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Lesson Notes - Bed Bath

This document outlines the steps and equipment needed to perform a bed bath for a client unable to bathe themselves. The 23 steps include gathering supplies like basins, towels, and soap, explaining the process to the client, washing the entire body part-by-part from head to toes using gentle long strokes, changing the water when it cools, observing the skin and reporting any issues, and documenting the bath. The bed bath is meant to cleanse, stimulate circulation, and make the client comfortable while preventing the spread of bacteria on their skin.

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Nicole Marin-Ching
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626 views5 pages

Lesson Notes - Bed Bath

This document outlines the steps and equipment needed to perform a bed bath for a client unable to bathe themselves. The 23 steps include gathering supplies like basins, towels, and soap, explaining the process to the client, washing the entire body part-by-part from head to toes using gentle long strokes, changing the water when it cools, observing the skin and reporting any issues, and documenting the bath. The bed bath is meant to cleanse, stimulate circulation, and make the client comfortable while preventing the spread of bacteria on their skin.

Uploaded by

Nicole Marin-Ching
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
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BONUS TOPIC: BED BATH

BED BATH

DEFINITION:
A bath given to client who is in the bed (unable to bath itself).

Purpose:
1. To prevent bacteria spreading on skin
2. To clean the client’s body
3. To stimulate the circulation
4. To improve general muscular tone and joint
5. To make client comfort and help to induce sleep
6. To observe skin condition and objective symptoms

Equipment required:
1. Basin (2): for without soap (1)
for with soap (1)
2. Bucket (2): for clean hot water (1) for waste (1)
3. Jug (1)
4. Soap with soap dish (1)
5. Sponge cloth (2): for wash with soap (1) for rinse (1)
6. Face towel (1)
7. Bath towel (2): for covering over mackintosh (1) for covering over client’s body (1)
8. Gauze piece (2-3)
9. Mackintosh (1) (see photos below)

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BONUS TOPIC: BED BATH

10. Trolley (1)


11. Thermometer (1)
12. Old newspaper
13. Paper bag(2): for clean gauze (1) for waste (1)

Steps in Bed Bath:


1. Confirm Dr.’s order. Check client identification and condition.
• The bath order may have changed. In some instances a bed bath may be
harmful for a client, who is in pain, hemorrhaging, or weak. Caregivers need
to defer the bath.

2. Explain the purpose and procedure to the client. If he or she is alert or


oriented, question the client about personal hygiene preferences and ability
to assist with the bath.
• Providing information fosters cooperation.
• Encourage the client to assist with care and to promote independence.

3. Gather all required equipment.


• Organization facilitates accurate skill performance

4. Wash your hands and put on gloves


• To prevent the spread of organisms. Gloves are optional but you must wear
them if you are giving perineal and anal care.

5. Bring all equipment to bed-side.


• Organization facilitates accurate skill performance

6. Close the curtain or the door


• To ensure that the room is warm.
• To maintain the client’s privacy

7. Put the screen or curtain.


• To protect the client’s privacy.

8. Prepare warm water.

9. Remove the client’s cloth. Cover the client’s body with a top sheet or blanket.
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BONUS TOPIC: BED BATH
If an IV is present on the client’s upper extremity, thread the IV tubing
and bag through the sleeve of the soiled cloth. Rehang the IV solution.
Check the IV flow rate.
• Removing the cloth permits easier access when washing the client’s upper body.
• Be sure that IV delivery is uninterrupted and that you maintain the
sterility of the setup.

10. Fill two basins about two-thirds full with warm water.
• Water at proper temperature relaxes him/her and provides warmth.
Water will cool during the procedure.

11. Assist the client to move toward the side of the bed where you will be
working. Usually you will do most work with your dominant hand.
• Keep the client near you to limit reaching across the bed.

12. Face, neck, ears:


a. Put mackintosh and big towel under the client’s body from
the head to shoulders. Place face towel under the chin which is also
covered the top sheet.
b. Make a mitt with the sponge towel and moisten with plain water.
c. Wash the client’s eyes. Cleanse from inner to outer corner. Use a
different section of the mitt to wash each eye.
d. Wash the client’s face, neck, and ears. Use soap on these areas
only if the client prefers. Rinse and dry carefully.

13. Upper extremities:


• Move the mackintosh and big towel to under the client’s far arm. To
prevent sheet from making wet.
• Uncover the far arm.
• Fold the sponge cloth and moisten.
• Wash the far arm with soap and rinse. Use long strokes: wrist to elbow→
elbow to shoulder→ axilla→ hand. Washing the far side first prevents
dripping bath water onto a clean area. Long strokes improve
circulation be facilitating venous return.
• Dry by face towel
• Move the mackintosh and big towel to under the near arm and uncover it
• Wash, rise, and dry the near arm as same as procedure 4.

14. Chest and abdomen:


• Move the mackintosh and bath towel to under the upper trunk. Mackintosh and

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BONUS TOPIC: BED BATH
bath towel prevent sheet from wetting.
• Put another bath towel to over the chest. Bath towel provides warmth and privacy
• Fold the sponge towel and moisten
• Wash breasts with soap and rinse. Dry by the big towel covering.
• Move the bath towel covering the chest to abdomen.
• Fold the sponge cloth and moisten.
• Wash abdomen with soap, rinse and dry
• Cover the trunk with top sheet and remove the bath towel from the abdomen

15. Exchange the warm water.


• Cool bath water is uncomfortable. The water is probably unclean.
You may change water earlier if necessary to maintain the proper temperature.

16. Lower extremities:


• Move the mackintosh and bath towel to under the far leg. Put pillow or
cushion under the bending knee. Cover the near leg with bath towel.
Pillow or cushion can support the lower leg and makes the client comfort.
• Fold the sponge cloth and moisten.
• Wash with soap, rinse and dry. Direction to wash: from foot joint to knee→
from knee to hip joint
• Repeat the same procedure as mentioned on the other side.
• Cover the lower extremities with top sheet. Remove the cushion, mackintosh
and big towel

17. Turn the client on left lateral position with back towards you.
• provide clear visualization and easier contact to back and buttocks care

18. Back and buttocks:


• Move the mackintosh and big towel under the trunk. Skin breakdown
usually occurs over bony prominences. Carefully observe the sacral area
and back for any indications.
• Cover the back with big towel
• Fold the towel and moisten. Uncover the back.
• Wash with soap and rinse. Dry with big towel
• Remove the mackintosh and big towel

19. Return the client to the supine position. To make sustainable position for perineal care

20. Perineal care. (SEE LESSON NOTES FOR PERINEAL CARE).

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BONUS TOPIC: BED BATH

21. Assist the client to wear clean cloth. To provide for warmth and comfort.

22. After bed bath:


• Make the bed tidy and keep the client in comfortable position. These measures
provide for comfort and safety
• Check the IV flow and maintain it with the speed prescribed if the client is given IV.
To confirm IV system is going properly and safely.

23. Document on the chart with your signature and report any findings to senior staff.
Documentation provides coordination of care. Giving signature maintains professional
accountability.

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