Bed bathing of Client

Confined to Bed
 Preparation
Determine:
• The purpose and type of bath the client needs
• Self-care ability of the client
Sir kaya mo po bang igalaw ang ilang parte ng iyong katawan para
po mapaliguan kita?
• Any movement or positioning precautions specific to client
Sir ikaw po ba ay nahihirapan kapag may posisyon na hindi mo kaya?
• Other care the client may be receiving
• Client’s comfort level with being bathed by someone else
Sir komportable lang po ba ikaw na papaliguan kita?
Assessment:
• Assess the condition of the skin
***I-pinch ng konti ang balat***
• Fatigue
Sir, ikaw po ba ay pagod ngayon?
• Presence of pain and need for adjunctive measures before the bath
Sir may sumasakit po bang muscles sa iyo na hindi po pedeng lagyan ng
…….pressure sa pagpunas sa paliligo?
• Range of motion of the joints
Sir kaya mo po bang igalaw ang iyong mga joints kagaya po ng siko at tuhod?
• Any other aspect of health that may affect the client’s bathing process
Sir may mga concern pa po ba ikaw na maari pong makaapekto sa iyong paliligo?
Assemble the equipment and supplies:
• Basin or sink with warm water
• Soap and soap dish
• Linens: bath blanket, two bath towels, washcloth, clean gown or pajamas
or clothes as needed, additional bed linen and towels if required
• Gloves if appropriate
• Personal hygiene articles (pulbo or deodorant)
• Shaving equipment for male clients
• Table for bathing equipment
• Laundry hamper
Procedure
1.Explain to the client about the procedure to be done and how
he/she can cooperate.
…… Good afternoon po Sir. Ako po si student nurse Angelo. Ano po ang
…… iyong pangalan? Ngayon po ay ikaw ay aking paliliguan dito sa
bed. …… Ok lang po ba sa iyo? Mamaya po ay kailangan ko po ng iyong
…… …… cooperation para po mahawakan ang linen pang-cover at
magawa …… natin ito ng maayos. Ok po ba?
2. Wash hands and observe other appropriate infection control
procedures as needed.
3. Provide the client privacy.
4. Prepare the client and the environment.
• Invite a family member or SO to participate, if desired.
• Close windows and doors to ensure the room at comfortable
temperature
• Offer the client a bedpan or urinal, or ask whether the client wishes to
use the toilet or commode.
Sir, ikaw po ba ay naiihi?
• Encourage the client to perform as much personal self-care as possible.
Sir, hinihikayat ko po na ikaw ay maki-cooperate po sa ating
pagpapaligo para po personal mong maalagaan ang iyong sarili. Ok po?
• During the bath assess each area of the skin carefully
5. Prepare the bed and position the client appropriately
• Position the bed at a comfortable working height. Lower side
rail on the side close to you and assist the client to move near
you.
• Place the blanket over top sheet. Remove the top sheet from
under the bath blanket by starting at client’s shoulder and
moving linen down towards client’s feet. Ask the client to grasp
and hold the top of the bath blanket while pulling linen to the
foot of the bed and place it in the linen hamper.
• Remove client’s gown while keeping the client covered with the
bath blanket. Place gown/worn clothes in linen hamper/bin.
6. Make a bath mitt with the washcloth.
7. Wash the face.
• Place towel under the client’s head.
• Wash the client’s eye with water only, and dry them well.
Use a separate corner of the washcloth for each eye.
Wipe from the ….inner to the outer canthus.
• Ask whether the client wants soap used on her face.
• Wash, rinse, and dry the client’s face, ears and neck.
• Remove the towel from under the client’s head.
8. Wash the arms and hands.
• Place a towel lengthwise under the arm away from you.
• Wash, rinse, and dry the arm by elevating the client’s arm and supporting the
client’s wrist and elbow.
• Apply deodorant or powder if desired.
• Repeat for hand and arm nearest you.
9. Wash the chest and the abdomen.
• Place bath towel lengthwise over chest. Fold bath blanket down to the client’s
pubic area.
• Lift the bath towel off the chest, and bath the chest and abdomen with your
mitted hand, using long, firm stokes.
Rinse and dry well.
• Replace the bath blanket when the areas have been dried.
10. Wash the legs and feet.
• Exposed the leg farthest from you by folding the bath blanket towards
the other leg, being careful to keep the perineum covered.
• Lift leg and place the bath towel lengthwise under the leg. Wash,
rinse and dry the leg, using long, smooth firm strokes from the ankle
to the knee to the thigh.
• Reverse the coverings and repeat for the other leg.
