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Bathing And Skin Care
 

Bathing And Skin Care

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    Bathing And Skin Care Bathing And Skin Care Presentation Transcript

    • Bathing and Skin Care
      • Maintenance of personal hygiene is necessary for an individual’s comfort, safety, and sense of well being.
    • 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
    • Type of Baths
      • Complete Bed Bath
      • Partial Bed Bath
        • Hands, face, back, axilla, perineum
      • Tub Bath
      • Shower
      • Therapeutic Bath
        • Sitz,
        • Medicated
    • Equipment
      • 2 wash clothes
      • 2 towels
      • Bath blanket
      • Soap
      • Toiletry items ( scent- free policy)
      • Basin
      • PJ’s
    • Equipment
      • Gloves
      • Laundry bag
      • Assess ability to perform self- care & determine type of bath
      • Bedpan? Urinal?
    • Bath Procedure
      • Client Position
      • Body mechanics
      • Loosen & remove top covers
      • Bath blanket
    • 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
    • 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
    • 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
    • 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
    • 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
    • Bath Procedure
      • Change H2O
      • Cleanse perineum
      • Foot soak
      • Nail trim if not contraindicated
      • If circulatory problems, diabetes Do Not Cut Nails
    • Oral Care
      • Time to assess the oral cavity
      • AC and PC
      • NPO
        • 4x/day
        • Keep mouth clean and moist
      • Dentures
        • Be Careful
      • Unconscious client
        • Side lying
        • Facing care giver
        • Bed flat
        • Towel under chin
        • Brush or toothette
        • Avoid stimulating gag reflex, assess need for suction
      • Pay Attention to :
        • Hair
        • Aids, visual and hearing
        • Shave
        • Foot and nail care