Provide Mouth Care for Resident with Dentures

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  • เผยแพร่เมื่อ 4 พ.ย. 2024

ความคิดเห็น • 118

  • @bshatajshina
    @bshatajshina 11 ปีที่แล้ว +3

    Your videos are so helpful! I watched them a few times before testing. They give you a little overview of what to expect. Thanks to God, I passed the exam

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +1

    We are glad you have found our videos helpful! Best of luck on your exam!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    We are glad you found the videos helpful! Good luck on your test!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    It is not necessary to wash the lid of the denture cup during this skill. You can do so if you wish, but it is not a requirement. The denture cup itself that held the dirty dentures must be rinsed and filled with clean water before storing the clean dentures. The lid does not have active contact with the dirty dentures, therefore does not NEED to be cleaned (but you can go above and beyond!). Great observation and with that attention to detail, you will make a GREAT CNA! Thanks!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +1

    Wow! Great job! Congratulations and we wish you great success in your new career!

  • @angelicatamay65
    @angelicatamay65 11 ปีที่แล้ว +1

    My test is in 10 days, I keep watching these videos everyday ! I hope I pass

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    We are very happy to hear that you found our videos helpful! Good luck on your exam!

  • @ubaycentral
    @ubaycentral 11 ปีที่แล้ว

    This was my last skill that I had to perform today for my skills examination! I PASSED! I've watched all of your videos religiously and they helped me so much! Thank you 4yourCNA! More power to you!

  • @juliagauci2542
    @juliagauci2542 8 ปีที่แล้ว +2

    Thank you so much for all of your videos! I watched almost all of them and passed my Michigan CNA exam today, with almost a perfect score overall. I appreciate these videos and will show them to all my friends to study before they take the exam :)

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Congratulations! We are very happy for you and proud of you! Best of luck in your new career!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    We will keep you in our thoughts! Best of luck to you as you test!

  • @Starliqht101
    @Starliqht101 12 ปีที่แล้ว +1

    omg thank you so much for these videos.. my cna test is in Michigan and its in about a week and now i feel so confident due to these videos.. THANK YOU!!!!!!!!!!!!

  • @melissamoore1665
    @melissamoore1665 11 ปีที่แล้ว

    i take my test on the 25th of this month these videos are a God sent thanks

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +4

    No, but keep in mind that everything your gloves touches will contaminate the gloves before you use them to brush the patient's teeth. Think about it from the patient's point of view...would you want gloves in your mouth that have touched many potentially unclean surfaces? It is best to wash your hands, gather your supplies, prepare the supplies then apply your gloves and perform the skill. Hope this helps! Good luck!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    We are thinking of you and wishing you luck as you test! Good luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    You are welcome! Good luck on the test!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว +1

    You are allowed to use the overbed table for the Florida CNA exam. You should place a barrier on the table first, to provide a clean area to place your clean supplies so that they don't become contaminated. The top of the bedside table is generally used for storage and will not be easily accessible. The overbed table is the best choice, as long as you use a barrier. Thanks for your great question!

  • @Mark-TBH
    @Mark-TBH 11 ปีที่แล้ว

    Your Nurse Aide video series is very helpful. I am teaching a NA class and have the students view them. Thanks for doing these!!!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    I am not specifically familiar with Michigan standards, but general nursing best practices indicate that clean supplies should be placed on a clean surface so that they are not contaminated prior to use. Since we do not KNOW for sure that the overbed table is clean, we can place a barrier there to ensure that we have a clean work surface and we are not contaminating the table with body fluids from the patient. So, yes, a barrier should be allowed in all testing sites. Good luck!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว +1

    Raising the bed is optional. You may raise it for your comfort, if you prefer, but it is not mandatory. However, if you do raise the bed, don't forget to lower it at the end of the skill. Failing to lower the bed at the end of the skill is a safety concern which could fail you! Good luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Thank you for that observation! I will certainly look into the links! Best of luck on your exam!

  • @manouchekasuppriant8459
    @manouchekasuppriant8459 2 หลายเดือนก่อน

    Thank you for the test I'm past God bless you more

  • @sajbabie
    @sajbabie 8 ปีที่แล้ว

    I took my test today and I passed watching your videos helped me a lot

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      +Jasmyne Pressley Congratulations! We are glad you found our videos helpful! Best of luck in your new career!

