CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
Name:…………………………………. Date:………………..
Complete Bed Bath
Definition: Caregiver washes the entire body of a dependent client in bed.
Objectives:
1. To remove transient microorganisms, body secretions and excretions and
dead skin cells
2. Stimulate circulation to the skin
3. To produce a sense of well-being
4. To promote a relaxation and comfort
5. To prevent or unpleasant body odor
Equipment
Bedpan or urinal
Bath blanket
Gloves
Washcloth
Water between 43 to 46OC (110 – 115 F) for adult; 38 to 40OC (100–105OF)
for children
Soap
Basin
Changing table
2 bath towels
Additional bed linen and towels, if required
Hygiene supplies such as lotion, powder and deodorant
Clean gown or pajamas as needed
Procedure Rational
BATHING AN ADULT OR PEDIATRIC
CLIENT
1. Intervention
a. Prepare the client and the environment
CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
Invite a parent or family member
to participate if desired
Close the windows and doors to
make sure that the room is free
from drafts
Rationale: Air currents increase loss
of heat from the body by convection
Provide privacy by drawing the Hygiene is a personal matter
curtains or closing the door
Offer the client a bedpan or The client will be more comfortable
urinal or ask whether the client after voiding, and voiding before
wishes to use the toilet or cleaning the perineum is advisable
commode
During the bath, assess each
area of the skin carefully
b. Prepare the bed and position the client
appropriately
Place the bed in the high This avoids undue strain on the
position. Place an infant or small caregiver’s back
child on a changing table or
elevated cribs
Remove the top bed linen and
replace it with the bath blanket.
If the linen is to be reused place
it over the bedside chair. If it is
to be changed, place it in the
linen hamper
Assist the client to move near This facilitates access without
you undue reaching and straining
Remove the gown
c. Make a bath mitt with the washcloth
A bath mitt retains water and heat better
than a cloth loosely held.
TRIANGULAR METHOD
Lay your
hand on the washcloth
CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
Fold the top
corner over your hand
Fold the
side corners over your hand
Tuck the
second corner under the
cloth on the palmar side to
secure the mitt
RECTANGULAR METHOD
Lay your
hand on the washcloth
Fold the top
corner over your hand
Fold the
second side over your hand
Fold the top
of the cloth down
Tuck it
under the folded side against
your palm to secure the
mitten
2. Wash the face
Place one towel across the client’s
chest
To prevent the transfer of
microorganisms.
Wash the client’s eye with water
only and dry them well. Use a
separate corner of the washcloth for
each eye, from the inner to the
outer canthus
Ask whether the client wants soap
used in face
Wash, rinse and dry the client’s
face, necks, and ears
It protects the bed from becoming
3. Wash the arms and hands
wet.
Place the bath towel
lengthwise under the arm
Wash, rinse and dry the arm
CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
using long, firm strokes from distal To facilitate venous blood return.
to proximal area (from the point
farthest from the body to point
closest).
Wash the axillae well.
Repeat for the other arm. Exercise
caution if an IV infusion is present,
check its flow after moving the arm
Place a towel directly on the
bed, and put the basin on it. Place
the client’s hand in the basin.
Assist the client as needed to
wash, rinse and dry the hands,
paying particular attention to the
spaces between the fingers.
4. Wash the chest and abdomen
Fold the blanket down to the
client’s pubic area, and place the
towel alongside the chest and
abdomen
Wash, rinse and dry the
chest and abdomen, giving special
attention to the skin fold under the
breast
Replace the bath blanket
when the areas have been dried
5. Wash the legs and feet
Wrap one of the client’s legs Washing from the distal to the
and feet with the bath blanket, proximal areas stimulates venous
ensuring the pubic area is well blood flow.
covered
Place the bath towel
lengthwise under the other leg and
wash that leg. Use long, smooth,
firm strokes, washing from the ankle
to the knee to the thigh
CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
Rinse and dry that leg,
reverse the coverings, and repeat
for the other leg
Wash the feet by placing
them in the basin of water
Dry each foot. Pay particular
attention to the spaces between the
toes
Obtain fresh, warm bath
water now or when necessary
6. Wash the back and then the
perineum
Assist the client to turn to a
prone position or side lying position
facing away from you, and place the
bath towel lengthwise alongside the
back and buttocks
Wash and dry the back,
buttocks, and upper thighs, paying
particular attention to the gluteal
folds
Assist the client to the supine
position and determine whether the
client can wash the perineal-genital
area independently. If the client can
not do so, drape the client and wash
the area
7. Assist the client with grooming aids
such as powder, lotion or deodorant
Use powder sparingly.
Release as little as possible into the
atmosphere
Help the client to put on a
clean gown or pajamas
8. Document important data
CENTER FOR HEALTHCARE PROFESSIONS BUTUAN INCORPORATED
R. CALO STREET BUTUAN CITY, AGUSAN DEL NORTE
CAREGIVING NC II
Record assessment such as
excoriation in the folds beneath the
breast or reddened areas over bony
prominences
Record the type of bath
given.
Feedback:
Instructor
GRADE
