functions such as brushing their teeth or taking a bath. In time, the patient’s scalp, hair, facial skin and nails can result in varying degrees of lesions and if left uncared for can add to their medical problems.

The basic premise of A Patient’s Bill of Rights and one pending before the federal legislature is that all patients must have the ability to make their own decisions if able and have access to essential services; to have the right to expect that, within its capacity, health care facilities and associates must make a reasonable attempt to respond to the requests for these services.

Some articles of importance are as follows:

* Witness Power
* Lamented Grievances
* Ethics & Boundaries
* Rendering Service to Hospice Patients
* People Living with HIV & Those with AIDS
* Look Good…Feel Better - a national public service program. Cosmetologists who participate instruct female, male or teen cancer survivor on how to use of various accessories, cosmetics and crafted hair wigs when there is a major hair loss. An assortment and choice of a crafted wigs can be obtained without charge by contacting their local American Cancer Society office.

A scenario: each day, a person cancer survivor looks in the mirror and begins the step-by-step procedures shown by the volunteered cosmetologist. In no time, the individual feels better and blesses the professional who reached out to help and those who made the program possible. The person glances in the mirror once again, smiles with approval then goes on with their daily activities interacting with family members, friends, co-workers...or classmates.

Chapter Two is that of OSHA, The Bloodborne Pathogen Act & Universal Precaution which applies to the safety of the workplace in general along with sanitary, physical barriers, hygiene including A Recommended Way of Hand-Cleansing and Impromptu Drop-In.

Chapter Three emphasize State regulations specify that requested beauty caregiving services are to be documented in the salon Appointment Book. Further, Scheduling System, An Encountered Pridicament and a discussion with Cosmetologists in Health Facility Salon is provided. Items such as the fee, payment method and list of supplies for the services is provided.

Chapter Four concerns itself with the Malalignment Neurosyndrome MNS reported in the Journal of American Medical Association (1994), JAMA and the news media. The study showed that strokes are caused during hyper extending a client’s neck at a salon sink during hair and scalp cleansing. Some stroke symptoms include dizziness, nausea, numbness on one side of the face, loss of balance and can increase lesser forms of brain damage. The hazards are increased in older people and adults with high blood pressure, diabetes or those having a hidden malfunction of the vertebral artery. The vertebral artery, actually there are two, lies along the spinal column leading to the brain.

MN Syndrome in patient care: It would be of interest to the academy members to know the syndrome is present in health care facilities, csome medical offices and in-home patient care. Historically, it seemed perfectly natural for those who had the task of cleansing the hair and scalp to position the patient so that the head is extended over the edge of the bed. This required several containers of water to be brought to the bedside including the use of an inflated plastic basin & rinseless shampoo to loosen tangles from the hair, additional water is needed to rinse the product. In some instances, tangles were left as is so as not to cause additional discomfort to the patient. Disposal of the contaminated water presented another problem.

There are times when a stretcher or hoist (lift) is used If the patient can be moved to a sink.  The person’s neck is hyper extended at the sink and held by an assistant to prevent the person from moving.

Although any of the methods used sounds a little unkind to thousands of bed patients, the providers did the best they could, the hair and scalp had to be cleansed under the circumstances.

The chapter introduces a therapeutic proven breakthrough — hair and scalp cleansing of bed patients. The treatment eliminates the risk of inducing the syndrome, serves as a mini-scalp massage, it refreshes, improves the growth of healthy tissues of the scalp and aids in aerating. The manipulation technique applied on each site, approximately forty, helps circulation, soften contaminants and soothes sites containing lesions. The length of time the cleansing solution is left on the hair can help restore chemically treated and sun damaged hair, is also effective with use of a rinseless shampoo product and hard (mineral tap water) or soft (like rain, purified) water.

A bit of in medical esthetics - the Malalignment Neurosyndrome Syndrome can occur if the patient’s neck is extended over the edge of the bed to receive skin care or hair cleansing services. modified presents a safe procedure in cleansing of the patient’s hair and scalp during postoperative care.

Articles included are The Visit, Bedside Management & Implementations, Service Record, Release Statement, The Follow-Up.

Chapter Five concerns itself with Cancer & Other Skin Lesions, Normal Structure of the Skin, Location Favored by Head Lice, Encountered Predicament. Some include Jaundice, Arthritis and Tinea versicular.

Chapter Six introduces "Plavé." The word is an acronym for patient skin care related to P — body Parts and lavé, French for a wash. Plavé renders sites to be treated in a clean state prior to application of cosmeceuticals, such as the moisturizer.

In reality, previously mentioned sites provide a media to a host of pathogens, accumulation of substances such as dried skin cells and contaminants. When bedridden or convalescing, the substance builds up more rapidly than with a healthy individual. Whenever warm water is made to pass over a part of our body, the flow produces a pleasant and refreshing sensation we are all familiar with — a feeling that only water can give.

Performed in three phases, the treatment serves as a mini-massage; it refreshes; hastens tissue repair and aid the skin in aerating. Plavé phases prior to a medical hygenic facial with extra care given led to medical hygenic treatment - Faciplavé.

Additional and effective procedures are as follows:

* Analysis with use of Magnifier Lens
* Facial Hairs – Tweezing or Trimming
* The Pat & Rub Manipulations
* Application of a Lip Moisturizer
* Added Benefit for Men who Shave Daily
* Method Applying Lipcolor a la Shave
* Continued Benefit – Male Patient Facial Shaving
* Trimming & Types of Male Eyebrows
* The Elbow & Temple Exercise
* On Blemish Concealment
* Treating Tangled Hair
* Dry Cleansing of the Hair
* Consultation & Maintenance Essentials
* Attending to Ambulatory Patients

Chapter Seven presents treatment Faciplavé delivered in eight stages – various steps, pre-care, plavé phase one & two, medical facial phase and for other hand, arm or leg, foot then post-care.

Chapter Eight contains issues as follows:

* Where to Locate Patients as Clients
* Liability Insurance Theirs or Yours
* News Release
* Salon Outreach Program
* Professionally Correct
* Family Doctor’s Advice
* Politically Incorrect with Certain State Regulations …

A scenario: At a Trade Show held in Las Vegas, I met a cosmetologist (licensed in the state) who had recently received a request for her services from the family of her client who was hospitalized. I immediately questioned her concerning their State Board regulations.

She proceeded by saying that, "We must tell the family we need the physician work order then notify the board so they can record the patient’s name, health care facility or residence, appointment date, time and our license number."

She also said, "We have to tell the family it’s illegal for us to go back again." I asked what happens if the person is bedridden for months. "We tell them to call the salon and if a cosmetologist agrees, she or he, must contact the board and it’s for one time." "Why," she said "are bedridden forced to endure weeks of red tape to receive our services?"

At that point, the cosmetologist lowered her head and walked away.

• Skin Care in Desairology
• Desairology - "Out of the Pages of History"
• An Additional Heartbreak - The Refusal
• Dispelling Professional Doubts
• The Story of A Deceased Woman & Her Hairdresser
• "Hairloom" Sculpture
• The Butterfly – Beauty Caregiving Symbol Decal

Resource to supply helpful information

Index for cross reference during study.