• Wash the feet by placing them in the basin of water then dry each
foot.
• Obtain fresh, warm bathwater now or when necessary.
11. Wash the back and then the perineum.
• Assist the client into a prone or side lying position facing away from
you. Place the bath towel lengthwise alongside the back and buttocks
while keeping the client covered with the bath blanket as much as
possible.
• Wash and dry the client’s back, moving from the shoulders to the
buttocks, and upper thighs, paying attention to the gluteal folds.
• Perform a back massage now or after completion of bath.
• Assist the client to the supine position and determine whether the
client can wash the perineal area.
12. Assist the client with grooming aids such as powder, lotion, or deodorant.
• Use powder sparingly. Release as little as possible into the atmosphere.
• Help the client put on a clean gown/clothes or pajamas.
• Assist the client to care for hair, mouth and nails.
13. Clean the area, discard the used linen in the laundry hamper as well as the
used bath towel/towels and other materials.
14. Document:
• Type of bath given
• Skin assessment, such as excoriation, rashes or skin breakdown
• Clients ability or cooperate and response to bathing
• Nursing intervention related to skin integrity
 Procedure 2. Shampooing the
Hair of a Client Confined to Bed
Preparation
Assessment
• Determine routinely used shampoo products
• Any scalp problem
*** Tignan ang scalp***
• Activity tolerance of the client
Determine:
• Whether a physician’s order is needed before a shampoo can be given
• The type of shampoo to be used
• The best time of day for the shampoo
Assemble equipment and supplies:
• Comb and brush
• Plastic sheet or pad
• Two bath towels
• Shampoo basin
• Washcloth or pad
• Bath blanket
• Receptacle for the shampoo water
• Cotton balls
Assemble equipment and supplies:
• Cotton balls
• Pitcher of water
• Bath thermometer
• Liquid or cream shampoo
• Hair dryer
(newspaper)
(gloves)
Procedure
1.Explain to the client about the procedure to be done and how he/she
can cooperate.
…… Good afternoon po Sir. Ako po si student nurse Angelo. Ano po ang
…… iyong pangalan? Ngayon po ay ikaw ay aking liliguan ang ulo dito
…… sa bed. Ok lang po ba sa iyo? Mamaya po ay kailangan ko po ng
…… iyong cooperation para po magawa natin ito ng maayos. Ok po ba?
2. Wash hands and observe other appropriate infection control
procedures as needed.
3. Provide the client privacy.
4. Position and prepare the client appropriately.
• Assist the client to the side of the bed from which you will work.
• Remove pins and ribbons from the hair, and brush and comb it to
remove any tangles.
5. Arrange the equipment.
• Put the plastic sheet or pad on the bed under the head.
• Remove the pillow from under the client’s head, and place it under
the shoulders, unless there is some underlying condition.
• Tuck a bath towel around the client’s shoulder.
• Place the shampoo basin under the head, putting a folded washcloth
or pad where the client’s neck rests on the edge of the basin. If the
client is on stretcher, the neck can rest on the edge of the sink, with
the washcloth as padding.
• Fanfold the top bedding down to the waist, and cover the upper part
of the client with the bath blanket.
• Place the receiving receptacles on a table or chair at the bedside. Put
the spout of the shampoo basin over the receptacle.
6. Protect the client’s eyes and ears.
• Place a damp washcloth over the client’s eyes and cotton balls in the
client’s ear, if indicated.
• 7. Shampoo the hair.
• Wet the hair thoroughly with water.
• Apply shampoo to the scalp. Make a good lather with the shampoo
while massaging the scalp with the pads of your fingertips.
• Rinse the hair briefly and apply shampoo again.
• Make a good lather and massage the scalp as before.
• Rinse the hair thoroughly this time to remove all the shampoo.
• Squeeze as much water as possible out of the hair with your hands
- Remove eye cover and ear plug
- Tanggalin ang Kelly pad to the pail with one hand on the shoulder
- Lagay ng towel sa baba
8. Dry the hair thoroughly.
• Rub the client’s hair with a towel
• Dry the hair with the dryer. Set the dryer at warm temperature and gradually
move the dryer to prevent burning the client’s scalp.
9. Ensure client comfort.
• Assist the client in a comfortable position (adjust pillow) and arrange the hair
using a clean brush and comb.
- Igitna si client at wag muna tanggalin rubber protector. Tanggalin yung top
cover. Ayusin ang kumot ni client.
10. Remove all the equipment and materials used and clean the working area
according to the agency practice.
Ok po Sir. Tapos na po ang ating procedure. Kumusta po ang iyong pakiramdam?
11. Document the shampoo and any assessments.