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BED BATH(Independent Function)

By: Michael Cruz, RN

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BED BATH

A procedure ofhygienic care

rendered to apatient who isincapable or by

doctor’s ordershould not leave

the bed

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OBJECTIVES 

• To perfor! and recall theprocedure

• To understand the i!portance ofbed bath

• To differentiate types of bed bathaccording to category

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PURPOSES 

• "rovides co!fort and !aintains dignity and

well#being of the patient• "ro!otes body circulation and !ove!ent

• "revents chances of developing secondaryinfections$hospital#ac%uired diseases

&otices any warning signs' reddened areas on

the s(in) early signs of contractures anddefor!ities and others

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TWO CATEGORIES OFBATHS GIVEN TO CLIENTS 

* +leansing # ,s given chiefly for cleansing orhygiene purposes

a +o!plete bed bathb -elf#help bed bath

c "artial bath .abbreviated bath/

0 Therapeutic 1 Are usually given for physicaleffects) such as sooth irritated s(in or to treatan area .perineu!/

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 ASSESSMENT 

• "hysical 2actors .eg +ondition of the s(in)

/• E!otional factors

• "resence of pain and need for ad6unctive!easures before the bath

• Any other aspect of health that !ight affect

the patient’s bathing process

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PLANNING 

Prepare thematerialss!pplies"

• 0 s!all washbasins .*

for soapy solution7 * forrinsing/

• -oap and soap dish

• 8inens' bath blan(et)two bath towels) wash

cloth) clean gown) andadditional bed linens ortowels

• A "air of clean gloves

• -having paraphernalia if necessary

• Body powder) lotion and deodorant) ifpreferred

•

"repare the patient

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 IMPLEMENTATION 

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 IMPLEMENTATION CONT 

9 :ear a pair of clean gloves

*;ffer the patient a bedpan or urinal) or as(whether the patient wishes to use the toiletor co!!ode

**Encourage the patient to perfor! as !uchpersonal self#care as possible

*0During the bath) assess each area of thes(in carefully for baseline data

*3"osition the bed at a co!fortable wor(ingheight 8ower the side rail near you<eeping the other side rail up and thenassist the patient to !ove near you

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 IMPLEMENTATION CONT 

*4"lace a bath blan(et over the top sheete!ove the top sheet fro! under the bathblan(et by starting at the shoulders and

!oving the linen down towards the feet As(the patient to grasp or hold the top of thebath blan(et while pulling the linen to thefoot of the bed

*5 e!ove the patient’s gown while (eeping

the patient covered with the bath blan(et

*= a(e a bath !itt with the wash cloth

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 IMPLEMENTATION CONT 

*> :ash the face'

a "lace towel under the patient’s head

b :ash the patient’s eyes with water) and dry the!

well ?se a separate corner of the wash cloth foreach eye :ipe fro! the inner to the outer canthus

c As( whether the patient wants to use soap over theface .if applicable/

d :ash) rinse) and dry the patient’s face) ear andnec(

e e!ove the towel fro! under the patient’s head

&ote' te!perature of water is based on the preference of thepatient$ .**;#**5 f or43#4=c/

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 IMPLEMENTATION CONT 

*@ :ash the ar!s and hands'

a "lace a towel lengthwise under the ar! farther away fro!you

b :ash) rinse and dry the ar! by elevating the patient’s ar!and supporting the patient’s wrist and elbow ?se long fir!stro(es fro! wrist to shoulder

c epeat steps A and B on the opposite ar!

d :ash) rinse and dry both ar!pits Apply deodorant orpowder if desired

e +hange water on the washbasin

f "lace a towel on the bed) and put a washbasin on it "lacethe patient’s hands in the basin Assist the patient as neededto wash) rinse and dry hands) paying attention to the spacesbetween fingers

g Eercise caution if an , infusion is present) chec(ing flowafter !oving the ar!

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 IMPLEMENTATION CONT 

*9 :ash the chest and abdo!en'

a "lace a bath towel lengthwise over the chest 2oldthe bath blan(et down to the patient’s pubic area

b 8ift the bath towel off the chest) and bathe chest

and abdo!en with your !itted hand) using long)fir! stro(es inse and dry well

c eplace the bath blan(et when the areas have beendried

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 IMPLEMENTATION CONT 

0; :ash the legs and feet'

a Epose the leg farther fro! you by folding the bath blan(ettowards the other leg) being careful to (eep the perineu!covered

b 8ift the leg and place the bath towel lengthwise under it:ash) rinse) and dry the leg) using long) s!ooth) fir! stro(esfro! the an(le to the (nee to the thigh

c everse the coverings and repeat for the other leg

d :ash the feet by placing the! in the water basin

e Dry each foot

f btain fresh) war! bath water

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 IMPLEMENTATION CONT 

0* :ash the bac( and then perineu!'

a Assist the patient into a prone or side#lying position facing

away fro! you "lace the bath towel lengthwise alongside thebac( and buttoc(s while (eeping the patient covered with thebath blan(et as !uch as possible

b :ash and dry the patient’s bac() !oving fro! the shoulders tothe buttoc(s and upper thighs) paying attention to the glutealfolds

c "erfor! a bac( !assage during the procedured Assist the patient to supine position and deter!ine whether

the patient can wash the perineal area independently ,f thepatient cannot do so) drape the patient and wash the area

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 IMPLEMENTATION CONT 

00 Assist the patient with groo!ing aids) such aspowder) lotion or deodorant

a ?se powder sparingly elease as little as possibleinto the at!osphere

b Help the patient put on a clean gown or pa6a!as

c Assist the patient to care for hair) !outh) and nails

03 e!ove gloves

04 aise side rail near you

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 IMPLEMENTATION CONT 

05 After care of the !aterials and dispose waste

properly on the yellow trash bin0= "erfor! hand hygiene

0> Docu!ent all pertinent data'

a &oted alteration in s(in integrity

b "resence li!ited ) contractures

c ,ntolerance to procedure

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EVALUATION 

Tolerance of the patient tothe procedure rendered

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