CARE OF HAIR

CARE OF HAIR

Care of hair is part of the personal hygiene. It is another way of helping the patient feel good about him and maintain a good mental attitude. A patient’s hair should be combed daily. In addition, other care is necessary to enhance morale, stimulate circulation of the scalp and prevent tangled, matted hair

Purposes of Hair Care

  • Hair care improves the morale of the patient
  • It stimulates the circulation of the scalp
  • Shampooing removes bacteria, microorganisms, oils, and dirt that cling to the hair

Objectives

  • To maintain cleanliness of the scalp and hair
  • To prevent matting of hair
  • To promote comfort and to stimulate circulation of the scalp
  • It gives an opportunity of observation of the scalp and hair
  • It maintains a glossy and healthy appearance of hair and gives satisfaction to the patient

Scientific Principles

  • Well-combed and attend hair provide comfort to the patient and make appearance more attractive
  • Neglected hair and scalp contain dirt and microorganism and also produce infection of the scalp
  • Unbroken skin acts as a barrier to infection

Types of Hair Care

  • Daily care: the hair should be thoroughly combed and brushed daily. A woman usually needs more attention to the hair due to its length
  • Hair shampoo: shampooing the hair in order to maintain its cleanliness
  • Treatment of hair: pediculosis treatment – it is the treatment given with DDT 5% of carbolic lotion 1:40 applied thoroughly on the scalp and it is left for overnight, and the next day a thorough bath is given and the linen is change

MAINTAINING HAIR CARE

Care of hair means maintaining cleanliness of hair, i.e. free from dandruff, dirt, nits, lice, flakes, dryness and irritation

Purpose

  • To keep hair clean and healthy
  • To promote growth of hair
  • To have a neat and tidy appearance
  • To prevent itching, infection, dandruff, lice, flakes, dryness and irritation
  • To prevent loss of hair
  • To prevent accumulation of dirt
  • To stimulate circulation
  • To prevent tangles
  • To promote comfort
  • To have a sense of well-being

Three Aspects of Hair Care

  1. Daily care by brushing and combing
  2. Head bath in order to maintain to cleanliness
  3. Treatment of hair for lice infestation

Factors Influence on Hair

  • General health of a person
  • A well-balanced diet
  • Light and fresh air
  • Daily practices (hair wash and combing)
  • Hair brushing and massage
  • Endocrine disorder

Factors Affecting Hair

  • Altered level of consciousness
  • Physical weakness or disease condition
  • Immobility and aging
  • Insect bite and infestations
  • Accumulated secretions
  • Hormonal changes
  • Physical and emotional stress
  • Poor health practices
  • Effects on drug

Common Hair Scalp Problems

  • Dandruff – sealing of scalp accompanied by itching
  • Pediculosis – lice infestation
  • Alopecia – hair loss
  • Tangled and matted hair
  • Dryness
  • Flakes
  • Irritation

HAIR COMBING

The hair can be combed and washed in the morning so that the patient can feel refreshed and appear well-groomed before starting daily activities

General Instructions

  • Hair needs to be brushed daily in order to be healthy
  • Long air should be combed at least once a day to prevent it from matting
  • Teeth of the comb should be dull to prevent scratching of the scalp
  • Hair must be kept free from snarls, combed and brushed without hurting the patient

Preliminary Assessment

Check

  • Doctors order for specific precautions
  • General condition and self-care ability
  • Condition of the scalp and hair
  • Mental status to follow directions
  • Articles available in the unit

Preparation of the Patient and Environment

  • Explain the procedure
  • Arrange the article at the bedside
  • Provide privacy and adequate light
  • Make the patient to sit on a bedside chair or stool
  • Protect the bottom sheet and pillow case with a towel
  • Protect the nurse’s uniform by wearing aprons

Equipment

  • Clean comb
  • Mackintosh and towel
  • Coconut oil in a container
  • Kidney tray and paper bag
  • Kidney tray with carbolic lotion 1:20 to destroy the lice and to disinfect the comb

Procedure

  • Wash hands and take required articles at bedside
  • If possible as patient to sit on a stool otherwise side lying or fowler’s position
  • Place the Mackintosh under the head of the patient
  • Each half of the hair is treated separately without causing strain on the patient
  • Separate the hair in small strands. To prevent pulling hold strands above the part being combed, so that there will be no pain to the patient
  • Comb the tangle out from the ends first and then go up gradually. Use oil to remove tangles
  • After combing the hair thoroughly, use ribbon to tie the hair
  • Discard loose hair into the paper bag

After Care

  • Place the patient comfortable and tidy
  • Replace the articles to the utility room
  • Wash hands thoroughly
  • Record and report the procedure in nurse’s record sheet

Problems of Neglected Hair Care

Neglected hair care cause sticky and heavy and acquires a sour, unpleasant odor, which may be quite distressing the patient. Pediculosis is associated with poor hygiene, crowded living condition and exposure to other individuals.

