Partial Bath

Subject: Fundamentals of Nursing

Overview

Partial Bath

It is the act of cleaning particular areas of the body parts, such as face, axilla and genitalia, upper and lower extremities.

Therapeutic Bath

Therapeutic baths require a physician's order stating the types of bath, temperature of water, body surfaces to be treated and the type of medicated solution to be used. Therapeutic bath is usually performed in a tub. It is used to reduce muscle soreness and tension.

The therapeutic baths are further classified into:

Cool or Tepid Water:

It is used to relieve tension or lower body temperature. The nurse needs to prevent chilling and rapid decrease of temperature during a cool or tepid bath.

Soak:

A soak can include the entire body or can be limited to only one body part. A soak/consists of applying water with or without a medicated solution to reduce pain, swelling or to soften to remove dead tissues.

Sitz Bath:

It cleans and reduces inflammation in the perineal and anal areas. They are commonly used for hemorrhoids or anal tissues and after perineal or rectal surgery and after repairing of perineal tear.

Hair Care

Hair care includes hair washing periodically and brushing and combing hair daily.

Hair Washing

Hair washing means washing and cleaning hair with soap or shampoo and water. Whether your hair is long or short, keeping it clean makes it shine and helps you look healthy and well groomed. Ambulatory patients can wash their hair in the bathroom but bedridden patients need to wash their hair in the bed.

Common Hair and Scalp Problems

Dandruff: Sealing of scalp accompanied by itching

Pediculosis: Lice infestation

Alopecia: Hair loss

Purposes

  • to maintain healthy, clean, and organized hair.
  • to foster a feeling of wellbeing.
  • to check out the scalp.
  • help improve blood flow to the hair and scalp.
  • to avoid the buildup of oil, dandruff, and debris.
  • to encourage hair development.
  • to avoid lice, infections, and irritation.
  • in order to stop hair loss.
  • to encourage mental tranquility.
  • to present a chance for teaching.

Principles

  • To the patient: Describe the procedure.
  • Examine the patient's overall health, the health of their hair, scalp, and whether they require shampoo.
  • uphold your privacy.
  • To prepare for hair shampooing, empty the bladder.
  • Set the bed's height for comfort.
  • Turn off the fan and shut the windows.
  • Before washing your hair, you should first comb your hair.
  • Smoothly and softly combed and brushed hair without harming the sufferer.
  • Avoid getting soapy water in your eyes or ears.
  • The ideal water temperature is 110°F. Put a tiny bit of water on the inside of your forearm to check the temperature.
  • For at least an hour after eating, patients should refrain from washing their hair.
  • Take into account the patient's cultural, religious, and personal preferences.
  • If there are central venous lines present, more care should be used when situating the patient.
  • The comb's teeth should be smooth to avoid scratching the scalp.
  • Skin that is intact serves as an infection barrier.
  • Using effective strategies regularly can save time and effort.
  • Since cotton does not absorb water, it is used to seal the ear, preventing water from getting inside.
  • Neglected hair and scalp are full of debris and microorganisms, and they can also infect the scalp.
  • A patient is more comfortable and looks more appealing with well-combed and maintained hair.

Equipment

  • Trolley,
  • Bucket with warm water 1,
  • Bucket for waste water 1,
  • Big towel,
  • Face towel -1 (for frontal placement),
  • Big mackintosh,
  • Jug,
  • Cotton with oil or non-refined cotton,
  • Shampoo or soap with soap dish,
  •  Brush, comb and oil,
  • Hair dryer if available,
  •  Pillow,
  • Clean cloth,
  • Screen if necessary,
  • Plastic apron.

Procedures

S.N. Nursing Action Rationale
1 Identify patient. Determine that there are no contraindications to this procedure. Certain medical conditions such as head and neck injuries, spinal cord injuries and arthritis, could place the client at risk, for injury during shampooing because of positioning and manipulation of client's head and neck.
2 Explain the purposes and procedure to the patient. Relieves anxiety and helps patient to cooperate.
3 Assess the general condition of the patient and inspect the hair and scalp prior to initiating the procedure. This determines the presence of any conditions that may require the use of special shampoo or treatments (e.g. for dandruff or the removal of dried blood).
4

Check the patient's preference for soap or shampoo.

 
5 Close the windows and put off the fan. Prevents patients from going into hypothermia.
6 Empty the bladder of the patient. Promotes comfort.
7

Wash hands with soap and water. Loosen and remove bangles.

Reduce transmission of infection.
8

Prepare and bring the articles to the  working side of the patient.

Facilitate to perform procedure.
9 Pull curtain or close door. Provides privacy.
10 Adjust the bed to comfortable height. Use of good body mechanics prevent injury.
11 Help the patient move his/her head towards the edge of the bed, unless contraindicated. Prevents over stretching and allows use of good body mechanics.
12

Place pillow under the shoulder so that  the head is slightly titled backwards. Protect the pillow and bed with a mackintosh and towel.

Prevents soiling of the bed and pillow.
13

Place a towel and makintosh.

Place a big towel around the neck and shoulder of the patient.

Role the mackintosh from both sides in a slanting way which gives the shape of a funnel. The narrow end should be folded and put under the patient's head and the free end should be put in the bucket or receptacle to act as a drain for the water. Or use a kelly's pad.

Allows dirty water to follow into the bucket.
14 Place the bucket on a low stool close to the side of the bed. Collects the dirty water.
15

 

 

Help the patient to assure in a comfortable position.

Ask the patient to close his/her eyes. Place a wash cloth or a towel over the eyes near the forehead.

Prevent soap water getting into the eyes.
16 Insert cotton swab (oil soaked cotton) into ears. Prevent soap water getting into the ears.
17 Brush the hair. Makes smooth hair.
18

Mix cold and hot water and test the  temperature with the back of a hand.

Warm water is comfortable and facilitates removal of dirt and sebum.
19

Wet the hair by warm water. 

 Apply shampoo to the hair and massage  using finger tips. (do not use nail)

Rinse the hair repeatedly with warm  water till thorough cleanliness is ensured.

Ask the patient if he/she is comfortable.

Dry the patient's hair with towel/hair dryer.

Wipe the face and neck if needed.

Shampoo helps to remove dirt, sebum and dandruff from the scalp.

Removes soap and dirt

20 Remove the trough or rolled mackintosh and place it in the bucket. Remove the cotton plugs from ears into paper bag or kidney basin. Enhances patient's comfort.
21 Reposition the patient in proper alignment.  
22

Massage the hair with oil and then comb the hair.

Make the patient tidy and comfortable.

Change linen if needed.

 
23 Offer hot drink.  
24

Clean the articles and put them in their  proper place.

Wash hands.

Reduce risk of transmission of  microorganisms. Leaves the unit clean and articles ready for further use.
25

Record the procedure including the conditions of the scalp, hair and any abnormalities in the patient's chart.

Report to the senior staff if any abnormalities found.

Ensures communication between staff members.

Key Points

  • Prevent eyes and ears from soapy water.
  • Empty the bladder before hair washing.
Things to remember

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