Bathing And Skin Care

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Bathing And Skin Care

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

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