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Bathing and Skin Care

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

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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 – 45º • 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

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