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Bathing

The document discusses bathing and different types of baths. It provides guidelines for bathing including maintaining privacy, safety, and warmth. It describes categories of baths as cleansing or therapeutic. Types of cleansing baths include complete bed, self-help, partial, bag, tub, and shower baths. Therapeutic baths include hot water tub baths, warm water tub baths, cool/tepid sponge baths, cooling/cool sponge baths, and sitz baths. Soaks and their kinds like saline, oatmeal, cornstarch, sodium bicarbonate, and potassium permanganate are also outlined. The procedure for a tepid sponge bath is provided in 18 steps.

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shannon c. lewis
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724 views34 pages

Bathing

The document discusses bathing and different types of baths. It provides guidelines for bathing including maintaining privacy, safety, and warmth. It describes categories of baths as cleansing or therapeutic. Types of cleansing baths include complete bed, self-help, partial, bag, tub, and shower baths. Therapeutic baths include hot water tub baths, warm water tub baths, cool/tepid sponge baths, cooling/cool sponge baths, and sitz baths. Soaks and their kinds like saline, oatmeal, cornstarch, sodium bicarbonate, and potassium permanganate are also outlined. The procedure for a tepid sponge bath is provided in 18 steps.

Uploaded by

shannon c. lewis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Bathing Overview
  • Purposes of Bathing
  • Guidelines in Giving Baths
  • Categories of Baths
  • Soaks
  • Sitz Bath
  • Hair Shampooing
  • Bathing an Adult or Pediatric Client
  • Bath Equipment
  • Wiping Technique
  • Providing Perineal-Genital Care
  • Tepid Sponge Bath Procedure

BATHING

Purposes of Bathing

 To remove transient microorganisms, body


secretions and excretions, and dead skin cells
 To stimulate circulation
 To produce a sense of well-being
 To promote relaxation and comfort
 To prevent or eliminate unpleasant body odors
✓ Provides opportunity to assess the client
Guidelines in Giving Baths

 Provide privacy
 Maintain safety
 Maintain warmth
 Promote the client’s
independence
Categories of Baths

Cleansing baths
Therapeutic baths
Types of Cleansing Baths

 Complete bed
 Self-help
 Partial
 Bag
 Tub
 Sponge
 Shower
Types of Therapeutic Baths

 Hot water tub bath –


bathing in temp. of
45°C-46°C for adults.
It helps to relieve muscle
soreness and spasm
Types of Therapeutic Baths

 Warm water tub bath


– bathing in warm
water w/ temp. of
43°C to relieve
muscle tension
Types of Therapeutic Baths

 Cool water/Tepid sponge bath – bathing in


tepid water w/ temp. of 37°C
Types of Therapeutic Baths

 Cooling/cool sponge bath


- bathing w/ water temp. of 18-32°C
- for clients w/ very high temp, over 40°C
Soak

 Local application of water or a medicated solution


 can remove dead tissue or soften encrusted
secretions
 reduces pain and swelling of inflamed or irritated
skin surfaces

* aseptic technique in cleansing open


or abraded areas of the skin
Kinds of Soaks

 Saline – uses 4ml(1tsp) NaCL to 500ml


water(1pt). It has cooling effect, cleans and
decreases skin irritation.
Kinds of Soaks

 Oatmeal or Aveeno – uses 720ml (3cups)


cooked oatmeal in a cheesecloth bag. Tie the
bag securely and twirl it in the tub until the
water is opalescent.
-It soothes the skin irritations, softens and
lubricates dry, scaly skin.
Kinds of Soaks

 Cornstarch
- uses 0.45kg (1lb) cornstarch
in sufficient cold water to
dissolve it; then add boiling
water until the mixture is
thick and add to the tub water
- soothes skin irritation
Kinds of Soaks

 Sodium Bicarbonate
- uses 4ml (1tsp) sodium
bicarbonate to 500ml (1pt)
water, or 120-360ml(4-12oz)
to 120L (30gal)
- has a cooling effect and
relieves skin irritation.
Kinds of Soaks

 Potassium Permanganate – tablet form which are


crushed, dissolve in a little water and added to the
bath. It cleans and disinfects and treats infected skin
areas.
Sitz Bath

 indicated for the following clients:


