BED BATH

ORAL CARE
• Important not only to prevent dental caries but
also to improve patient’s self-image. Assess
cavity and dentition. Look for any dental caries,
sores or white patches. White patches may
indicate fungal infection called thrush.

ORAL CARE
1. Check the chart and plan of care for any
information related to the patient’s ability to
participate in the procedure being planned.
2. Assess the patient to determine if there are
other concerns of a higher priority than
hygiene.
3. Check whether needed special supplies or
equipment are already in the room.
4. Determine if there is a need for assistance.
5. Determine what supplies are to be needed.
6. Wash hands.

12. 10. Obtain supplies: toothbrush. 11. Identify patient. Explain the procedure to the patient. and clean gloves.ORAL CARE 7. dental floss. 8. Provide privacy. Raise the head of the bed. 9. cup of water. Provide oral care . toothpaste. face towel. emesis basin.

B.ORAL CARE FOR CONCIOUS PATIENT A. C. E. D. F. Place towel under patient’s chin Put on clean gloves Moisten toothbrush and apply cleansing agent Brush teeth Allow patient to rinse with water Wipe patient’s mouth .

ORAL CARE FOR UNCONCIOUS PATIENT A. D. F. E. C. Position patient on a lateral position Place towel under the patient’s chin Put on clean gloves Place padded tongue blade in patient’s mouth Moisten toothbrush and apply cleansing agent Brush teeth Use swabs or gauze to cleanse all surfaces of the mouth . G. B.

Rinse mouth Wipe patient’s mouth Lubricate lips if needed Return bed to low position . K. J.ORAL CARE FOR UNCONCIOUS PATIENT H. I.

Perform aftercare to the equipments used 15.ORAL CARE 13. . Wash hands. Evaluate the patient: subjective feelings and objective appearance. Watch the patient carefully for signs of fatigue or other adverse responses 14.

SHAMPOOING • Is a technique wherein a patient remains on bed and is given a shampoo with water brought to the bedside. .

PURPOSE OF SHAMPOOING • To clean hair • To stimulate blood circulation to the scalp through massage • To remove organisms such as head lice through application of a medicated shampoo. .

SHAMPOOING HAIR ON BED 1. Select suitable time with the patient for shampooing. Elevate bed on a working height. Determine if any risk exists that might contraindicate shampooing and/or positioning. Determine whether a medicated shampoo is to be used and confirm if it is available. 4. Provide privacy. 2. 5. 3. . Lower side rails on the side of the bed where you are working on.

9. Explain patient. 8.SHAMPOOING HAIR ON BED 7. 10. Wash hands and assemble equipments needed: ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ ▫ Bath towel Face towel Shampoo Dip Plastic basin Wash basin Bath blanket Kelly pad Hair dryer Cotton balls . Explain procedure to the patient. Remove pins and ribbons on patient’s hair.

SHAMPOOING HAIR ON BED 1. 3. Arrange equipments for convenient access. Remove pillow under patient\s head and place under the neck and shoulders. Position patient in supine with head and shoulders at the top edge of bed. Place water proof pad and shampoo basin or trough respectively being sure trough spout extends beyond edge of mattress and end of spout into the wash basin or receptacle. . 2.

. 5.SHAMPOOING HAIR ON BED 3. Fanfold top sheet down to the waist of patient and cove upper part (if only for shampoo) or cover body with bath blanket (if bed bath follows) 4. ask patient to hold it. Brush/comb patient’s hair 7. 6. Obtain water at about 43-44C. Place face towel over both eyes. Place cotton balls on ears. Check water temperature.

Make sure water drains into the basin or receptacle. Work up a good lather on your hands. Lift neck with one hand to wash back of head. Rinse hair with water. Repeat steps 8-10. .SHAMPOOING HAIR ON BED 9. 10. To speed drainage from trough. 11. start at the front towards the back of the neck. Massage all areas of the scalp systematically. Apply shampoo on the scalp. press down its spout. massage hands with the pads of fingertips.

SHAMPOOING HAIR ON BED 12. Apply conditioner if requested and rinse hair thoroughly. Squeeze as much water as possible out of the hair with the hands. 14. Wrap patient’s head with towel. Remove cotton balls from patient’s ears. Remove shampoo equipment from the bed. Assist patient in a comfortable position. Dry face and dry off any moisture along neck and shoulders with wash cloth used to protect the eyes. . 16. 13. 15.

discard soiled linens in the hamper.SHAMPOOING HAIR ON BED 12. 15. Record procedure and any pertinent findings related to condition of hair. Wash hands. Dry patient's hair and scalp with towel. Return equipments to its proper place. Comb hair to remove tangles and dry with dryer. Complete styling of hair. 13. use second towel if first becomes saturated. . 14.

CLASSIFICATION OF BED BATH • Cleaning bath ▫ Taken basically for deodorizing the skin by removing accumulated sebum. and bacteria. usually ordered by the physician . • Therapeutic bath ▫ taken for specific physical effect such as to soothe irritated skin or to treat an area of the body. perspiration. dead skin cells.

hands. perineal area. axillae. Patient is able to bathe in the bathroom but with guidance or assistance of the nurse . and back • Self-help bath ▫ Patient confined to bed is able to bathe self with some assistance from the nurse • Tub bath and shower bath ▫ Maybe partial or complete bath.TYPED OF BATH • Complete Bed Bath ▫ Washes the entire body of a dependent patient • Partial bath ▫ Washes only parts of the patient’s body that causes discomfort or odor such as face.

