BED
BATH
Bathing a Client
BED BATH
Bathing
Bathing removes accumulated
oil, perspiration, dead skin
cells and some bacteria.
Bathing can help to keep the The nurse can observe
Produces a sense of
skin of the client, healthy, well being. client's skin conditions
control odor, and increase The nurse can asses
Opens the door to
the client's psychosocial
comfort. establishing trust
needs.
Agents
Commonly Used
on the Skin
Soap
Bath oil
Antiperspirant
Deodorant
Powder
Skin cream, lotion
Chlorhexidine
glucanate (CHG)
Purpose of
Bed Bath
• To remove transient microorganisms, body
secretions and excretions, and dead skin
cells.
• To stimulate circulation to the skin
• To promote a sense of well being
• To produce relaxation and comfort
• To prevent and eliminate unpleasant body
odors
TWO CATEGORIES
OF BATHS
Cleansing Bath
Therapeutic Bath
Types of Cleansing Baths:
1
Complete Bed Bath
Bed Bath The nurse washes the entire
body of a dependent client in
Bed.
2 Self-help Bed Bath
Clients confined to bed are
able to bathe themselves with
help from the nurse for washing
the back and perhaps the feet.
3 Partial Bath
. Only the parts of the client's
body that might cause discomfort
or odor, if neglected, are washed:
the face, hands, axillae, perineal
area, and back.
Types of Cleansing Baths:
Bag Bath
Bed Bath This Bath is a commercially prepared
product that contains 10 to 12
presoaked disposable washcloths that
contain no rinse cleanser solution.
Towel Bath
The client is covered and kept
warm throughout the bathing
process by a bat blanket.
Tub Bath
Tub baths are often preferred to
bed baths because it is easier to
wash and rinse in a tub. Tubs are
also used for therapeutic baths.
Types of Cleansing Baths:
Bed Bath
Shower
Many ambulatory clients are able to
use shower facilities and required only
minimal assistance from the nurse.
Clients in long - term care settings are
often gives showers with the aid of a
shower chair.
THERAPEUTIC BATHS
Therapeutic baths are
given for physical effects,
such us to soothe irritated
skin or to treat an area.
A Therapeutic bath is
Bed generally taken in a tub
Bath one third or one half full.
BED BATH To remove transient microorganisms, body
secretions and excretions and dead skin cells.
To stimulate circulation to the skin.
PURPOSES:
To promote sense of well being.
To produce relaxation and comfort.
To prevent and eliminate unpleasant body odor.
ASSESSMENT :
Physical or emotional factors
Condition of the skin.
Presence of pain and need for adjunctive measures before the
bath
Range of motion of the joints
Any other aspect of health that may affect the client’s bathing
process
Need for use of clean gloves during the bath
Basin or sink with warm water (between 43°C and 46°C [110°F
and 115°F]).
Soap and soap dish.
Linens: bath blanket, two bath towels, washcloth, clean gown
or pajamas or clothes as needed, additional bed linen and
towels, if required.
EQUIPMENT :
Clean gloves, if appropriate
Personal hygiene articles
Shaving equipment
.
Table for bathing equipment.
Laundry bag
IMPLEMENTATION
PREPARATION
Bring necessary equipment at
bedside or overbed table
IMPLEMENTATION
REMINDERS
• Always start at the farthest side
• Linens are placed lengthwise
• Wet, rinse, dry
• Distal to proximal
• Expose one area/part at a time
IMPLEMENTATION
SEQUENCE
1. Eyes 7. Chest
2. Face 8. Abdomen
3. Ears 9. Back
4. Neck 10. Buttocks
5. Arms 11. Legs
6. Hands 12. Feet
IMPLEMENTATION:
PERDORMANCE
1. Discuss procedure with
patient. Assess patient’s
ability to assist in the bathing
process.
IMPLEMENTATION:
PERDORMANCE
2. Bring necessary equipment at
bedside or overbed table.
IMPLEMENTATION:
PERDORMANCE
3. Provide for client's privacy.
IMPLEMENTATION:
PERDORMANCE
4. Offer patient a bedpan or
urinal.
5. Perform hand hygiene.
IMPLEMENTATION:
PERDORMANCE
6. Raise patient’s bed to the high
position.
IMPLEMENTATION:
PERDORMANCE
7. Lower the side rails nearest to
you and assist patient to
the side of the bed where you will
work. Have patient lie
on his or her back.