    • @sajbabie
      @sajbabie 8 ปีที่แล้ว +1

      Thank you

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว +1

    Does not matter. You may clean the dentures first or perform mouth care first, your choice. Just watch infection control principles if you decide to vary from this demonstration! Good luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    For the Florida exam, it does not matter which you do first. Good luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    You may, if you wish, but it is not required. Mouth wash is not required at all for the exam and probably won't be in the testing center. Water can be offered before brushing or only during rinsing. Good luck!

  • @unvmebsn7483
    @unvmebsn7483 9 ปีที่แล้ว

    Excellent tutorial. Thanks so much for these video, very helpful.

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Testing centers should have disinfectant spray. However, all you are required to do is rinse the basins, dry them and store them. Disinfecting is not required for the exam. Since many people use the basins during the test, they should be disinfected (by you or the testing evaluator) to protect against disease transmission. But in a clinical setting, the basin is only used by the patient so rinsing is sufficient. Good luck!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    @2485preacherman Glad you like the videos! Thanks for the comment!

  • @TrevRaw
    @TrevRaw 12 ปีที่แล้ว

    these are really helping me out. i have my test this weekend and i'm very nervous. thanks!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    I do not know how Georgia standards are worded (read the care plan they give you carefully as it will contain the instructions you need) but denture care SHOULD include mouth care (the mouth the dentures came out of will be dirty, with food particles and denture paste stuck to sensitive gums). If you are supposed to do mouth care as well, the care plan will indicate that. Wish I could be more help!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    The Clinical Skills Checklist, point 3, states "Wear gloves when handling denture, providing mouth care, and rinsing equipment?" The dentures are in the cup, you are not handling them directly when carrying the cup to the sink, then immediately washing your hands. You will apply gloves before handling the dentures. This is proper procedure for this skill. Contaminating gloves and using those gloves on the patient is a bigger infection control infraction. Thank you for your question!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +2

    For the exam, that is fine, but remember that everything you touch with your gloves will contaminate the gloves before you need to use them for patient care. You may be transferring germs onto the dentures in real life, which could make the patient ill. It is always best to perform your prep work with clean hands and put your gloves on immediately before touching the patient (or in this case - his dentures). Good luck!

  • @marlenelawson8495
    @marlenelawson8495 8 ปีที่แล้ว

    Your videos are great and its just the way I was taught in class. Thank you very much!

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      We are happy you found our resources helpful! Best of luck!

    • @marlenelawson8495
      @marlenelawson8495 8 ปีที่แล้ว

      Thank you very much your videos will help me a lot for my state exam in Michigan.

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      +Marlene Lawson Best of luck!

    • @marlenelawson8495
      @marlenelawson8495 8 ปีที่แล้ว +1

      Thank you!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +1

    Please visit our website 4YourCNA (dot org) to order additional training materials such as a skills DVD, skills textbook, practice test or supply kit - this helps keep these videos and answers free!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    @deadman5281 Thank you for your comment! We are happy to get feedback from our viewers! Good luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    No, because the sink controls (faucets) are always considered dirty, so you may touch them freely with dirty hands or soiled gloves. If your hands are clean (or you have clean gloves on) you should use a barrier to touch the faucet. Please visit our channel (4YourCNA dot org) to view additional training materials! Best of luck!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว +1

    You will use a toothette (a soft, spongy disposable toothbrush) to brush the patient's gums during denture care.

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Thank you for your comment! We are happy that you have found our videos helpful! Best of luck!

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    These videos are performed according to current Florida state standards but are also relevant for other states. New York standards are the same for this skill, so the steps would be performed just like the video shows. Good luck.

  • @2485preacherman
    @2485preacherman 12 ปีที่แล้ว

    I live in Mississippi and it's almost the same good job. Thanks for the vids. ;)

  • @MrTheEPICman
    @MrTheEPICman 11 ปีที่แล้ว

    AMAZING!! Good information!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    The basin is only used by that resident and no other. You may just rinse and dry it before storing it and this meets the standards. Or you may use disinfectant if it is available. But it is like your sink at home - most people just rinse their sink out after brushing their teeth - they don't disinfect it. We are trying to accomplish basic cleaning, not create a sterile environment. Good luck!

  • @maveemadueno4457
    @maveemadueno4457 9 ปีที่แล้ว +5

    Im curious, why didn't you used a paper towel on turning the faucet on?

  • @jaekae6833
    @jaekae6833 8 ปีที่แล้ว

    Thanks to u I passed my boards today :)

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      Awesome! Congratulations and best of luck in your new career!

