SHAMPOO IN BED

Hair accumulates the same dirt and oil as the

skin.

It should be washed as often as necessary to

keep it clean.

A weekly shampoo may be sufficient for some

persons whereas others may prefer to perform
this aspect of personal hygiene daily.

The nurse may need to shampoo the hair of

those clients who cannot get out of bed for
bathing and showering or who lack the strength
or ability to independently care for their hair.
 DEFINITION
Washing of the hair with the use of shampoo or bath
soap as often as necessary to keep it clean

PURPOSE
• To cleanse the hair and scalp

• To maintain or improve self esteem

• To treat conditions of the scalp with topical applications of

medications

• To remove substances, such as blood, body secretions, or

electrode jelly (used who an electroencephalogram or
other such study is done)
ASSESSMENT
• Examine the hair, note its distribution, cleanliness,
texture and any indications of parasitic infections,
such as the nits of the head lice on the hair shaft

• Inspect the scalp for lacerations, dry scaly patches,

scratches, lesions, and swollen areas

• Observe the client for signs of any itchiness of the

scalp, such as scratching the head

• Note signs of dandruff on the shoulders and back of

clothing

• Determine if the client is receiving toxic chemotherapy

or radiation treatments that may cause loss of hair
• Read the client’s medical record to determine if the client has any
pathology, such as hypothyroidism , or is receiving long
term steroid therapy that may alter the texture and distribution of
hair

• Identify if there are any sensory, cognitive, endurance, mobility,

or motivational deficits that interfere with the client’s ability to
perform hygienic practices

• Ask the client to describe the usual routine for shampooing

including the frequency and types of hair care products routinely
used

• Inquire if the client experienced any itching, burning, or

tenderness of the scalp

• Note the client’s history of hair or scalp problems and related

treatments
PREREQUISITE

CHECK AGENCY’S POLICY ON HAIR

SHAMPOO
EQUIPMENTS
• Shampoo trough Tray containing the following
• Water proof pad • Hair shampoo

• Paper linings • 3 bath towels

• Pitcher with hot water

Two pails • Comb/hair brush

• Pail containing 2/3 full of clean • 2 dry CB

water

• Empty pail
PROCEDURE
CLEANSING BED BATH
 HYGIENE IS THE SCIENCE OF HEALTH AND ITS MAINTENANCE.

PERSONAL HYGIENE IS THE SELF -CARE BY WHICH PEOPLE ATTEND

TO SUCH FUNCTIONS AS BATHING, TOILETING, GENERAL BODY
HYGIENE AND GROOMING .

HYGIENE IS A HIGHLY PERSONAL MATTER DETERMINED BY

INDIVIDUAL VALUES AND PRACTICES. IT INVOLVES CARE OF THE
SKIN, HAIR, NAILS, TEETH, ORAL AND NASAL CAVITIES, EYES, EARS
AND PERINEAL-GENITAL AREAS.

IT IS IMPORTANT FOR NURSES TO KNOW EXACTLY HOW MUCH

ASSISTANCE A PATIENT NEEDS FOR HYGIENIC CARE .

HYGIENIC CARE MORNING CARE IS PROVIDED TO PATIENTS AS

THEY AWAKEN IN THE MORNING OR AFTER BREAKFAST.

A PATIENT WHO REQUIRES ASSISTANCE WOULD HAVE THEIR

ELIMINATION NEEDS PROVIDED FOR, AN ASSISTED WASH, BATH OR
SHOWER, PERINEAL CARE, SKIN PRESSURE AREAS CHECKED,
ORAL, NAIL AND HAIR CARE. MAKING THE PATIENT’S BED IS PART
OF MORNING CARE.
 DEFINITION
A bath given to weak and bedridden patients

PURPOSE
• To cleanse the body • To provide tactile stimulation

• To refresh the patient • To promote comfort and relaxation

• To stimulate circulation • To improve self concept

• To exercise muscles and • To facilitate head to toe assessment

joints
 GENERAL
INSTRUCTIONS
• Ensure privacy. If in the ward, the bed should be
screened, in the PR the windows should be
adjusted

• Bed bath should be given one hour before meals

or one hour after meals

• Always have everything ready before giving the

bath

• If the client is quite weak all assistance should be

given to free the client from exertion

• Children should never be left alone while bath is

going on
• Unnecessary exposure or chilling must be avoided

• Special attention must be given to regions behind

the ears, axillae, umbilicus, the pubis, groins,
spaces between fingers and toes and areas where
two skin surfaces come in contact

• During the bath, the client must be observed for

objective signs such as rashes, swelling,
discoloration, pressure sores, discharges,
abrasions, lice, burns, etc. The findings should be
recorded in the nurse’s notes and reported to the
physician if they seem important.
• All treatments such as enema, douches or
preparation for fields of operation should be done
before the bath so that the client will remain clean
and undistributed afterwards.

• The nurse may usually work quickly but it should

be in a quiet soothing and unhurried fashion.
Strokes should be smooth and firm and ends of
the wash cloth should not be allowed to dangle.
EQUIPMENTS

• Bath, blanket or large towel
• Bath towels (4)
• Wash cloths (3)
• Clients clothing as called for
• Linen as called for
• Pail for used water
• Bedpan or urinal
• Laundry bag
• Working gloves (2 pairs)
Tray containing the following
• Wash basin half filled with water or
water temperature as preferred by
client
• Soap in a soap dish
• Client’s comb/hair brush
• Talcum powder/lotion/oil
• A pair of nail cutter if necessary
• Two pitchers (one with cold and the
other one with hot water)
• Paper for lining
• Bath thermometer
PROCEDURE
FOOT AND TOENAIL
CARE
 PURPOSE
• To cleanse and promote the comfort of the feet

• To maintain the integrity of the integument

• To stimulate circulation to the lower extremities

• To prevent injury

• To prevent local infections by soaking the feet in a medicate

solution

• To prevent odors
EQUIPMENTS
• Warm water in a pitcher • Waterproof underpad

• Wash basin • Working gloves

• Soap in a soap dish • Nail brush

• Hand towels, 2

• Nail cutter or scissors

• Nail file

• Lotion (optional)

• Powder (optional)
PROCEDURE
ASSISTING THE CLIENT
IN ORAL CARE
 DEFINITION
It is the brushing and flossing of teeth including the inspection of mouth
for dental carries, gum problems, soft plaque deposits etc

PURPOSE
• To cleanse the teeth of food • To prevent oral infection
residue and microorganisms
• To relieve discomfort from
• To maintain moisture and inflamed lesions
integrity of the tissue
• To prevent dental caries
• To refresh the mouth
• To maintain or improve self
• To improve the pleasure of concept
eating
INDEPENDENT
EQUIPMENTS
• Toothbrush

• Toothpaste

• Kidney basin

• Glass of water

• Towel

• Mouthwash (optional)

• Dental floss (optional)

• Petroleum jelly (optional)

• Working gloves
PROCEDURE
DEPENDENT
EQUIPMENTS
• Toothbrush • Petroleum jelly

• Toothpaste • Working gloves

• Kidney basin • Cleannsing agent (hydorgen

peroxide at half stength)
• Glass of water
• Suction apparatus with catheter
• Drinking straw (optional)

• Towel • Asepto syringe (optional)

• Padded tongue depressor

• Mouthwash
PROCEDURE