• To determine aspects of the patient’s overall physical and mental health such as mobility. hygiene practices. • To provide opportunity for the nurse to assess the condition of the patient’s skin. fatigue. • To produce a sense of well being. • To stimulate circulation to the skin. and learning needs. . strength.PURPOSE/OBJECTIVES OF BED BATH • To clean and deodorize the skin by removing accumulated sebum.

2. including general condition. Check patient\s room for equipments. 3. Check doctor’s order. v/s. To be used .TEPID SPONGE BATH ASSESSMENT 1. and response to previous treatment/procedure. Assess client.

Obtain necessary materials . Perform hand hygiene 2.TEPID SPONGE BATH PLANNING 1.

. 2. 3.TEPID SPONGE BATH IMPLEMENTATION 1. 6. and place three washcloth on the axillae and groin are. 4. Identify patient for care. Fill basin with cool (or room temperature) water. Remove top linen and place bath blanket in place 5. wring out. Explain procedure to the patient. Provide privacy. Wet.

going to the nose. 8. then down to the chin. and the last area of the forearm. Make a mitten using another wash cloth. wipe the one side of the extremity using one side of the wash cloth. then on to the cheek. Using S stroke. Make sure you use all sides of the wash cloth per area of the face. then the second. third. Bathe each extremity for 3 minutes. . Wash first the hands of the first extremity. Using long firm strokes.TEPID SPONGE BATH IMPLEMENTATION 7. wash the face starting at the forehead. Divide the surface of the upper extremity into four side.

Have patient turn over (to either left or right side). . 10.TEPID SPONGE BATH IMPLEMENTATION 9. start with one of the shoulder going down the buttocks. make a mitten again. Using long firm stroke. Repeat on the other side of the back. Repeat the same procedure on the other extremity. Bathe back and buttocks for 5 minutes. Pat each extremity dry. Cover appropriately the patient. 11. 12. After rinsing the washcloth.

TEPID SPONGE BATH IMPLEMENTATION 13. Remove washcloth from axillae and groin and dry. Washes hands. 15. Provide patient with fresh gown. 14. 17. . Dry back and buttocks. Check patient’s temperature. 16. 18. Perform aftercare. Replace top linen and remove bath blanket.

Record the procedure done on the nurses’ notes.TEPID SPONGE BATH EVALUATION 1. Evaluate using following criteria: Signs/symptoms of harmful effects of the procedure Patient’s comfort DOCUMENTATION 2. .

PERINEAL-GENITAL CARE • • • Involves cleaning or washing the genital and anal areas Commonly done following bed bath or anytime as requested by the patient. Can be done by patient himself with some assistance from the nurse or done by the nurse himself (if patient is dependent) .

PERINEAL-GENITAL CARE PURPOSES OF PERINEAL CARE • • • To remove the normal perineal secretions or odors To prevent infections To irrigate perineum .

3. 5. and safety throughout the procedure Lower bed rail on the working side Provide client with a bath blanket . Wash hands Introduce self to the patient Explain procedure to the patient Prepare all materials and equipments to be used Provide privacy Utilize standard precautions.PERINEAL-GENITAL CARE 1. 6. 4. 7. comfort. 8. 2.

Place waterproof pad or bed pan under the buttocks. place over pubis area and fold gown up to expose the genital. . 13. 12. Fold the top linen to the foot of the bed. Don gloves 11. remove the towel under the drape.PERINEAL-GENITAL CARE 9. 14. Help flex knees and spread legs. Diamond drape the patient. Prepare client by assisting in a side lying position to place the towel lengthwise alongside 10.

Wash mons pubis with S stroke using four corners then the inguinal area. Rinse using washcloth. soap. . Wash. soap. then rinse. 16. soap. Squeeze out excess water before using them. Wash.PERINEAL-GENITAL CARE 15. and dry upper inner thighs using washcloth 17. Wet washcloth. rinse mons pubis using S stroke. FOR FEMALES: 18. Apply soap in wash cloth. Wash. rinse.

and vaginal orifice. . clitoris. with dominant hand. Separate labia with non-dominant hand to expose urethral meatus and vaginal orifice. Cleane labia majora. 20. Repeat on opposite side using separate corner of wash cloth. Cleanse thoroughly around labia. Use non-dominant hand to gently retract the labia from the thigh. Rinse and pat dry.PERINEAL-GENITAL CARE 19. wash downward from pubic area to rectum in one smooth stroke. Use separate section of cloth for each stroke. wash carefully in skin folds from perineum to rectum. With dominant hand.

PERINEAL-GENITAL CARE 21. retract foreskin. 22. If using bed pan. FOR MALES: 23. Gently raise the penis and place bath towel underneath. . If client is uncircumcised. 24. pat dry using front to back method. Then. Cover perineum. Remove bed pan or pad. Gently but firmly grasp the shaft of the penis. pout warm water over perineal area.

Pay special attention to underlying surface of penis. . Discard washcloth. Repeat with clean cloth until penis is clean. 26. cleanse from meatus outward. Wash the tip of the penis at urethral meatus first.PERINEAL-GENITAL CARE 25. Return foreskin to its natural position. 28. Using circular motion. Rinse and dry gently. Wash shaft of the penis with gentle but form downward strokes. 27. Gently cleanse the scrotum. Rinse and dry penis thoroughly. Lift carefully and wash underlying skin folds. Rinse and dry.

PERINEAL-GENITAL CARE 29. Remove bath blanket and dispose all soiled linens. Assist patient in a comfortable position and cover with sheet. 33. Return all equipments used. 30. Remove disposable gloves and dispose in proper receptacle. 31. Wash hands. . 34. Document procedure done. 32.