Name: Date:

Clinical Instructor’s Name and Signature:

BATHING AN ADULT CLIENT

PURPOSES:
 To remove transient microorganisms, body secretions and excretions, and  To promote a sense of well-being
dead skin cells  To produce relaxation and comfort
 To stimulate circulation to the skin  To prevent and eliminate unpleasant body odors

EQUIPMENT:
 Basin or sink with warm water (between 43°C and 46°C [110°F and 115°F])
 Soap and soap dish
 Linens: bath blanket, two bath towels, washcloth, clean gown or pajamas or clothes as needed, additional bed linen and towels, if required
 Clean gloves, if appropriate (e.g., presence of body fluids or open lesions)
 Personal hygiene articles (e.g., deodorant, lotions)
 Shaving equipment
 Table for bathing equipment
 Laundry bag

Passed
Fail

ImprovementNeeds
PERFORMANCE RATIONALE

PERFORMANCE
1.
2. Prior to performing
Perform hand hygienetheand
procedure,
observe introduce
other self and infection
verify the
3.
4. Provide
Prepare for
the client
client privacy
and by drawing
the environment. theappropriate
curtains around the Hygiene is a personal matter.
a.
b. Invite
Close a family
windows member
and or to
doors significant
ensure theother
room toisparticipate
a the Air currents
c.
d. Offer the client
Encourage the a bedpan
client to or urinal
perform as or ask whether
much personal self- Warm
This water increase
promotes and losscan
activity
independence,
of heat from the body
stimulate
exercise, the
andneed
by convection.
to void.
self-esteem. The client
For ae.
Bed During
a. Bath the
Position the
bath, assess each area of the skin carefully.
bed at a comfortable working height. Lower This avoids undue reaching and straining and promotes good body
b.
Note:Make Place
If theabed bath blanket over top sheet. Remove the top sheet The bath blanket provides comfort, warmth, and privacy.
6. bathlinen
mittiswith
to be thereused, place it over the bedside chair. If itAisbath
washcloth. to bemitt
changed,
retainsplace
wateritand
in the linen
heat hamper,
better than anot onloosely
cloth the floor. ---
held
Making a bath mitt, triangular method. A, Lay your hand on the washcloth; B, fold the top corner over your hand; C, fold the side
Making
7. Washa bath
the mitt, rectangular method. A, Lay your hand on the washcloth
face. Begin the and
bath fold
at one
the side over
cleanest areayour
and hand;downward
work B, fold the second
toward the
a.
b. Place
Wash towel under eyes
the client’s client’s
withhead.
water only and dry them well. Using separate corners prevents transmitting microorganisms from
Use a separate corner of the washcloth for each eye. one eye to the other. Wipe from the inner to the outer canthus.
This prevents secretions from entering the nasolacrimal ducts.

Using a separate corner of the washcloth for each eye,

wipe from the inner to the outer canthus.
c.
d. Ask
Wash,whether
rinse, the client
and dry thewants soap
client’s usedears,
on the
andface. Soap has a drying effect, and the face, which is exposed to the air
8. e.
WashRemove
the arms the
andtowel
hands. from under theface,
client’s head. neck.
a.
b. Place
Wash, arinse,
towel lengthwise
and dry the under
arm by the arm away
elevating the from you.
client’s It protects the bed from
distalbecoming wet.
c.
d. Apply deodorant
Optional: Place a or powder
towel on if desired.
the bed and Special
put a cautionarm
washbasin is Firm
Powder
Many
strokes
is notfrom
clients recommended
enjoy
to proximal
immersing fortheir
theseareas promote
clients
hands tocirculation
duebasin
in the
by
theand washing
9. e.
WashRepeat forand
the chest hand and arm(Omit
abdomen. nearestthe you. Exercise
chest caution for
and abdomen if clear transparent dressing will keep water from an IV site; however,
a.
b. Place
Lift bath
the bathtowel
towel lengthwise
off the over
chest, chest.
and Fold
bathe thebath blanket
chest and Keeps the client warm while preventing unnecessary exposure of the
10. c.
WashReplace
the legs the
and bath
feet. blanket when the areas have been dried.
a.
b. Expose
Lift leg the
andleg farthest
place from
the bath you lengthwise
towel by folding the underbath Covering from
the perineum
the distalpromotes privacy
areasand maintains the client’s
c.
d. Reversethethe
Washeach coverings
feet by placingandthem
repeatin for
the the other
basin leg. the leg.
ofspaces
water.
Washing to proximal promotes circulation by
e.
f. Dry
Obtain foot.
fresh, Pay
warm particular
bathwater attention
now or to the
when necessary. Water may become dirty or cold.
11. WashAssist
a. the back
theand then
client thea perineum.
b.
c. Wash and
Remove and theinto
drydiscard prone
client’s
gloves
or side-lying
back, moving from position
the facing This provides warmth and prevents undue exposure.
d.
e. Perform
Assist thea client
back massage nowif or
to the supine
used.
after completion
position and determine of bath.