Bathing And Skin Care

1. Bathing and Skin Care

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

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

4. Type of Baths
•Complete Bed Bath
•Partial Bed Bath
–Hands, face, back, axilla, perineum
•Tub Bath
•Shower
•Therapeutic Bath
–Sitz,
–Medicated

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

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

7. Bath Procedure
•Client Position
•Body mechanics
•Loosen & remove top covers
•Bath blanket

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

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

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

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

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

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

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

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

16. •Pay Attention to :
–Hair
–Aids, visual and hearing
–Shave
–Foot and nail care