This is the act of cleaning a patient who is confined to bed but has the ability to perform some aspects of self-care with assistance from a nurse.
Aims
· Cleanse body of dirt, debris and perspiration
· Stimulate circulation
· Regulate body temperature
· Relax patient and induce sleep
· Remove unpleasant odours and toxic substances from the body
· Minimize skin irritation
· Improve general muscular tone and joint
Requirements
1. A trolley containing the following:
a. Top Shelf
· Two basins or bowls
· Sponge
· Soap in a dish
· Towel
· Pomade
· Bath thermometer
· Face towel (if available)
b. Bottom shelf
· Two jugs of water (hot and cold)
· Bucket or bowel for used water
· Receptacle for soiled linen
· Long mackintosh
· Bath blanket or sheet
· Clean bedsheet or linen
· Patient’s clothing
· Bed pan or urinal
2. Bucket of tepid water
3. Small pale
4. Soap in a dish
5. Towel
6. Sponge
7. Chair or stool
8. Clean cloth or dress
Steps
1. Establish rapport and identify patient by name
2. Inform and explain procedure to patient
3. Assess patient ability to assist in the procedure
4. Prepare bathroom
5. Collect the necessary articles and arranges them for easy access
6. Send patient to the bathroom with the aid of an adaptive equipment e.g. wheelchair, zimna frame etc.
7. Maintain individuality of patient by asking him/her for the correct temperature of the water
8. Provide privacy
9. Assist patient to undress
10. Provide chair or stool in bathroom when necessary
11. Allow the patient to do as much for him/herself as condition permits
12. Complete the areas were patient needs assistance
13. Make bed and allow patient to assume a desired position
14. Collect toiletries and tidy up the bathroom
15. Perform hand hygiene
16. Document procedure and report any findings (manual/electronic)
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