 Bathing & Hair shampoo

Bathing & Hair shampoo Presented by: Ms. Ahdab Faisal Eskandar Ahdab Eskandar 2010-1431 fundamenals of nursing

Ahdab Eskandar 2010-1431 fundamenals of nursing

Objectives • Define the factors influencing individual hygienic practice • Define the bathing • Identify the purpose of bathing • Describe various types of bathing • Mention the common hair problems • Demonstrating bathing & hair shampooing Ahdab Eskandar 2010-1431 fundamenals of nursing

Outlines • Introduction • Factors influencing individual hygienic practice • Definition of bathing • Purposes of bathing • Various types of bathing • Hair problems • Demonstration of bathing &Hair shampooing • conclusion Ahdab Eskandar 2010-1431 fundamenals of nursing

Introduction Maintaining good hygiene has positive effect on so many aspect and found to stimulate appetite for clients , comfort and rest. It promote healthy skin by preventing infection and skin breakdown. Ahdab Eskandar 2010-1431 fundamenals of nursing

Factors influencing individual hygienic practice Ahdab Eskandar 2010-1431 fundamenals of nursing

What is the function of skin? Ahdab Eskandar 2010-1431 fundamenals of nursing

Five major functions • Protects underlying tissue from injury and prevents passage of microorganism • Regulates body temperature • Secrets sebum • Transmits sensation • Produces and absorbs vitamin D Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing It removes accumulated oil, perspiration ,dead skin cells, and some bacteria . Ahdab Eskandar 2010-1431 fundamenals of nursing

Purpose of bathing • Remove transient microorganism , body secretion and excretion , and dead skin cells • Stimulate circulation to the skin • Produce a sense of well being • Promote relaxation and comfort • Prevent or eliminate unpleasant body odors • Good chance for the nurse to carry skin assessment Ahdab Eskandar 2010-1431 fundamenals of nursing

Types of bathing • Complete bed bath • Self help bed bath • Partial bath • Towel bath • Tube bath • shower Ahdab Eskandar 2010-1431 fundamenals of nursing

Complete bed bath • The nurse washes the entire body of dependent client in bed Self helped bed bath • Clients confined to bed are able to bath themselves with help from the nurse washing the back and perhaps the feet Ahdab Eskandar 2010-1431 fundamenals of nursing

Partial bath • called also( abbreviated bath )only the parts of the clients body that might cause discomfort or odor ,if neglected are washed: (face , hands , axilla , perinea area and back.) Ahdab Eskandar 2010-1431 fundamenals of nursing

Tube bath • often preferred on bed bath and Sponge bath (why)? Temperatures: Between 38-46C • can be used as therapeutic baths by adding medication and immersing body parts Ahdab Eskandar 2010-1431 fundamenals of nursing

Towel bath • In bed bath that use a quick drying solution containing disinfectant ,a cleaning and softening agents mixed with water(43-48C) . Bag bath is an adaptation of this type. shower • It is for ambulatory client who are able to use the shower facilities and require minimal assistance from nurse. Ahdab Eskandar 2010-1431 fundamenals of nursing

Procedure Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Assessment : • Condition of skin( color, texture & lesion etc.) • Fatigue • Presence of pain • Range of motion of the joints • Any other aspect of health that may affect client bathing • Need for using clean gloves during bath Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Equipment: • Basin or sink with warm water(43-46C) • Soap and soap dish • Linens(bath blanket-2 bath towels-washcloths-clean cloths-additional bed linens if required • Laundry hamper • Table for bathing equipment • Personal hygiene articles(lotion-powder-deodorant etc.) • Gloves Ahdab Eskandar 2010-1431 fundamenals of nursing

Making bath mitt • Triangular: • Lay your hand on the wash cloth. • Fold the top corner over your hand. • Fold the side corner over your hand. • Tuck the second corner under the cloth on palm side to secure the mitt. Ahdab Eskandar 2010-1431 fundamenals of nursing