    • @michelleword5121
      @michelleword5121 7 ปีที่แล้ว

      4yourCNA ,) hmm h n

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    That is fine, just don't contaminate your gloves by touching the sink faucet. Remember, the faucet is dirty and you do not want to further contaminate an item that will be going into a patient's mouth (dentures) with bacteria from the faucet. So, make sure you use a paper towel between your gloves and the faucet. I generally put my gloves on immediately before touching the patient (or denture in this case) to avoid contaminating my gloves accidentally. Good luck!

  • @4yourcna
    @4yourcna  10 ปีที่แล้ว +1

    Be sure to visit our Facebook page for more helpful information facebook.com/4YourCNA

    • @syesha19
      @syesha19 9 ปีที่แล้ว

      +4yourCNA do we wash our hands after removing the first pair of gloves, to do the mouth care?

    • @4yourcna
      @4yourcna  9 ปีที่แล้ว

      +catalina No, it is not necessary to wash your hands after removing the first pair of gloves that was used to clean the dentures before applying new gloves for mouth care, as long as it is the same patient.

    • @Hippiesoul431
      @Hippiesoul431 9 ปีที่แล้ว

      +4yourCNA hey again :) Do I need to refill the denture cup with sterile water? In the testing room they have bottled water next to all the denture care supplies, I was instructed to use that as sterile water to re soak the denture in the denture cup after cleaning..... thank you!

    • @4yourcna
      @4yourcna  9 ปีที่แล้ว +1

      +Emily Williams No, the standard requires that you fill the cup with cool tap water.

    • @Hippiesoul431
      @Hippiesoul431 9 ปีที่แล้ว

      excellent!!! thank you for answering all my question!!!! :)

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    The call light is on the bed next to the patient. I point it out at the end of the skill, making sure the patient has the call light before I leave. Good luck!

  • @VivianGalespiritproductions
    @VivianGalespiritproductions 9 ปีที่แล้ว

    Great Channel and vid's thanks!

  • @PlottingYourDeath
    @PlottingYourDeath 12 ปีที่แล้ว +1

    Thank you so much for posting these videos I watch them all the time to prepare for my exam. However, I thought that for denture care during the exam, you don't even need a patient for the skill, you just get the denture cup and perform the skill at the sink. I'm taking my test in Georgia though so maybe the exam requirements are different here than in Florida?

  • @cierarichardson1740
    @cierarichardson1740 9 ปีที่แล้ว +1

    Im pleased for the most part with what has been shown but I see a lot of small mistakes and where in the world did they get the idea that disinfectant is ok to be sprayed on different supplies

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    Thank you for your comment! We are very happy that you found our videos helpful as you prepare for the CNA exam. Make sure you subscribe to our channel to be notified when new videos are added! Good Luck!

  • @ALEXOO11
    @ALEXOO11 12 ปีที่แล้ว +1

    Denture care or mouth care first?

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    For the exam, the care plan will tell you to clean the patient's gums. If the patient has teeth, then you would also clean those. Follow the care plan. Good luck.

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    There are no skills that require washing your hands three times. You must wash your hands before performing each skill (after the opening) and after the skill (at the very end), but no skill requires handwashing DURING the skill. This skill requires a glove change after cleaning the dentures, but you are not required to wash your hands between gloves. Good luck and hope this helps!

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Thank you very much! If you are a licensed training program, you will be receiving a training package from us with free videos in the next few weeks! Stay tuned!

  • @deadman5281
    @deadman5281 12 ปีที่แล้ว

    Thank you! Your very good!...Heidi

  • @emon01777
    @emon01777 10 ปีที่แล้ว +2

    My exam is tomorrow and I'm a little nervous, any suggestions on how to calm my nerves down?

    • @The7legacy
      @The7legacy 10 ปีที่แล้ว +1

      Positive things happen to positive people.
      The ''FORCE'' is with you.

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    You need to brush whatever is in their mouth (gums, tongue and teeth if present). Please visit our website to leave a donation!

  • @magickmer2
    @magickmer2 8 ปีที่แล้ว +1

    I would like to know if you are removing gloves, why you are not washing your hands. As Nurse I was taught to wash hands before donning gloves, and when removing them. I teach my CNA students that also. So why are we not washing hands after removal??

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      +Jeanne M Thank you for your comment...and yes, hand hygiene is important! For this skill, the hands are washed during the opening (as with all skills) prior to the skill being performed. A set of gloves is put on to clean the dentures and this first set of gloves are removed after cleaning the dentures and storing them on the bedside table. A new set of gloves are then applied before beginning mouth care. Handwashing between these two events is not required, as it is the same patient for both components of the skill. Because it is not a required action for the skill for the exam, washing hands between glove changes is not demonstrated in the video. You are encouraged to teach hand hygiene practices, but this is not a required action for the exam. Since both components of the skill are on the same person, and the CNA is not leaving the room or caring for another individual during this period, washing hands at the beginning of the skill (prior to beginning) and at the end of the skill (prior to leaving the room) is considered sufficient to demonstrate proper infection control procedures. Thank you for your insight!