- has undergone rectal or vaginal surgery
- post partum patients
- with local or rectal irritation (hemorrhoids, fissures)
 cleanse and reduces inflammation of the perineal and
anal areas, aids in wound healing
 induce voiding (urinary retention)
 relieves pain, congestion (post proctoscopy/cystoscopy)

 water temperature depends on the client’s condition but


should be 43°C-45°C(109.4°F-113°F).
 cold sitz baths are more effective in relieving pain in the
postpartum period.
SITZ BATH
Hair Shampooing
Hair Shampooing

 Purposes:
- stimulates blood circulation
- cleans the hair & increases
the client’s sense of well
being
Bathing an Adult or Pediatric Client

 ASSESSMENT:
 Condition of the skin
 Physical or emotional factors

 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
Bathing an Adult or Pediatric Client

EQUIPMENT
◦ Bedpan or urinal
◦ Waterproof pads
◦ Plastic shampoo trough or Kelly pad
◦ Bucket
◦ Gloves (if giving perineal care, presence of body
fluids or open lesions)
◦ Soap and soap dish
◦ Basin
Bathing an Adult or Pediatric Client

EQUIPMENT
◦ Linens: bath blanket, two bath towels, washcloth,
clean gown or pajamas as needed, additional bed linen
and towels, if required.
◦ Personal hygiene articles (e.g. deodorant, powder,
lotions)
◦ Shaving equipment
◦ Water between 43C-46C(110F-115F) for adults and
38C-40C(100F-105F) for children
Bathing an Adult or Pediatric Client

EQUIPMENT
◦ Thermometer
◦ Changing table (babies)
◦ Laundry hamper
Bath Equipment

A shower chair

Tub/shower seat Hand bars on the sides


in the home of the bathtub
WIPING THE EYE FROM
THE INNER TO THE OUTER CANTHUS

This is the technique in wiping the eyes and make sure that
you do not use one side of the mitten for both eyes
Bathing an Adult or Pediatric Client: *Skill 33-1
*found in E-tool

°C

Remove top sheet from under the bath blanket.


Providing Perineal-Genital Care *Skill 33-2
*found in the E-tool

Female genitals
Draping the client for
perineal-genital care.

Male genitals
Tepid Sponge Bath

Purpose – to cool body slowly


Equipment
 Bath basin
 Tepid water (37°C or 98.6°F)
 Bath thermometer
 Washcloths
 Waterproof pad
 Bath blanket
 Thermometer
Procedure

1. Assess the client’s body temperature and


pulse.
2. Explain to client the purpose of sponging
with tepid water is to cool body slowly.
3. Prepare necessary equipment and
supplies.
4. Close room, door or curtains.
5. Wash hands.
Procedure

6. Place waterproof pads under client and remove


gown.
7. Keep the bath blanket over the body parts not
being sponged. Close the windows and door to
prevent draft.
8. Check water temperature.
9. Immerse washcloth in water and apply wet cloths
under each axilla and groin. If using tub, have
client soak for 20-30 minutes.
Procedure

10. Gently sponge extremity for 5 minutes.


11. Dry extremity and reassess client’s pulse
and body temperature. Observe response
to therapy.
Procedure

12. Continue sponging other extremities,


back, buttocks for 3-5 minutes each.
Reassess temperature and pulse every 15
minutes.
13. Change water and reapply sponges to
axillae and groin as needed.
14. When body temperature falls to slightly
below normal, discontinue the
procedure.
Procedure

15. Dry extremities and body parts thoroughly. Cover


client with light bath blanket or sheet.
16. Dispose equipment and change linen if soiled. Wash
hands.
17. Measure client’s body temperature and pulse.
18. Record time procedure was started and terminated,
vital signs changes, and client’s response.
#FlattenTheCurve

BATHING
Purposes of Bathing To remove transient microorganisms, body secretions and excretions, and dead skin cells To stimulate
Guidelines in Giving Baths Provide privacy Maintain safety Maintain warmth Promote the client’s independence
Categories of Baths Cleansing baths Therapeutic baths
Types of Cleansing Baths Complete bed Self-help Partial Bag Tub Sponge Shower
Types of Therapeutic Baths Hot water tub bath – bathing in temp. of 45°C-46°C for adults. It helps to relieve muscle sore
Types of Therapeutic Baths Warm water tub bath – bathing in warm water w/ temp. of 43°C to relieve muscle tension
Types of Therapeutic Baths Cool water/Tepid sponge bath – bathing in tepid water w/ temp. of 37°C
Types of Therapeutic Baths Cooling/cool sponge bath - bathing w/ water temp. of 18-32°C - for clients w/ very high temp, o
Soak Local application of water or a medicated solution can remove dead tissue or soften encrusted secretions reduces p

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