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Wednesday, April 16, 2008

Bathing And Skin Care

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Bathing And Skin Care Slide Transcript
Slide 1: Bathing and Skin Care

Slide 2: Maintenance of personal hygiene is  necessary for an individual’s comfort, safety, and sense of well being.

Slide 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 

Slide 4: Type of Baths Complete Bed Bath  Partial Bed Bath  Hands, face, back, axilla, perineum  Tub Bath  Shower  Therapeutic Bath  Sitz,  Medicated 

Slide 5: Equipment 2 wash clothes  2 towels  Bath blanket  Soap  Toiletry items ( scent- free policy)  Basin  PJ’s 

Slide 6: Equipment Gloves  Laundry bag Assess ability to perform self- care & determine type of bath Bedpan? Urinal?

Slide 7: Bath Procedure Client Position  Body mechanics  Loosen & remove top covers  Bath blanket 

Slide 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

Slide 9: Bath Procedure Basin with warm water  Test inner aspect of wrist  Remove pillow  HOB 30 – 45ยบ  Wash cloth mitt  Eyes, H2O,  Inner to outer canthus  Different section of each mitt for each eye 

Slide 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 

Slide 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 

Slide 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 

Slide 13: Bath Procedure Change H2O  Cleanse perineum  Foot soak  Nail trim if not contraindicated  If circulatory problems, diabetes Do  Not Cut Nails

Slide 14: Oral Care Time to assess the oral cavity  AC and PC  NPO  4x/day  Keep mouth clean and moist  Dentures  Be Careful 

Slide 15: Unconscious client  Side lying  Facing care giver  Bed flat  Towel under chin  Brush or toothette  Avoid stimulating gag reflex, assess need for  suction

Slide 16: Pay Attention to :  Hair  Aids, visual and hearing  Shave  Foot and nail care 

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