Subject: Fundamentals of Nursing
It is the act of cleaning particular areas of the body parts, such as face, axilla and genitalia, upper and lower extremities.
Therapeutic baths require a physician's order stating the types of bath, temperature of water, body surfaces to be treated and the type of medicated solution to be used. Therapeutic bath is usually performed in a tub. It is used to reduce muscle soreness and tension.
The therapeutic baths are further classified into:
It is used to relieve tension or lower body temperature. The nurse needs to prevent chilling and rapid decrease of temperature during a cool or tepid bath.
A soak can include the entire body or can be limited to only one body part. A soak/consists of applying water with or without a medicated solution to reduce pain, swelling or to soften to remove dead tissues.
It cleans and reduces inflammation in the perineal and anal areas. They are commonly used for hemorrhoids or anal tissues and after perineal or rectal surgery and after repairing of perineal tear.
Hair care includes hair washing periodically and brushing and combing hair daily.
Hair washing means washing and cleaning hair with soap or shampoo and water. Whether your hair is long or short, keeping it clean makes it shine and helps you look healthy and well groomed. Ambulatory patients can wash their hair in the bathroom but bedridden patients need to wash their hair in the bed.
Dandruff: Sealing of scalp accompanied by itching
Pediculosis: Lice infestation
Alopecia: Hair loss
S.N. | Nursing Action | Rationale |
1 | Identify patient. Determine that there are no contraindications to this procedure. | Certain medical conditions such as head and neck injuries, spinal cord injuries and arthritis, could place the client at risk, for injury during shampooing because of positioning and manipulation of client's head and neck. |
2 | Explain the purposes and procedure to the patient. | Relieves anxiety and helps patient to cooperate. |
3 | Assess the general condition of the patient and inspect the hair and scalp prior to initiating the procedure. | This determines the presence of any conditions that may require the use of special shampoo or treatments (e.g. for dandruff or the removal of dried blood). |
4 |
Check the patient's preference for soap or shampoo. |
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5 | Close the windows and put off the fan. | Prevents patients from going into hypothermia. |
6 | Empty the bladder of the patient. | Promotes comfort. |
7 |
Wash hands with soap and water. Loosen and remove bangles. |
Reduce transmission of infection. |
8 |
Prepare and bring the articles to the working side of the patient. |
Facilitate to perform procedure. |
9 | Pull curtain or close door. | Provides privacy. |
10 | Adjust the bed to comfortable height. | Use of good body mechanics prevent injury. |
11 | Help the patient move his/her head towards the edge of the bed, unless contraindicated. | Prevents over stretching and allows use of good body mechanics. |
12 |
Place pillow under the shoulder so that the head is slightly titled backwards. Protect the pillow and bed with a mackintosh and towel. |
Prevents soiling of the bed and pillow. |
13 |
Place a towel and makintosh. Place a big towel around the neck and shoulder of the patient. Role the mackintosh from both sides in a slanting way which gives the shape of a funnel. The narrow end should be folded and put under the patient's head and the free end should be put in the bucket or receptacle to act as a drain for the water. Or use a kelly's pad. |
Allows dirty water to follow into the bucket. |
14 | Place the bucket on a low stool close to the side of the bed. | Collects the dirty water. |
15
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Help the patient to assure in a comfortable position. Ask the patient to close his/her eyes. Place a wash cloth or a towel over the eyes near the forehead. |
Prevent soap water getting into the eyes. |
16 | Insert cotton swab (oil soaked cotton) into ears. | Prevent soap water getting into the ears. |
17 | Brush the hair. | Makes smooth hair. |
18 |
Mix cold and hot water and test the temperature with the back of a hand. |
Warm water is comfortable and facilitates removal of dirt and sebum. |
19 |
Wet the hair by warm water. Apply shampoo to the hair and massage using finger tips. (do not use nail) Rinse the hair repeatedly with warm water till thorough cleanliness is ensured. Ask the patient if he/she is comfortable. Dry the patient's hair with towel/hair dryer. Wipe the face and neck if needed. |
Shampoo helps to remove dirt, sebum and dandruff from the scalp. Removes soap and dirt |
20 | Remove the trough or rolled mackintosh and place it in the bucket. Remove the cotton plugs from ears into paper bag or kidney basin. | Enhances patient's comfort. |
21 | Reposition the patient in proper alignment. | |
22 |
Massage the hair with oil and then comb the hair. Make the patient tidy and comfortable. Change linen if needed. |
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23 | Offer hot drink. | |
24 |
Clean the articles and put them in their proper place. Wash hands. |
Reduce risk of transmission of microorganisms. Leaves the unit clean and articles ready for further use. |
25 |
Record the procedure including the conditions of the scalp, hair and any abnormalities in the patient's chart. Report to the senior staff if any abnormalities found. |
Ensures communication between staff members. |
Key Points
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