Performing hair washing

FUNDAMENTALS OF NURSING

1. Performing H air Washing -Khyati Chaudhari

2. Definition Hair washing defines that is one of general care provided to a client who cannot clean the hair by himself/ herself.

3. Purposes To maintain personal hygiene of the client To increase circulation to the scalp and hair and promote growing of hair To make him/her feel refreshed To keep hair clean & healthy To prevent loss of hair To prevent itching & infection

4. To prevent tangles To clean hair after pediculosis treatment To enhance personal appearance & self-esteem To observe the scalp To provide sense of well-being

5. Contraindications Head & Neck injuries Spinal cord injuries Surgeries on back & neck

6. Equipments required Mackintosh(2 ): to prevent wet (1) to make Kelly pad (1) Big towel(2): to cover mackintosh (1) to round the neck (1) Middle towel (1) Shampoo or soap (1) Hair oil (1): if necessary Brush , comb: (1) Paper bag (2): for clean (1) for dirty (1) Cotton boll with oil or non-refined cotton

7. Bucket (2): for hot water (1) for wasted water (1) Plastic jug (1) Cloth-pin or clips (2) Steel Tray (1) Kidney tray (1) Cushion or pillow (1) Clean cloth if necessary News paper Trolley (1)

8. Procedure Care action Rationale 1. Perform hand hygiene To prevents the spread of infection 2.Gather all Equipments. Organization facilitates accurate skill performance 3.Check the condition of client. Explain the purpose and the procedure to the client. Proper explanation may allay his/her anxiety and foster cooperation 4. Bring and set up all Equipments to the bed-side To save the time and promote effective care 5. Help the client move his/her head towards edge of the bed and remove the pillow from the head. To arrange appropriate position with considering your body mechanics

9. Care action Rationale 6.Put another pillow or a cushion under the bending knee. Make him/her comfortable position. Putting a pillow or a cushion could prevents from having some pain while the hair washing process 7. Setting mackintosh and towel to the client: Place a mackintosh covered a big towel under the upwards from the client head to the shoulders of client Have a big towel around his/her neck Roll another mackintosh to make the shape of a funnel, by using the way to hold from both sides in a slanting way. The narrow end should be folded and put under the client’s neck and the free end should be put into the bucket to drain for the waste water. Put the folding mackintosh under the client’s neck. To prevent the sheet from soiling To prevent the cloth and the body from soling To induce water drainage

10. Care action Rationale 8. Washing: Brush the hair. Insert the cotton balls into the ears Wet the hair by warm water and wash it roughly Apply soap or shampoo and massage the scalp well while washing the hair using fingernails Rinse the hair and reapply shampoo for a second washing, if indicated Rinse the hair thoroughly Apply conditioner if requested or if the scalp appears dry To remove dandruff and fallen hairs, and make the hair easier washing To prevent water from entering into the ears 9. Wrapping the hair: 1)Remove the cotton balls from the ears into the paper bag and mackintosh with the towel from the client's neck. 2) Wrap the hairs in the big towel which are used to cover the client's neck part.

11. Care action Rationale 10. Drying the hair: Wipe the face and neck if needed Dry the hair as quick as possible Massage the scalp with oil as required Comb the hair and arrange the hair according to the client’s preference Make the client tidy and provide comfortable position To prevent him/her from becoming chilled To increase circulation of the scalp and promote sense of well-being To raise self-esteem 11. Clean the Equipments To prepare for the next procedure To prepare for the next procedure 12. Perform hand hygiene To prevent the spread of infection 13. Document the condition of the scalp, hair and any abnormalities on the chart with your signature. Report any abnormalities to senior staff. Documentation provides coordination of care Giving signature maintains professional accountability