BED BATH Leave a Comment / Nursing Procedure / By nurseinfo.in BED BATH Bed bath means bathing a patient who is confined to bed and cannot have the physical and mental capability of self-bathing Bath is the act of cleaning the body. Baths are given for therapeutic purposes NURSING PROCEDURES LIST CLICK HERE Purposes To cleanse body of dirt, debris and perspiration To refresh To stimulate circulation To provide comfort and relaxation To enhance self-concept To provide tactile stimulation To facilitate head to be assessment To regulate body temperature To induce sleep To prevent pressure sore To remove toxic substances from body surface To maintain an effective nurse-patient relationshipTo give health instruction to patient To remove unpleasant odors due to perspiration To relieve fatigue To prevent contractures by giving exercises To minimize the skin irritation Types of Patients Needing Bed Bath Unconscious or semiconscious patients Postoperative patients Patients with strict bed rest Paraplegic patients Orthopedic patients in plaster – cast and traction Seriously ill patients Types of Cleansing Bath Bed bath: it is the bathing of a patient who is confined to bed Therapeutic bath: doctor specifies the temperature of the water, medications to be added and the body part to be treated Partial bath: it is the act of cleaning particular areas in the body part. They are face, axilla, and genitalia, upper and lower-limbs Self-administered bath: this is same as in bed bath except the patient is assisting in taking bath Tub bath or bath room bath: this bath is allowed to the patient only if he has enough confidence for self-help and to withstand procedure Scientific Principles Heat is conveyed to the body by convection The tolerance of heat is different in different persons The skin is sometimes irritated by the chemical composition of certain soaps Moving the joints through their full range of movement helps prevent loss of muscle tone and improves circulation Long smooth strokes on the arms and legs that are directed from the distal end to proximal increases the rate of venous flow Healthy unbroken skin is a defense against harmful agents and assures resistance to injuries to a certain extent Hygiene practices vary in society according to the socioeconomic standard and culture of the individual Practice of food technique save time, energy material and adds to the comfort of the patient Sensory receptors in the skin are sensitive to heat, pains, touch and pressure Factors Affecting the Skin Impaired self-care Immobilization Exposure to pressure and moisture Vascular insufficiency Reduced sensation Nutritional alternation Constrictive external devices General Instructions Explain the procedure to the patient Maintain privacy of the patient Put off the fans and close the windows and doors to avoid chill Do not give bath immediately after the lunch Cleaning is to be done from the cleanest area to the less clean area The temperature of the water should be 110 – 115 degree FA thorough inspection of the skin and back is necessary to find out early signs of pressure sore Use soap which contains less alkali Special attention must be given to the creases and folds and bony prominences between fingers and toes and pubic region Remove the soap completely to avoid the drying effect of the soap on the skin Do not touch the body with wet hands it is unpleasant to the patient Creams or oils used to prevent drying or excoriation of the skin The nurse should maintain good posture and balances of the body during bed bath Preliminary Assessment Identify the patient and assess the need Check doctors order for any specific precautions Assess the general condition of the patient Assess the patient’s ability of self-help Assess the patient’s mental status to follow directions Check the patient’s preference for soap, powder, etc Check whether the patient has taken the meal in the previous one hour Find out the available articles in the unit Provide privacy avoid draught and maintain proper light Teach the patient and relatives about personal hygiene Preparation of the Patient and Environment Explain the sequence of the procedure to the patient Close the windows and doors to prevent draughts put off the skin Arrange the necessary articles at the bedside Maintain the room temperature which will be must comfortable for patient Adjust the height of the bed to the comfortable work of the nurse Bring the patient to the edge of the bed and towards the nurse to prevent overreaching Provide privacy by means of curtains Offer bed pan or urinals if necessary Keep the patient flat if the condition permits remove extra pillows and back rest Remove the personal clothing and cover the patient with the bath blankets Equipment Basins – 2 (big land small 1) Soap and soap dish Wash cloth – 2 Bath touch – 2 Face towel – 1 Bath blanket of sheet – 1 Surgical spirit and powder Nail cutter Comb and oil Kidney tray or paper bagJugs – 2 Bucket – 1 Clean bed linen Clean dress to patient Bucket or a laundry bag Bath thermometer – 1 Procedure Explain the procedure Remove the patients dress, cover with bath sheet while removing top sheet and dress Mix hot and cold water in basin half full and check the temperature on the back of your hand Spread face towel around neck Wet sponge towel and form mitten around gingers after removing excess water Clean body in following Face Wet and apply soap to forehead, face, over and behind ear and neck Clean eyes from inner to outer canthus Rinses sponge towel and allow patient to wipe face Dry with face towel, replace at head end of bed Arms Place towel lengthwise under the farthest arm if there is IV do not disturb it Take soapy bath mitt and soap the arm and axilla Massage the pressure areas Place the hand in basin of water to wash Rinse and dry well, paying attention to skin under breast Recover with towel Chest Avoid unnecessary exposure Cover chest with towel and turn bath sheet down to abdomen Wet chest and apply soap in rotatory movment, paying attention to skin creases Remove soap thoroughly by wiping from neck to check Dry with bath towel Abdomen Fold top sheet up to suprapubic region cover the chest with bath towel Wet and clean abdomen with soap Clean umbilicus and dry with bath towel Cover the patient with top water and remove towels Back Turn the patient on side or left lateral position. Close to edge of bed, with back towards nurse Expose back including buttocks, spread bath towel on bed, close the patients back Wet the area and apply soap with rotatory movements clean and remove soap and dry the area Give massage by applying firm pressure with palms and fingers from sacrum to shoulder in sequence, covering whole back Help the patient to return to supine position Legs Uncover the farthest leg and place towel under leg Apply soap to the leg and give special attention to the groin Massage the pressure points Place foots in basin of water to wash Rinse and dry well, paying special attention in between the toes Repeat the procedures on the near leg Pubic Region Clean pubic region with wet large rag piece (for helpless patient)Permit patient to clean if so desired Discard rag pieces into large K-basin Give perineal care for helpful patient After Care Provide clean gown and pajama Replace articles after cleaning Discard dirty water in sluice room Clean the bed linen if needed Offer a hot drink (coffee or tea) if permitted Position the patient for comfortable and proper alignment Cut short the finger nails and toe nails Comb the hair and arrange the hair Hand wash Record the procedure in the nurse’s record with time, date, type and abnormalities noticed BED BATH – Definition, Purpose. Equipment , Procedure, After care BED BATH – Definition, Purpose. Equipment , Procedure, After care BED BATH NURSING PROCEDURE VIDEO CLICK HERE Post navigation ← Previous PostNext Post → Leave a Comment Cancel Reply Your email address will not be published. Required fields are marked *Type here..Name* E-mail* WebsiteSave my name, email, and website in this browser for the next time I comment.