  • @lilianobike2846
    @lilianobike2846 3 ปีที่แล้ว

    Please, is it alright to leave the head of the bed in fowler position after doing the denture care in the exam?

  • @maylaniagilmete
    @maylaniagilmete 4 ปีที่แล้ว

    Do I say everything that I’m doing ? Like “now I’ll get my gloves ,now I’ll turn on the water “ stuff like that do I say those ?

  • @bobbyfaye2006
    @bobbyfaye2006 12 ปีที่แล้ว

    I have a test tomorrow morning and I'm nervous.I hope I past my test ;)

  • @jmichelle83
    @jmichelle83 12 ปีที่แล้ว

    I'm from Florida and we were told we couldn't use the over the bed table to do any of our skills. We had to use the bedside table or a chair. Is it really okay to use over the bed table? It seems like it should be fine with a barrier over it.

  • @binkiebabee1255
    @binkiebabee1255 11 ปีที่แล้ว

    Your videos are great! I'm taking my exam this friday, however your links for the additional resources no longer work ;-(

  • @wendynarine6383
    @wendynarine6383 8 ปีที่แล้ว

    I'm about to take my state exam.....1 question......can you tell me if all your videos are updated. ...i only saw one with foot care and it was very informative. ....pls reply asap

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      No, I'm sorry but we only have two videos in the updated format, the others are still in production. However, the previous videos still demonstrated the skills in accordance with state standards and can be reviewed for testing purposes. Good luck!

    • @wendynarine6383
      @wendynarine6383 8 ปีที่แล้ว +1

      Thnx.....

  • @AvantikaBalkaran
    @AvantikaBalkaran 10 ปีที่แล้ว

    Actually i do know what im talking about and i passed my exam and i did take the cna class a very long time ago.

  • @hulaboy94
    @hulaboy94 11 ปีที่แล้ว

    are the testing sites likely to have the disinfecting spray or might we need to use another method when cleaning basins?

  • @jhpbeachboy
    @jhpbeachboy 11 ปีที่แล้ว

    After oral cleaning and cleanig of dentures withgloves on, should the CNA not have used a barrier (paper towel) before touching the sink controls ? Thanks

  • @ALEXOO11
    @ALEXOO11 12 ปีที่แล้ว

    Do you Washington the mouth first or do the dentures first?

  • @tammybutler8550
    @tammybutler8550 12 ปีที่แล้ว

    Out of all the skills which one do you wash your hands three times.

  • @zyleah4594
    @zyleah4594 11 ปีที่แล้ว

    would u fail if u put the first pair of gloves on first while gathering the supplies and then just turn on the water with a clean paper towel

  • @4yourcna
    @4yourcna  12 ปีที่แล้ว

    @TheRhymez These videos are provided as a free skills overview. Our online CNA Test Prep program has in-depth, comprehensive instructional videos that are designed to clearly demonstrate the steps of the skill, along with a step by step skills booklet which clearly explains the procedure. Please feel free to enroll in our online program for more detailed explanations! Thank you for your comment and good luck.

  • @cdici511111
    @cdici511111 4 ปีที่แล้ว

    Toothpaste is not meant for dentures and scratches/damages them. Just brush them with denture cleaner creme (or mouthwash) and rinse.

  • @kerryannjohn5671
    @kerryannjohn5671 11 ปีที่แล้ว

    can we put our gloves on before taking the denture to the sink and putting toothpaste on the toothbrush

  • @Humaisan
    @Humaisan 9 ปีที่แล้ว

    Is the barrier necessary to put on the table? Or is that optional?

  • @TheRhymez
    @TheRhymez 12 ปีที่แล้ว

    next time....pleeeeeeeeeaaaasee, show what u are doing more clearly by actually moving the camera and focusing on the important parts. i mean u are cleaning the patients mouth and i cant even see what u are cleaning. but apart from that, this was a wonderful video and i appreciate it so much

  • @ABNAlex
    @ABNAlex 10 ปีที่แล้ว

    I learn more for ny exam,good luck to me....

  • @kerryannjohn5671
    @kerryannjohn5671 11 ปีที่แล้ว

    hey patty how r u, i see u only clean the gum thats it i tought u suppose to clean the teeth also in his mouth. not sure just asking.

