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SHAMPOOING CLIENTS IN BED• Definition:• Washing or cleaning of the hair with the use of

shampoo or a cleaning agent for weak or bedridden clients.

• Purposes:• To cleanse the hair and scalp.• To stimulate scalp circulation• To remove dirt and soil from the scalp.• To treat conditions of the scalp with topical

applications of medications,• Considerations:

CONSIDERATIONS • Frequency of shampooing depends on the length and

nature of the client’s hair, duration of hospitalization and client’s condition

• When shampooing, check the client’s scalp for signs of disorder or skin breakdown

• Ensure that each client has his/her own comb for use.

• Shampooing in bed is contraindicated to clients with post – craniotomy procedure, depressed skull fracture, clients for intracranial pressure monitoring and other conditions affecting the cranium.

Equipments:1. Tray containing:

a. hair shampoob. 3 bath towelsc. pitcher with hot waterd. comb/hair brushe. 2 dry CB

2. pailsa. pail containing ⅔ full of clean waterb. empty pail

3. Plastic shampoo trough4. Waterproof pad5. Washcloth

PROCEDURE • ACTION

Assessment• 1. Checks the chart and

nursing care plan for any information related to patient’s diagnosis, doctors orders, limitations.

• 2. Assessing clients’ condition that requires higher priority than shampooing such as pain, fatigue, level of sedation etc.

• Planning• 3. Assembles the

equipments

• RATIONALE

• Remember that hygienic procedures are less priority than patient with pain or with shortness of breath.

• Organization is a form of appropriate time management and prevents fatigue and frustrations of the patient.

Implementation4. Moves the patient near

the side of the bed.5. Positions a bath blanket

and fanfolds the top sheet to the foot part.

6. Covers the floor with newspaper and places a pail over it.

7. Places a bath towel around the patient’s shoulders and neck.

• A supine position facilitates drainage away from the face, eyes and head.

• Layered materials absorbs water and prevents the patient from feeling wet and chilled.

• 8. Removes the pillow and cover the pillow with a waterproof pad and a towel.

• 9. Places the pillow under the patient’s head so when the patient lies the head is tilted backward.

• 10. Arrange a trough under the patient’s head with one end extending to the pail.

• 11. Plugs ears with cotton balls. Covers the eyes with a folded washcloth or asks the patient to hold the folded washcloth.

• Using a trough proved a method of collecting and draining the water from the patients and the bed.

12. Checks the temperature of the water.

13. Wets the hair, taking care to keep the water out of the patients eye.

14. Applies shampoo and, using both hands wash the hair and massages the scalp with the fingertips. Avoid using the fingernails.

• To give appropriate temperature of the water to be used in for shampoo in bed.

• Wet hair dilutes the shampoo and helps to form suds.

15. Rinses the shampoo by pouring water over the hair.

16. Repeats the washing and the rinsing 2 – 3 as necessary.

17. Dries the patient’s forehead and ears.

18. Removes the cotton from the ears.

19. Raises the patient’s head and wrap it in a bath towel.

• Rinsing prevents leaving shampoo in the hair, which gives the hair a dull appearance, if left in the scalp, shampoo could cause irritation for some people.

• Towel absorbs water.

20. Rubs the patient’s head with a towel to dry it as much as possible.

21. Removes the trough and adjusts the pillow.

22. Combs and arranges the hair.

23. Leaves a towel under the patient’s head.

24. Removes bath blanket and at the same time, brings up the top sheet.

25. Changes the patient’s gown if necessary.

26. Lowers the bed and raises the side rails.

27. Makes the patient comfortable.

28. Returns equipments to be cleaned.

29. Washes hands.30. Documents pertinent

observations.

• Discarding the water and the equipment will prevent accidentals spilling.

• Hand washing deters the spread of microorganisms; to break the cycle of infection.

• Careful recording is important for planning and individualizing the patient care.