patient thinks her hands are clean and they are not, keeps putting hands and fingers in food items making them spoil? Always scratching scalp, picking nose, putting fingers in mouth, using bathroom 6 times a day with diaper change and wants to always be in the kitchen
Keep her nails short if you can. And as Pam says, guide her to the sink and help her wash when she comes into the kitchen. Don't make a fuss about it, just say something like "oh, I'm glad you've come to help, let's get washed up first", help her find the soap and towel and then hand her a clean apron.
Probably was something they both did in their own childhood. I noticed the same thing on the tv show "Everybody Loves Raymond" as Ray would also use the kitchen sink to wash his hands.
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