Bathing And Skin Care
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  • 1. Bathing and Skin Care
  • 2.
    • Maintenance of personal hygiene is necessary for an individual’s comfort, safety, and sense of well being.
  • 3. Bathing Guidelines
    • Cleanliness cannot be on a time clock.
    • Client preference and need
    • Opportunity to assess, teach, exercise
    • Gloves
    • Client participation
    • Oral care
    • Cultural differences
  • 4. Type of Baths
    • Complete Bed Bath
    • Partial Bed Bath
      • Hands, face, back, axilla, perineum
    • Tub Bath
    • Shower
    • Therapeutic Bath
      • Sitz,
      • Medicated
  • 5. Equipment
    • 2 wash clothes
    • 2 towels
    • Bath blanket
    • Soap
    • Toiletry items ( scent- free policy)
    • Basin
    • PJ’s
  • 6. Equipment
    • Gloves
    • Laundry bag
    • Assess ability to perform self- care & determine type of bath
    • Bedpan? Urinal?
  • 7. Bath Procedure
    • Client Position
    • Body mechanics
    • Loosen & remove top covers
    • Bath blanket
  • 8. Bath Procedure
    • Undress
      • Pay attention if client has a deficit on left or right side, ie. paralysis, IV., Pain etc.
      • Undress unaffected side first
      • Dress affected side first
    • Safety, assess need for side rails if need to step away from the bedside
  • 9. Bath Procedure
    • Basin with warm water
      • Test inner aspect of wrist
    • Remove pillow
    • HOB 30 – 45 º
    • Wash cloth mitt
    • Eyes, H2O,
      • Inner to outer canthus
      • Different section of each mitt for each eye
  • 10. Bath Procedure
    • Face, neck, and ears…..soap? Rinse and dry well.
    • Bath farthest hand and arms first.
    • Use long, firm strokes
      • Distal to proximal including axilla
      • Rinse and dry
      • Deodorant
      • Other arm
    • Keep water at a warm temperature
  • 11. Bath Procedure
    • Cover chest with bath towel
    • Wash, attention to skin folds
    • Rinse and dry well
    • Abdomen- stroke side to side
    • Wash, rinse, dry
    • Client comfort and warmth
  • 12. Bath Procedure
    • Can partially dress at this point
    • Continue by placing towel under leg, wash
    • From distal to proximal, ( except DVT)
    • Check H2O
    • Do Not Massage any Reddened Areas on skin
    • Back and buttocks – back rub
  • 13. Bath Procedure
    • Change H2O
    • Cleanse perineum
    • Foot soak
    • Nail trim if not contraindicated
    • If circulatory problems, diabetes Do Not Cut Nails
  • 14. Oral Care
    • Time to assess the oral cavity
    • AC and PC
    • NPO
      • 4x/day
      • Keep mouth clean and moist
    • Dentures
      • Be Careful
  • 15.
    • Unconscious client
      • Side lying
      • Facing care giver
      • Bed flat
      • Towel under chin
      • Brush or toothette
      • Avoid stimulating gag reflex, assess need for suction
  • 16.
    • Pay Attention to :
      • Hair
      • Aids, visual and hearing
      • Shave
      • Foot and nail care