Question

I am doing a paper for my nursing clinical class and I need help with this

SKILL : Hygiene- Bed Bath

DESCRIPTION OF SKILL: – PROVIDE CLEANLINESS AND COMFORT FOR THE PATIENT WITH LIMITED MOBILITY; Bathing cleans the skin, stimulates circulation provides mild exercise, promotes comfort and enhance healing.

INDICATIONS

EXPECTED OUTCOMES

EVALUATION

NURSING INTERVENTIONS

CLIENT EDUCATION

POTENTIAL COMPLICATIONS

NURSING INTERVENTIONS

can someone help me i need this asap

Answer 1

Skill: Hygiene-Bed Bathi

Description of skill- Provide cleanliness & comfort to the patient with limited mobility. Bathing cleans the skin, stimulates circulation, provides mild exercise, promotes comfort & enhance healing.

INDICATIONS: The following are the indications when a bed bath is essential/necessary:

1) Bed ridden Patients

2) Amputation of any body part

3) Comatose or Unconscious patients

4) Any major orthopedic Surgery. For example: Plaster casts or traction.

5) Patients with prolonged fever or hyperthermia.

EXPECTED OUTCOMES: The following are the expected patient outcomes of a good bed bath:

1) Good patient Hygiene & Increased circulation.

2) Patient feeling refreshed and comfortable

3) Prevention of bed sores.

4) Regulation of temperature.

5) Decrease in rate of infection & Removal of dirt and sweat.

NURSING INTERVENTIONS:

1. Take patient's or relative's consent & explain the procedure. Also, make arrangements for a screen.
2. Follow standard hand hygiene, that is cleaning hands before & after the procedure.
3. All the articles required for the bed bath should be arranged prior to starting of the procedure. Adjust the height of the bed before starting of the procedure
4. While giving bath, make sure to expose only small areas at a time in order to maintain patient's dignity and privacy. Also, make sure to check the temperature of the water before starting the procedure.
5. Start with sponging or cleaning from the cleanest area to the less clean area, for example, cleaning of face followed by other body parts. Every stroke should be smooth.
6. While lifting elbows or knees, support should be given. Also, active & passive exercises should be done for joints unless contraindicated.
7. While cleaning back and other pressure areas, thorough assessment is necessary to check for redness or peeling of skin. It can be starting of a bed sore. Make sure to dry those areas thoroughly to prevent moisture.
8. Thorough cleaning and drying should be done for perineal areas, especially in female clients in order to decease the risk of infections. Catheter care should also be done with a sterile technique.
9. Cut short the nails.
10. Oil can be used on skin to prevent it's drying.

EVALUATION: After the procedure, nurses evaluate the effectiveness of giving a bed bath. Evaluation can be done by asking about the comfort level of the patient after the procedure. Also, skin assessment is to be done after the procedure to check for any moisture or redness. Also, documentation of the procedure is done in the evaluation stage.

CLIENT EDUCATION:

• Tell client about the importance of regular bathing and how they can do that in their home after getting discharged.
• Relatives can be taught how to give bed bath at home.
• It is important to teach patients about the correct technique of giving a good bed bath/sponge.
• Client should be taught about washing hair at least once a week, brushing teeth at least twice a day, cutting nails on regular intervals.
• Client should be encouraged to use soap while taking a bath.
• Client has to be instructed about changing of bed linens once a week or whenever soiled and to dry out the mattresses.

POTENTIAL COMPLICATIONS: There can be few potential complications of giving a bed bath to a bedridden patient. Firstly, if the temperature of the water used for bath is not checked, it can cause various degrees of burns to the patient. Secondly, If the patient had a major abdominal surgery and having lots of dressings, giving a bed bath can even cause infection as the water or soap can seep into those dressings, soiling them and eventually causing or increasing the risk of infections. Thirdly, in patients with tracheostomy, special care has to be given while sponging or cleaning face with water and soap as the water can enter the stoma and cause problems with breathing/ventilation of the patient.