ENGLISH PAPERS

TAKE A BATH A PATIENT

Supervisor: Fini Widya fransiska, M.Pd.BI

Arranged by :
Group 5

1. FAYI HARISTIA GANI (142012018014)

2. MAYA SAFIRA (142012018021)
3. TRI YESI FRANSISKA (142012018041)
4. REVELATION EKO. A (142012018043)
5. WANDA AMALIA. D (142012018044)

HEALTH FACULTY
PROGRAM STUDY OF NURSING SCIENCE
PRINGSEWU MUHAMMADIYAH UNIVERSITY
2020
FOREWORD
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Praise our gratitude for the presence of God Almighty for the abundance of His grace and
guidance so that the paper entitled "BATHING PATIENTS" can be completed at a
predetermined time.

In the preparation of this paper, there are still many mistakes and shortcomings and it is still
far from perfect. Therefore, we really expect criticism and suggestions from readers that are
constructive and constructive for the perfection of the composer in the future.

The task of this paper could not have been completed without the help, direction and
guidance of various parties. Therefore, let us express our gratitude to all those who have
helped complete this task.

Finally, I hope this assignment can be useful for all of us, especially we are the compilers.

Pringsewu, December 2020

Author

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 TABLE OF CONTENTS

FOREWORD............................................................................................................................3
TABLE OF CONTENTS.........................................................................................................4
PIG............................................................................................................................................5
PRELIMINARY.......................................................................................................................5
Background.........................................................................................................................5
B. Problem Formulation........................................................................................................6
C. Purpose.............................................................................................................................6
CHAPTER II............................................................................................................................7
DISCUSSION...........................................................................................................................7
Definition..............................................................................................................................7
Destination............................................................................................................................7
The goals of bathing the patient on the bed include..........................................................7
Indication..............................................................................................................................7
Contraindicated.....................................................................................................................7
Work procedures................................................................................................................8
CHAPTER III.........................................................................................................................13
CLOSING...............................................................................................................................13
A. Conclusion......................................................................................................................13
Suggestion...........................................................................................................................13
BIBLIOGRAPHY...................................................................................................................15

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 PIG
PRELIMINARY
A. Background
Basic human needs are the focus of nursing care. For patients with
health problems, it is possible that one or more of the patient's basic needs will be
affected. Basic human needs are divided into physical, psychological and social
needs. Physical needs must be met first because they are the greatest needs
including nutrition, rest, oxygen, elimination, sexual activity, therefore nurses must
have the ability and knowledge of how to fulfill basic human needs, by monitoring
and following the development of the patient's ability to carry out activities of daily
life. -day to meet basic needs especially immobilized patient.

Personal hygiene is an action to maintain one's cleanliness and health

for physical and psychological well-being, lack of self-care is a condition where a
person is unable to carry out hygiene care for himself. Look at that thingPersonal
hygiene is defined as personal hygiene which includes all activities aimed at achieving body
hygiene, including washing, bathing, caring for hair, nails, teeth, gums and cleaning the
genital area. If someone is sick, they usually don't pay attention to health problems. This
happens because they consider the problem of hygiene to be a trivial problem, even though
if it is not given attention, it can affect the general health, especially immobilized patients.

Bathing the client is part of total hygiene care. Bathing can be categorized as
cleansing or therapeutic. Bathing is one way to maintain clean skin. Bathing will help create
a relaxed atmosphere, stimulate circulation in the skin, improve self-image and stimulate the
rate and depth of respiration. When the client is unable to take a shower or perform ribadi
skin care, the nurse provides hygiene assistance in the right way and at the right time. The
interaction between nurse and client during bath or skin care will give the nurse the
opportunity to develop a meaningful relationship with the client.

B. Problem Formulation
The problem that we raise in this paper is how the techniques or steps are in bathing
patients in bed.
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C. Purpose

a. General purpose
This paper was created to find out how to wash clients, oral hygiene and prepare
the bed.
b.Special purposes
So that the author is able to carry out nursing actions in accordance with the
following stages :
1. Able to conduct assessments on clients and be able to carry out actions on
clients
2. Able to evaluate nursing actions that have been given to clients
3. Able to document all nursing action activities on the client

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 CHAPTER II
DISCUSSION
A. Definition

The act of bathing a patient is a nursing action by cleaning the body of a patient who
cannot bathe independently by bathing in a bed (Suprapto & Wahid, 2012)
Bathing a patient in a bed is a nursing action performed on patients who are unable to
bathe themselves by bathing in a bed.
Bathing the patient on the bed is an act of cleaning all parts of the patient's body lying
on the bed using clean water, soap and / or an antiseptic solution.
Bathing the patient is a nursing action performed on patients who are unable to bathe
independently or need help. By cleaning the patient with soap and water.

B. Destination

The goals of bathing the patient on the bed include

1. Maintain body hygiene
2. Reduces infections due to dirty skin
3. Stimulate blood circulation, muscles and nerves of the periver (peripheral nerves),
4. Increase patient comfort
5. Prevent wounds and complications on the skin
6. Educate sufferers in personal hygiene.

C. Indication

On clients who cannot bathe independently.