  • @kerryannjohn5671
    @kerryannjohn5671 11 ปีที่แล้ว

    what do we use to brush the patient gum?

  • @amandhillon5406
    @amandhillon5406 12 ปีที่แล้ว

    is it apply for ny the same way to do

  • @g5e8m1
    @g5e8m1 11 ปีที่แล้ว

    where's the call light??????

  • @agustinamartinez1659
    @agustinamartinez1659 2 ปีที่แล้ว

    Cómo lo puedo ver en español

  • @allyjenny15
    @allyjenny15 24 วันที่ผ่านมา

    The phrase “I need to clean your dentures “ doesn’t sound very resident centred

  • @kerryannjohn5671
    @kerryannjohn5671 11 ปีที่แล้ว

    we dont brush the teeth in his mouth only the gum n tongue

  • @natalias1212
    @natalias1212 8 ปีที่แล้ว +1

    No suitable for FL exam. many discrepancies.

    • @4yourcna
      @4yourcna  8 ปีที่แล้ว

      These videos are based on current Florida state testing standards and best nursing practices and demonstrated by a Florida RN. Thank you for your comment.

  • @4yourcna
    @4yourcna  11 ปีที่แล้ว

    Rinse as often as the patient wishes. You are being too technical and not getting the point of the test. They are evaluating how you would perform this in a clinical setting. Instead of focusing on the test, focus on how you would want to be cared for if you were the patient. It doesn't matter how many times you rinse. Again, you are being way too technical. Relax, they are not that critical on these issues.

  • @sweetcryz3609
    @sweetcryz3609 4 ปีที่แล้ว

    With the FL exam,she sidnt use a paper towel to turn the water on and off, she didnt apply gloves 3 sets in FL, first to bring everything to the sink, then take off, then reapply before putting the toothette., to the paitent, then also remove put clean gloves on before cleaning up dirty Lenin, also didnt ask the paitent where he wanted his dentures places after cleaning..bad video I would have failed this skill for FL depending on this video!!

  • @heavenumberger3440
    @heavenumberger3440 9 ปีที่แล้ว

    I see a lot of mistakes...if you are going to test in Orlando do not reference this video. I'm pretty sure the were a few automatic fails here. very concerning

    • @4yourcna
      @4yourcna  9 ปีที่แล้ว

      This is performed according to state standards and is accurate for all areas of Florida. As an RN, I am very familiar with best nursing practices - and as a further testing site, I am very familiar with testing standards. I would be happy to explain specific concerns you may have but I assure you this is accurate.

    • @heavenumberger3440
      @heavenumberger3440 9 ปีที่แล้ว

      Ok ..sounds good. So do you not have to wear gloves before touching anything that would have bodily fluids on,in,or prior?

    • @heavenumberger3440
      @heavenumberger3440 9 ปีที่แล้ว

      And what about a barrier to turn sink on? Even when I replied to someone else you said you didn't want to contaminate but if you don't use a barrier to cut sink in and don't wash your hands before puttin on your gloves are you not contaminating your gloves?

    • @4yourcna
      @4yourcna  9 ปีที่แล้ว

      +Heaven Umberger You put your gloves on right before you begin brushing. This keeps your gloves clean for the patient (you wouldn't want gloves in your mouth that had touched many surfaces). You must wash your hands at the beginning after the opening so that you have clean hands to gather your supplies and you will wash your hands after the skill to remove any pathogens you may have come into contact with. This is the appropriate process for nursing procedures. Those gloves are there to protect both the patient and you but you also have the added protection of two handwashings.

    • @4yourcna
      @4yourcna  9 ปีที่แล้ว

      +Heaven Umberger yes you may use a paper towel to turn faucet on. please refer to the instructional video for this skill for specific instructions. This is a demonstration skill and is not designed to be used for instruction. There is a specific video for that on our TH-cam channel.

  • @Cashmony666
    @Cashmony666 7 หลายเดือนก่อน

    Wash hands!

    • @4yourcna
      @4yourcna  7 หลายเดือนก่อน

      The updated skill video can be found here: th-cam.com/video/l0G0ZO627jo/w-d-xo.html

  • @AvantikaBalkaran
    @AvantikaBalkaran 10 ปีที่แล้ว

    This is such a bad video u can't see the supply's what they look like and exactly what she is doing ...up close

    • @Mahonie914
      @Mahonie914 10 ปีที่แล้ว

      invest a little money and take a class.. you would know what she is talking about .. these videos are helpful but shouldn't be your only source of training esp if you don't know what things are