Bathing and Skin Care
- Maintenance of personal hygiene is necessary for an individual’s comfort, safety, and sense of well being.
- Cleanliness cannot be on a time clock.
- Client preference and need
- Opportunity to assess, teach, exercise
Type of Baths
- Hands, face, back, axilla, perineum
- Toiletry items ( scent- free policy)
- Assess ability to perform self- care & determine type of bath
- Loosen & remove top covers
- 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
- Test inner aspect of wrist
- Different section of each mitt for each eye
- Face, neck, and ears…..soap? Rinse and dry well.
- Bath farthest hand and arms first.
- Distal to proximal including axilla
- Keep water at a warm temperature
- Cover chest with bath towel
- Wash, attention to skin folds
- Abdomen- stroke side to side
- Client comfort and warmth
- Can partially dress at this point
- Continue by placing towel under leg, wash
- From distal to proximal, ( except DVT)
- Do Not Massage any Reddened Areas on skin
- Back and buttocks – back rub
- Nail trim if not contraindicated
- If circulatory problems, diabetes Do Not Cut Nails
- Time to assess the oral cavity
- Keep mouth clean and moist
- Avoid stimulating gag reflex, assess need for suction