D. Contraindicated

1. Patients with burns

2. Pay special attention to postoperative patients.

E. Work procedures
1. Preparation of the patient

a) Explain the intent and purpose of the action

b) Describe the procedure of action
c) Before performing the act of bathing, offer the patient to defecate or bowel
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 movements
d) Closed bucket / dirty clothes container
e) Disposable handscones
f) Maintain patient privacy
g) Put pillows and bolsters that are not needed in the chair.
h) Washing hands
i) Stand on the patient's right side or as needed.
j) Conduct an assessment

2. Preparation of tools and materials

1) 2 bath basins, each containing cold water and warm water

2) Replacement clothes
3) Bath covers / blankets
4) 2 towels
5) 2 pieces of washlap
6) Place for dirty clothes
7) Sampiran
8) Soap
9) Powder, deodorant and lotion
10) Gloves
11) Comb
12) 2 aprons

3. Procedure of Action

1) Completeness of tools
2) Assess the client's medical records and nursing records
3) Nurse readiness to take action
4) Explain the purpose of the action
5) Hold the device on the patient's right side
6) Offer the patient for BAK, help the patient if the patient is BAK
7) Doors, windows or curtains are closed, if a scherm is used if necessary.
8) Washing hands
9) Put on a handscoon
10) Position the patient
11) Replace patient blankets with bath blankets
12) Pillows removed from bed. If still needed, use pillows as needed
13) The nurse stands on the patient's left or right side
14) Tell the patient that the upper garment must be removed, then the exposed area is
covered with a bath blanket or a cloth
15) The patient is ready to be bathed in the following order:
a. Wash your face
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b. Wash your arms
c. Washing the chest and stomach
d. Wash your back
e. Wash your feet
f. Washing the groin and genetalia

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A. Washing the face

1) The towel is spread under the head

2) Wet a washcloth and wash the patient's eyes
3) Wet, wash face, ears and neck with a damp washcloth then dry with a towel
4) Ask whether the patient used to use soap or not

B. Washing the Arms

1) A bath blanket or blanket is lowered under the patient's arm

2) The patient's hands are raised, place them on the patient's chest and spread them to
the left and right so that both hands can be placed on the towel.
3) The patient's hands are moistened and soaped, this work is started from a remote part
of the staff. Then rinse clean then dry with a towel

C. Washing the Chest and Stomach

1) Cover the patient's chest with a towel, fold the blanket or cover down until the navel,
2) The patient's hands are raised, the towel is raised and spread out on the patient's side
3) Wet, wash and dry the chest area, keeping the patient's chest closed
4) Fold the bath blanket down under the stomach
5) Wet and wash the patient's stomach and dry with a towel

D. Washing the patient's back tilted left

1) The towel is stretched under the back to the buttocks

2) Back until the buttocks are wetted, soaped, rinsed and then dried with a towel
3) The patient is tilted to the right and the towel is spread under the back
4) The left back is washed like the right back

E. Washing the Feet

1) The foot of the patient that is farthest from the staff is removed from under the cloth
or towel
2) The towel is spread under it and the knees are bent
3) The foot is soaped, rinsed, then dried, as well as the other leg

F. Washing the Fold and Thighs and Genetalia

1) Lay a towel under your buttocks and lower abdomen.

2) Wet the groin and genital area, apply soap, rinse and dry
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 3) Remove the towel from under the patient's buttocks and put on the patient's
underside.

a. In women starting from the front in. Opened his pubic lips carefully and
cleaned.
b. In an uncircumcised man, pull the scalp back, then the pubic head and the
skin covering the pubic scalp are carefully cleaned.
1) Wipe clean with a damp washcloth.
2) Dry with a towel until dry
3) The groin area is given a thin talcum powder.
4) Clean the anal area:
5) Tilt the patient to the left side.
6) Unfold the buttocks and clean the anus with a soapy washcloth.
7) Wipe clean with a damp washcloth.
8) Dry with a towel until dry.
9) Position the patient tombali supine.
10) Wearing bottom clothes.
11) Tidy up the patient and put the blankets back if necessary.
12) Make the bed and change the patient's pillowcases if necessary.
13) Opening doors and windows and curtains and or side.
14) Dirty clothes and looms and used toiletries were tidied up.
15) Nurse washing hands.
16) Create nursing records that include:
a) Actions and patient response results.
b) The patient's health condition
c) Vital signs before and after bathing.
d) Mobilization rate.

4. Things To Look For

1) Avoid actions that cause embarrassment to the patient and maintain courtesy
2) Pay attention to the general condition of the patient and any abnormalities in his
body (for example, injuries and so on).
3) Undress according to the sequence of actions.
4) The washcloth is moistened sufficiently not too dry or dry.
5) If the water is dirty, replace it immediately.
6) Dirty clothes and looms and other equipment were tidied up and brought to their
place.

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 CHAPTER III
CLOSING
A. Conclusion

Some patients may need to be bathed in bed. Other patients with the doctor's
permission are allowed to bathe in the tub or shower. Bath treatment with warm water and
gentle soap is given to remove dirt and sweat, improve circulation and provide mild
exercise to patients (Hegner, 2003).

The patient's room regardless of the bed is a home for the patient while he is in the
hospital. A neat bed provides security and comfort which is very important for the well-
being of patients (Hegner, 2003).
Bathing the patient is a nursing action performed on patients who are unable to bathe
independently or need help. By cleaning the patient with soap and water.

The importance of bathing the patient, namely in order to clean the skin and eliminate body
odor to provide a sense of comfort, stimulate blood circulation, as a treatment, prevent skin
infections, and educate patients in personal hygiene. The most important thing is to maintain
patient privacy, lest the patient feel embarrassed.

B. Suggestion

Do not cause embarrassment to the patient and maintain courtesy. In patients who can bathe
themselves, the nurse prepares tools and helps as necessary.

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 BIBLIOGRAPHY

Hidayat, aziz alimul. Et al. 2002. basic human needs. Jakarta. Medical book EGC

http://smkyapi.blogspot.com/2009/05/memandikan-dan-mencuci-rambut.html

http://nersferdinanskeperawatan.wordpress.com/2010/03/01/memandikan-pasien-di-
bed-with-reclining-position /

Kusyati, Ns Eni, S.Kep, et al. 2006. Nursing and laboratory procedures. Jakarta: EGC.

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