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

The goal is to expand nail technician 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 Maniplavé and Pediplavé medical manicure & pedicure treatments along with other proven accessory techniques maximize efficiency and productivity while maintaining an aesthetic outcome for the bed patient.

For clarification, nailtekcaregivers are duly licensed in nail technology 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. Most people with disabilities or physical ailments and those recently hospitalized are unable to stand in their own shower stall or enter a bathtub can also benefit from this service.

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 disguise with cosmetic, use of various accessories and crafted hair wigs when there is a major hair loss which 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. Emphasis is also placed on sanitary, physical barriers, hygiene, Recommended Way of Hand-Cleansing, An Impromptu Drop-In.

Chapter Three emphasize that of the State Regulations which specify requested beauty caregiving services are to be documented in the salon Appointment Book including a Scheduling System. Further, a discussion with cosmetologists in rehabilitation centers and nursing homes for servicing resident clients who cannot walk in or be wheeled in the salon is provided. Items such as the fee, payment method and list of supplies for the services is provided.

Chapter Four presents the importance of a patient’s Service Record, Release Statement, The Visit, Bedside Management, An Encountered Predicament, The Follow-Up and Cancellation.

Chapter Five concerns itself with Nails, Hands, Foot Lesions & Skin Cancer, cuticleless nails, hangucle also nail sliver along with Normal Structure of the Nails, Foot, Ankle & Skin. Some include Diabetes, Achilles Tendinitis and Fallen Arch.

Chapter Six introduces "Plavé." The word is an acronym 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. This involves cleansing of the client’s arms, slightly beyond the elbows, knees and the legs. In reality, the arms, legs and feet 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, either treatment serves as a mini-massage; it refreshes; hastens tissue repair and aid the skin in aerating. Plavé phases prior to a medical manicure or pedicure with extra care given led to new treatments - Maniplavé and Pediplavé medical hygenic treatments.

Additional and effective procedures are as follows:

* Nail Analysis System
* Analysis with use of a Magnifier Lens
* Suitability of a Warm Dressing
* The "Race" to Shape Nails – a Faux Pas
* Corner Clearance
* Square Nail Shaping to Help Prevent Insults
* Mending Nail & Cuticle Insults
* Cuticles – Cutting or Treating
* Maximum Benefit with Hand Moisturizer
* The Sweep & Semicircular Motions
* The Half-Circle Exercise
* Nail Decal Styling
* Consultation & Maintenance Essentials
* Attending to Ambulatory Patients

Chapter Seven presents Maniplavé and Pediplavé treatments delivered in eight stages – various steps, pre-care, plavé phase one & two, medical manicure & pedicure phases and 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.

• Nail 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.