IMPLEMENTATION:
PERDORMANCE
7. Loosen top covers and remove
all except top sheet.
Place bath blanket over patient
and then remove top
sheet while patient holds bath
blanket in place. If linen is
to be reused, fold it over a chair.
Place soiled linen in
laundry bag
IMPLEMENTATION:
PERDORMANCE
8. Remove patient’s gown and
keep bath blanket in place.
IMPLEMENTATION:
PERDORMANCE
9. Raise side rails. Fill basin with
a sufficient amount of
comfortably warm water.
Change as necessary
throughout the bath.
IMPLEMENTATION:
PERDORMANCE
10. Fold washcloth like a mitt on
your hand so there are no
loose ends.
IMPLEMENTATION:
PERDORMANCE
11. Lay towel across patient’s
chest and on top of bath
blanket.
IMPLEMENTATION:
PERDORMANCE
12. With no soap on the
washcloth, wipe one eye from
inner part of the eye near the
nose to the outer part.
Rinse or turn cloth before
washing other eye.
IMPLEMENTATION:
PERDORMANCE
13. Expose patient’s far arm and
place towel lengthwise
under it. Using firm strokes, was
arm and axilla, rinse
and dry.
IMPLEMENTATION:
PERDORMANCE
14.Place folded towel on bed nex
to the patient’s hand
and put basin on towel. Soak
patient’s hand in basin.
Wash, rinse and dry hand.
Using firm strokes, wash arm an
IMPLEMENTATION:
PERDORMANCE
15. Repeat actions 15 and 16 for
the arm nearest to you.
IMPLEMENTATION:
PERDORMANCE
15. Spread towel across the
patient’s chest. Lower bath
blanket to paƟent’s umbilical area.
Wash, rinse and dry
patient’s chest. Keep patient’s chest
covered with towel
between the wash and rinse. Pay
special attention to
skin folds under patient’s breasts.
IMPLEMENTATION:
PERDORMANCE
16. Lower patient’s bath blanket to
patient’s perineal area.
Place towel over patient’s chest.
IMPLEMENTATION:
PERDORMANCE
17. Wash, rinse and dry patient’s
abdomen. Carefully
inspect and cleanse umbilical area
and any abdominal
creases or folds.
IMPLEMENTATION:
PERDORMANCE
18. Return bath blanket to original
position and expose the
patient’s far leg. Place towel under
far leg. Using firm
strokes, wash, rinse, and dry paient’s
leg from ankle to
kne and knee to groin.
IMPLEMENTATION:
PERDORMANCE
19. Fold towel near patient’s foot
area and place basin on
towel. Place patient’s foot in basin
while supporting
patient"s ankle and heel in your hand
and leg in your
arm. Wash, rinse and dry, paying
particularly enƟon to
the area between toes.
IMPLEMENTATION:
PERDORMANCE
20. Repeat actions 21 and 22 for
other leg and foot.
IMPLEMENTATION:
PERDORMANCE
21. Repeat actions 21 and 22 for
other leg and foot.
IMPLEMENTATION:
PERDORMANCE
22. Make sure patient is covered wit
bath blanket. Change
water at this point or earlier if
necessary. Assist paƟent
onto his or her side.
IMPLEMENTATION:
PERDORMANCE
23. Assist patient to a prone or side-
lying posiƟon. Position
bath blanket and towel to expose
only back and
buttocks.
IMPLEMENTATION:
PERDORMANCE
24. Assist patient to a prone or side-
lying position. Position
bath blanket and towel to expose
only back and buttocks.
IMPLEMENTATION:
PERDORMANCE
25. Wash, rinse and dry patient’s
back and buttocks area.
Pay particular attention to cleansing
between gluteal
folds and observe for any indication
of redness or skin
breakdown in the sacral area
IMPLEMENTATION:
PERDORMANCE
26. Refill basin with clean water.
Discard washcloth and
towel.
IMPLEMENTATION:
PERDORMANCE
27. Clean patient’s perineal area or
sit up patient so he or
she can complete perineal self-care.
IMPLEMENTATION:
PERDORMANCE
28. Help patient to put on a clean
gown and attend to
personal hygiene needs.
IMPLEMENTATION:
PERDORMANCE
29. Change bed linens.
IMPLEMENTATION:
PERDORMANCE
30. Record any significant
observations and communication
on patient’s chart.
