Back care procedure

BACK CARE- FUNDAMENTALS OF NURSING

1. BACK CARE PROCEDURE - KHYATI CHAUDHARI

2. Definition Back care means cleaning and massaging back, paying special attention to pressure points. Especially back massage provides comfort and relaxes the client, thereby it facilitates the physical stimulation to the skin and the emotional relaxation.

3. Purposes To improve circulation to the back To refresh the mode and feeling To relieve from fatigue, pain and stress To induce sleep To prevent bedsore To provide comfort

4. Articles required Basin with warm water (2) Bucket for waste water (1) Gauze pieces (2) Soap with soap dish (1) Face towel (1) Sponge cloth (2): 1 for with soap 1 for rinse Big Towel (2): 1 for covering a mackintosh 1 for covering the body Mackintosh (1)

5. Oil / Lotion/ Powder (1): according to skin condition and favor Tray (1) Trolley (1) Screen (1)

6. Procedure CARE ACTION RATIONALE 1. Perform hand hygiene To prevent spread of infection 2. Assemble all equipments required. Organization facilitates accurate skill performance 3. Check the client's identification and condition. To assess sufficient condition on the client 4.Explain to the client about the purpose and the procedure. Providing information fosters cooperation

7. CARE ACTION RATIONALE 6.Close all windows and doors, and put the screen or / and utilize the curtain if there is. To ensure that the room is warm. To maintain the privacy. 7. Placing the appropriate position: Move the client near towards you. Turn the client to her/ his side and put the mackintosh covered by big towel under the client's body. To make him/her more comfortable and provide the care easily. Mackintosh can avoid the sheet from wetting. 8.Expose the client's back fully and observe it whether if there are any abnormalities. To find any abnormalities soon is important to that you prevent more complication and/ or provide proper medication and/or as soon as possible. If you find out some redness, heat or sores, you cannot give any massage to that place. If the client has already some red sore or broken down area, you need to report to the senior staff and /or doctor

8. CARE ACTION RATIONALE 9. Lather soap by sponge towel. Wipe with soap and rinse with plain warm water. To make clean the back before we give massage with oil/ lotion/ powder. 10. Put some lotion or oil into your palm. Apply the oil or the lotion and massage at least 3-5 minutes by placing the palms: from sacral region to neck from upper shoulder to the lowest parts of buttocks Don’t apply oil or lotion directly to the back skin. Too much apply may bring irritation and discomfort 1. Help for the client to put on the clothes and return the client to comfortable position. To provide for warmth and comfort

9. MOVEMENTS USED Effleurage  (stroking) —is a long sweeping movement with palm of hand conforming to the contour of the surface treated, over small surface (on the neck) the thumb and fingers are used. Strokes should be slow, rhythmical and gentle with pressure constant and in the direction of venous stream. Kneading —performed with the ulnar side palm resting on the surface and the fingers, and thumb grasping the skin and subcutaneous tissues which move with the hand of the operator . Friction —is performed with the whole palmar surface of the hand or fingers and thumbs over limited areas. This movement is a circular form of kneading with pressure against the underlying part of tissue which cannot be grasped.

10. AFTER PROCEDURE CARE ACTION RATIONALE Replace all equipments in proper place To prepare for the next procedure Perform hand hygiene. To prevent the spread of infection Document on the chart with your signature, including date, time and the skin condition. Report any findings to senior staff. Documentation provides coordination of care Giving signature maintains professional accountability