The people with pediculosis have complaints of severe itching of the scalp and scratch the head continuously giving rise to abscess formation. The lice are blood suckers and cause anemia. They also spread disease, e.g. typhus fever, relapsing fever, trench fever.

HAIR WASH/BED SHAMPOO

The patient confined to bed will require a cleansing shampoo at least every two weeks. With the approval of the medical officer, plan the shampoo for a time when the patient feels rested and has no conflicting treatments or appointments. If the patient can be moved to a stretcher, do so and take him to a convenient sink. If this is not possible, do the shampoo in bed

Definition

Hair wash/bed shampoo is a special care of the hair may be required for patients who are in bed for a prolonged period of time

Shampooing the hair should be performed whenever the hair and scalp are dirty

Principles of Shampooing the Bed Patient’s Hair

  • The supine position is preferred for weaker patients
  • Patients with significant heart or lung disease will not tolerate being supine; they must be in a sitting position
  • Hair care should be given regularly during illness, just as it would be normally

Purpose

  • To keep hair and scalp clean and healthy
  • To promotes sense of comfort and self-esteem
  • To complete the treatment of pediculi

General Instructions

  • The patients are given hair wash at least once a week for bedridden patients
  • Avoid hair wash for patients who have just taken meals at least for an hour
  • Avoid exposure and chilling by keeping the patient covered with top clothes
  • If the patients are very sick, note pulse before and after the hair wash
  • Do not let the patient exert and try to avoid exertion to the patient as far as possible

Preliminary Assessment

Check

  • Doctors order for specific precautions
  • General condition for the patient
  • Self-care ability
  • Patients preference for soap, shampoo, oil, etc
  • Patients mental state to follow instructions
  • Availabilities of ward article

Preparation of the Patient and Environment

  • Explain the procedure
  • Arrange the articles at the bedside
  • Provide privacy
  • Position the patient (flat) comfortably to the edge of the bed (if condition permits)
  • Remove the extra pillows and back rest
  • Make an improvised through (Kelly’s pad) and place it under the hand to facilitate the drainage of water in to receptacle
  • Place the bucket on the low stool close to the side of the bed. The distal end of the Mackintosh (trough) is received in to it
  • Plug the ear with cotton balls

Equipment

  • A tray contains bath towels – 2
  • Face towel – 1
  • Long Mackintosh – 1
  • Cotton swabs – 2
  • Liquid soap  or shampoo
  • Hair comb
  • Kidney tray
  • Paper bag and news paper
  • Bucket – 1
  • Mug – 1
  • Jugs – 2 (hot and cold water)
  • Safety pins

Procedure

Following is the procedure for administering a shampoo to a patient in bed

  • Place a newspaper on the chair and the bucket on the newspaper. Place the patient of water, shampoo, comb, brush, and one of the two bath towels on the bedside cabinet
  • Move the patient to the near side of the bed. Lower the bed to a level position
  • Pull the pillow down under the patient’s shoulders to assisting extending the neck. Fold one bath towel around the neck
  • Place the narrow side of the rubber sheet under his head and over the edge of the pillow. Roll the sides of the sheet to improvise a trough, and place the free end in the bucket
  • Give the patient a washcloth for his eyes and face
  • Check provisions for water drainage before pouring any water
  • Wet his hair and apply shampoo. Lather and rinse it
  • Reapply shampoo and rinse the hair again repeatedly until his hair is “squeaky clean”. (a woman will require more rinse water than a man, but otherwise the procedure is unchanged)
  • Slip a dry towel under the patient’s bed. Then roll and remove the rubber sheet. Pull the pillow up into its normal place
  • Dry the hair by gently rubbing it with a clean towel
  • Remove the equipment and wipe up any water spilled on the floor
  • Assist the patient to comb and brush his hair with a clean comb and brush

After Care

  • Place the patient in comfortable position
  • Dry the hair, comb and arrange hair when completely dry
  • Change linen if wet
  • Replace the articles into utility room
  • Wash hands thoroughly
  • Record and reporting the procedure in nurses record street
CARE OF HAIR - MAINTAING PATIENT HAIR, HAIR COMBING, HAIR SHAMPOO METHODS, Definition, Purpose, Equipment, Procedure, After care
CARE OF HAIR – MAINTAING PATIENT HAIR, HAIR COMBING, HAIR SHAMPOO METHODS, Definition, Purpose, Equipment, Procedure, After care

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