Making bath mitt • Rectangular • Lay your hand over the wash cloth and fold one side over your hand. • Fold second side over your hand. • Fold top of cloth down and tuck it under folded. side against your palm to secure mitt. Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Preparation • Performance: • Explain to client what you are going to do • Wash hands • Provide privacy • Prepare client and environment • Close door and windows • Ask client if he/she want to void • Encourage self care if possible • Invite family member to help Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • For bed bath: • Prepare client and position client appropriately (promote good body mechanics) • Make bath mitt with washcloths ( triangular or rectangular method) • Wash the face ( wash eye from inner to outer ) • Wash arms and hands (firm strokes from distal to proximal area ) & ( pay attention to space between fingers) Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Wash chest and abdomen (prevent unnecessary exposure of chest) &(give attention to area under female breast and skin folds) • Wash legs and feet ( start with far leg from your side)&( same direction from distal to proximal) Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Wash back and perineum ( position client in side lying or prone)&( moving from shoulders to buttocks and upper thighs) • Assist client with grooming aids such as powder, lotion, or deodorant Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • For tube bath or shower: • Prepare client and tube (fill tube to appropriate level and check the water temperature) • Assist client into shower or tube (taking a standing shower or sitting on chair) &(insure patient safety before leaving the toilet) Ahdab Eskandar 2010-1431 fundamenals of nursing

Bathing an adult client • Assist client with washing and getting out of tube (place towel over client shoulder and drain the water) • Dry client and assist with follow up care (assist client back to his/her bed) &( discard used linens in laundry hamper) • Document Ahdab Eskandar 2010-1431 fundamenals of nursing

Documentation • Type of bath given • Skin assessment • Nursing intervention related to skin integrity • Ability of client • Educational needs regarding to hygiene Ahdab Eskandar 2010-1431 fundamenals of nursing

Hair • The appearance of hair often reflects persons feeling of self concept and sociocultural well being • Hair may also reflect state of health • Hair problems include dandruff, hair loss, ticks, pediculosis (lice) ,scabies and hirustism Ahdab Eskandar 2010-1431 fundamenals of nursing

Shampooing hair of a client confined to bed • Purpose : • To stimulate blood circulation to scalp through massage • To clean hair and increase client sense of well being • Assessment: • Routinely used shampoo product • Any scalp problems • Activity tolerance of client Ahdab Eskandar 2010-1431 fundamenals of nursing

Shampooing hair of a client confined to bed • Equipment: • Comb and brush • Plastic sheet or pad • bath towel • Shampoo basin & receptable for shampoo water • Washcloths • Bath blanket • Cotton balls ( optional) • Pitcher of water • Bath thermometer • Liquid or cream shampoo • Hair dryer if available Ahdab Eskandar 2010-1431 fundamenals of nursing

Shampooing hair of a client confined to bed • Preparation • Performance: • Explain to client what you are going to do • Wash hands • Provide privacy • Position and prepare client appropriately ( remove pillow under client head and replace it under the shoulders) &( tack towel under client shoulder) Ahdab Eskandar 2010-1431 fundamenals of nursing

Shampooing hair of a client confined to bed Performance: • Arrange equipment • Protect client eyes and ears using cotton balls • Shampoo the hair • wet hair with water thoroughly then apply shampoo to scalp • massage all scalp systematically using finger pad only • Rinse hair to remove all shampoo • Squeeze water as possible out of hair with your hands Ahdab Eskandar 2010-1431 fundamenals of nursing

Shampooing hair of a client confined to bed Performance: • Dry the hair( via hair drier or as preferred) • Ensure client comfort • Documentation Look to the following picture Ahdab Eskandar 2010-1431 fundamenals of nursing

Conclusion Ahdab Eskandar 2010-1431 fundamenals of nursing

Reference • Fundamentals of nursing concepts ,process and practice,7th edition written by kozier 2005 Chapter hygiene • Nurses guide to clinical procedures 5th edition written by jean smith temple and Joyce young Johnson 2007 Ahdab Eskandar 2010-1431 fundamenals of nursing

Thank you Ahdab Eskandar 2010-1431 fundamenals of nursing

 Bathing & Hair shampoo