SPONGE BATH wet.

• is an alternative to bathing in a tub or showering. 7. Remove the client’s Removing the client’s
• is also common for young babies since concern gown. Place the bath gown will keep it from
exists about them slipping in large tubs. towel lengthwise on top getting wet and provides
• When water is in short supply, a sponge bath of the patient’s chest 2/3 access to all skin
may also be an effective means for cleaning the under the bath blanket surfaces.
body. and 1/3 turned over the
• Hospitals employ the sponge bath, particularly blanket.
for clients who have mobility issues and can’t 8. Dip the washcloth in To prevent linen from
stand in a shower or safely bathe in a tub. tepid water. Wring out getting wet.
Regular bathing of the body is particularly excess water.
important especially those who have inability to 9. Make a bath mitten. This facilitates easier
turn in beds, and excess of dirt or oil on the body sponging and preserves
can cause bedsores to form, which easily can temperature of wet wash
become infected. cloth.
10. Sponge starting from Patting the skin dry
Purposes: the face and neck, prevents chilling and
1.To give bath to a client who is not fit to have a moving towards the chest rubbing will produce
standing bath. and abdomen. Avoid warmth by increasing
2.Used for hygiene purposes, especially for confused or friction. Pat excess water cell metabolism.
agitated clients. lightly from the patient’s
3.Used when a full bath is not necessary. skin using the bath towel.
4.To assist in lowering body temperature. 11. Place the towel under Prevents sudden
5.To promote relaxation. the patient’s arm farthest temperature fall and
from you. Sponge the minimizes risk of
Equipment: arm moving upward for 3 developing chills.
Basin of tepid water Clinical thermometer minutes; consider areas
Washcloth (4 pieces) Client’s gown where heat is confined,
Bath towel Waterproof pad such as the axilla. Do the
Bath blanket Light weight linen same with the other arm.
Expose only the area you
PROCEDURE RATIONALE are sponging.
1. Take the patient’s TPR Provides baseline data 12. Expose and put the Prevents sudden
and record. for evaluating response towel under the leg temperature fall and
of patient to therapy. further from you. Sponge minimizes risk of
Sudden circulatory using upward strokes; developing chills.
changes may alter pulse. consider areas where heat
2. Close the doors and To prevent drafts and is confined, such as the
windows. Screen the provide privacy. Drafts groin. Do the same with
patient. may cause the patient to the other leg. Expose
chill or shiver. only the area you are
Shivering is a heat- sponging.
producing mechanism 13. Turn client to side. Turning client to side
and will act against the Place the towel provides access to the
purpose of the bath. lengthwise on the back of back for sponging.
3. Explain procedure to Explaining the purpose the patient. Sponge the Patting and drying
the patient. may reduce anxiety. patient’s back using long prevents sudden
4. Bring the needed Saves time and energy. strokes from the nape temperature fall and
articles to the bedside. down to the end of the minimizes risk of
spine. Pat and dry. developing chills.
5. Place the client in a To prevent strain on the 14. Put on the patient’s For client’s comfort and
comfortable position. client and the nurse clothing or gown. warmth.
Client should be close to doing the procedure. Replace the patient’s top
the side near you. covers. Do not allow
6. Replace the top covers Removing the top linens shivering to occur. Stop
with the bath blanket. will keep it from getting the treatment or modify it
to prevent shivering.
15. Check the client’s To evaluate effect of
TPR 30 minutes after the bath on the client.
procedure and record.
16. Do after care of Controls transmission of
equipment used. Wash microorganisms.
hands.
17. Record time Recording
procedure started and communicates care
terminated, changes in provided.
vital signs and response
to therapy.
SHAMPOOING HAIR IN BED improvise a trough.
c. Place newspaper on the
Purposes: floor under the pail. All
1.To remove oil and dirt. other articles are placed
2.To increase circulation to the scalp. on bedside table.
3.To improve appearance and morale.
8. Put folded wash cloth Protect the gown of the
Equipment: or towel where the patient.
Kelly pad cotton balls client’s neck rests on the
Rubber sheet bath blanket Kelly pad. Tuck another
Pail 2 face towel or bath towel over the chest
washcloth and around the client’s
Safety pins 2 pitchers of warm and shoulder.
cold water
Shampoo newspapers 9. Fanfold the top The folded bedding will
Hair conditioner (optional) cornocopia or paper bag bedding down to the stay dry, and the bath
Wash basin waist, and cover the blanket, which can be
upper part of the client discarded after the
Procedure and Rationale: with the bath blanket. shampoo, will keep the
PROCEDURE RATIONALE client warm.
1. Assess activity Certain medical 10. Protect the client’s The washcloth protects
tolerance of the client. conditions may place eyes and ears: Place a the eyes from soapy
Check for existence of client at risk for injury. wash cloth over the water. These keep water
any scalp problem. client’s eyes. Place from collecting in the
cotton balls in the client’s ear canals.
2. Determine whether a Some agencies require ears.
physician’s order is an order.
needed before a shampoo 11. Shampoo the hair: Removing tangles results
can be given. a. Gently comb hair well, in in more thorough
observing scalp and hair cleansing.
3. Assemble equipment Save time and energy. for color, texture, Water aids in
and supplies then bring to distribution, scaling, distribution of shampoo
client’s unit. infestation or infection. over hair.
b. Wet the hair Massaging stimulates
4. Explain to the client Client may be anxious thoroughly with warm the blood circulation in
what you are going to do, about positioning or risk water directing water the scalp. Conditioner
why it is necessary and of water entering the away from eyes and ears. prevents excess drying.
how she can cooperate. ears or eyes. c. Place a small amount Shampoo remaining in
of shampoo into your the hair may dry and
5. Provide for client Hygiene is a personal hands, working it into a irritate the hair and
privacy. matter. lather and massage it into scalp.
the scalp and hair. Apply
6. Assist client to the side Minimizes back strain of conditioner if preferred
of the bed from which health provider. by patient.
you will work. d. Rinse the hair
7. Arrange the The plastic keeps the thoroughly. Squeeze as
equipment: bedding dry. much water as possible
a. Put the plastic sheet on Allow drainage of water out of the hair with your
the bed under the head from the pad that is hands.
and cover it with draw directed into the
sheet or bath towel. receptacle. 12. Pat dry hair with bath Prevents dripping from
b. Place Kelly pad over Protect the floor from towel and wrap turban wet hair.
the bath towel and let its getting wet. Placing the style. Remove Kelly pad,
end extend to the other articles within rubber sheet and position
receptacle or pail. If reach minimizes strain. client comfortably in bed.
Kelly pad is not available
13. Remove cotton balls For comfort of the
from ears and discard client.
properly. Dry ears,
forehead and neck.

14. Continue rubbing hair Drying prevents chilling.

15. Ensure client comfort. For comfort of client.

16. Dispose or clean Decreases the spread of

17. Document pertinent Document patient’s