SHAMPOO IN BED

PATRICK D. ALBIT, RN, MAN

DEFINITION:

It is the washing of the hair

while the patient is still in
bed. It should be performed
as often as necessary.
PURPOSES:
1.To stimulate the blood circulation to
the scalp.
2.To distribute hair oils and provide a
healthy sheen.
3. To increase the client’s comfort.
4.To assess or monitor hair or scalp
problems (e.g., matted hair or dandruff).
 PURPOSES:
5.To clean the hair and increase the
patient’s sense of well being.
6. To refresh the patient.
7.To remove substances, such as
blood or body secretions.
 HAIR
The appearance of hair often reflects
persons feeling of self concept and
sociocultural well being

Hair may also reflect state of health

Hair problems include dandruff, hair

loss, ticks, pediculosis (lice), scabies
and hirsutism
 GENERAL
CONSIDERATIONS:

1. Nappy/Kinky Hair
2. Pressed Hair
3. Permanent Straightening
4. Grease/Oil
5. Braids/Extensions/Wigs
6. Dreadlocks
 GENERAL
CONSIDERATIONS:
 GENERAL
CONSIDERATIONS:
1. Examine the hair, note its
distribution, cleanliness, texture and
any indications of parasitic infections,
such as lice on the head shaft;
lacerations, dry scaly patches,
scratches, lesions and swollen areas;
any signs of itchiness of the scalp.
2.Always protect the bedside
from being wet.
3.Other agencies, be sure the
physician orders the treatment.
4.Avoid exposure and chilling of
the patient.
5.See to it that the patient is
comfortable throughout the
procedure.
6.Choose a time when the client is
rested and can rest after the
procedure.
7.Note signs of dandruff on the
shoulders and back of clothing.
8.Determine if there are contraindications
before starting the procedures such as
head and neck injuries/craniotomy,
spinal cord injuries and arthritis. These
conditions could place the patient at risk
for injury.
EQUIPMENT:
1. Bath towels (3)
2. Bath blanket
3. Tray containing:
a. washcloth
b. hair shampoo and conditioner
c. dry cotton balls (2)
d. comb/brush
e.pitchers with hot water and tap water
f. safety pins
4. Two pails (40.5C)
a. pail containing a clean water
b. empty pail
5. Shampoo trough/kelly pad
6. Paper for lining
7. Rubber sheet/bed protector
 PROCEDURES:
1. Prior to performing the procedure,
introduce self and verify the client’s
identity using agency protocol.
Explain procedure to patient /
significant others thoroughly.

R. An explanation facilitates
understanding and
cooperation.
2. Perform hand washing thoroughly.
Put on disposable gloves for your
protection.

R – hand washing deters the

spread of microorganisms.
3. PREPARE THE NECESSARY
MATERIALS NEEDED FOR THE
PROCEDURE.

R. Organization is a form of
appropriate time- management
and prevents fatigue of the
nurse.
4. Assemble equipment on
bedside table within reach.

R – to avoid stretching and over

reaching.
5. Close the curtain around the bed
and close the door for privacy

R. Hygiene is a personal matter.

6. Protect the floor with
newspaper and put pail over it.
7. Position the patient with the head
and shoulder near the edge of the
bed from which you will work.

R – supine position facilitates

drainage away from the face, eyes
and head.
8. Replace top sheet with bath
blanket.

R – Blanket prevent from chills.

9. Remove the pillow from under the
client’s head and place it
under the shoulders unless there is
some underlying condition

R – This hyperextends the neck

10. PLACE PROTECTIVE PAD OR RUBBER
SHEET UNDER PATIENT’S HEAD AND
SHOULDERS.

R – keeps the bedding dry.

11. Place a bath towel around the
patient's shoulder.

R – keeps the shoulders dry and

helps absorb water from hair.
12.Position the patient for shampooing.
Place the Kelly pad under the patient's
head with the drainage spout extending
over the edge of the bed and directed
into the pail.

R – this protects the bed and ensure a

constant flow of waste to the pail
13. Cover both eyes with folded
washcloth and plug ears with
cotton balls.

• R – To protect the eyes from soapy

water. Cotton balls protect water from
entering the ears.
14. Brush or comb the patient's hair and
massage the scalp.

R – Anything unusual about hair and scalp

can be observed.
Massaging improves blood
circulation.
15. If the patient is able, have him or her
hold a folded washcloth at the
forehead. Pour pitcher of
warm water slowly over patient’s
head, making sure that all hair is
saturated. Refill pitcher if needed.
16. APPLY A SMALL AMOUNT OF
SHAMPOO
• to the patient’s hair. Massage deep into the
scalp, avoiding any cuts, lesions, or sore
spots.

• R – Massaging stimulates blood circulation

in the scalp. The pads of the fingernails will
not scratch the scalp.
17. Rinse with warm water until all
shampoo is out of hair. Repeat
shampoo if necessary.

R – Shampoo remaining in the hair may

dry and irritate the hair and scalp.
18. If the patient has thick hair and
requests for the application of
conditioner, apply a small
amount to the hair and massage
throughout.
19. Rinse with warm water until all
conditioner is out of hair.
20. Squeeze as much water as possible
out of the hair with your hands.
21. Remove the earplugs. Dry the
forehead and ears with face towel.
22. Wrap the patient's head with
bath towel placed around
patient's shoulder.

• R – Placing of towel under patient’s

head absorbs water drops and prevents
patient from chilling.
23. Remove the Kelly pad and adjust the
pillow with water proof covering
lined with towel under the patient's
head.
24. Pat hair dry, avoiding any
cuts, lesions, or sore spots.
25. Gently brush hair, removing
tangles as needed
26. Blow-dry hair on a cool setting if
allowed and if patient wishes.
27. Change patient’s gown and remove
protective pad. Replace pillow.
28. Assist patient to comfortable
position.
29. Do after care, clean and return
materials to proper places.
30. Remove gloves and Perform
handwashing.
31. Record the procedure done, the
reaction of the patient, and any
significant observations.
32. Answer questions related to
nursing procedures.
QUESTIONS?
THANK YOU
Video:

https://www.youtube.com/watch?v=ClWzlL8OMbY