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BED BATH AND SHAMPOOING BED BATHING

General Skin Care Principles Special Considerations

- Assess the patient’s skin daily - Patient becomes chilled during bath
- Cleanse the skin, when indicated, such as when - The patient becomes unstable during the bath
soiled, using a no-rinse, pH-balanced cleanser - Patient with IV line and other contraptions
- Avoid using soap and hot water; avoid excessive - Positioning
friction and scrubbing - Incontinence
- Minimize skin exposure to moisture - Patient with indwelling catheter
(incontinence, wound leakage); use a skin
Lifespan Considerations
barrier product, as necessary
- Use emollients - Check the temperature of the water carefully
before bathing an older patient
Purpose
- An older, continent patient may not require a
- Cleansing the skin full bed bath with soap and water everyday. If
- Stimulation of circulation dry skin is a problem, water and skin lotion or
- Improve self-image bath oil may be used on alternate days
- Reduction of body odors
HAIR CARE
- Promotion of Range of Motion
Guidelines:
Factors that negatively affect skin health
- Assess the patient’s hygiene preferences
- Poor nutrition and hydration
- Limitations to physical activity
- Advancing age
- Presence of skin breakdown or infestations
- Incontinence
- Medical interventions, such as radiotherapy and Purpose
chemotherapy
- Concurrent or underlying skin conditions - Stimulate circulation
- Surgical interventions, wounds and drains - Prevents lice infestation
- Poor mobility - Distribute hair oils and provide a healthy sheen

Cleaning Baths Special Considerations

- Complete Bed Bath - Glass is found in hair


- Self-Help Bath - A patient with spinal cord or neck injury
- Partial Bath Lifespan Consideration
- Tub Bath
- Infants
Bedside Cleaning and Skin Care Products o Shampoo an infant’s hair daily to
- Bathing Cloths prevent seborrhea
- Bathing Wipes - Children
- No-rinse Body Wash and Shampoo o Monitor school-age children for nits
- Body Foam (pediculosis)
- Older Adults
Guidelines o Ensure adequate warmth for older
- Provide Privacy adults when shampooing their hair,
- Maintain Safety because they are susceptible to chilling
- Maintain Warmth
- Promote the patient’s independence as much as
possible

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