Hygiene Measures

7/31/2019 Hygiene Measures

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DEFINITION

a bath administered in

bed usually as a part ofmorning care after

breakfast.


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To cleanse the skinTo promote circulation by

stimulating the skins peripheralnerve endings & underlying

tissuesTo eliminate body odors thus

creating a sense of well- being


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To promote comfort throughmuscle relaxation and skin

stimulationTo promote musculo-skeletal

exercise through activityinvolved with bathing, therebyimproving joint & muscle tonus


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EQUIPMENT

Bath blanket or large towel (1)

Bath towel (2)

Wash cloth/face towel (2)

Gown/patients clothing

Materials for changing bed lines

Pail for used water

Bedpan or urinal

Paper for lining

Laundry bag


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EQUIPMENT

Tray containing the following:

oBasin half filled with water

o Two pitchers of water (hot and cold)oSoap in soap dish

o Patients comb or brush

o Lotion/talcum powder/alcohol/oil

o Nail cutter/nail file/brush


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PROCEDURE


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Gather equipment, explain theprocedure and allow patient to askquestion. Offer bedpan and wash

hands.

Replace top sheet with a bath

blanket and fanfold the top sheet tothe foot part. Remove the patients

gown.


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Move patient towards the edge of

the bed near the nurse, spread

towel across the patients chest andchin.

Make a mitt out of washcloth and

start washing the patients eye

without soap


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mitt


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Wash patients face and neckwithout soap usingS method

Dry.Place bath towel lengthwiseunder the farther arm using along, firm strokes from the wrist,arm and axilla. Rinse and pat

dry, using the towel underneath.


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Repeat the same to thenearer arm.

Wash both hands in the basinwith soap and water, dry.

Change water.


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Place towel across the patientschest. Start washing with the

farther half of the chest andabdomen in a circular motiongiving extra attention under the

breast and umbilicus. Wash,rinse and dry with towel.

(Expose chest for male)


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Do the same on the nearer half.Change water.

Drape the patients leg andwash the farther leg, rise and

dry. Wash near leg, rinse anddry.


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Place basin at the foot part of

bed and wash each foot.Starting from the farther foot.

Change water.


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Turn patient towards you and positionproperly. Wash the back part in acircular motion down to the buttocks.

Do back care and massage. (Optional).Change water.

Place towel under the buttocks and

wash the genital area or assist patientto wash and put on the gown.


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Watch the patient carefully for signs of

fatigue or other adverse responses aswell as feeling of comfort andcleanliness.

Record all significant observations inthe patients chart.


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BEDBATH: PROCEDURE

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BEDBATH: PROCEDURE

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viewvideo
http://c/Users/dodong/Documents/video-procedures/bedbath/bed%20bath%201%20of%203.flv


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SHAMPOO IN BED


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DEFINITION

the washing of the hair

while the patient is still in

bed and should beperformed as often as

necessary.


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PURPOSES

To remove oil & dirt.To increase circulation tothe scalp.

To improve appearanceand morale


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EQUIPMENT

Tray containing:Washcloth

Comb & brush

Shampoo/conditioner

(optional)Dry cotton balls

(2)

Bath towels (3)Bath blanket

Pitchers with hot

water & tap waterTwo pails:Pail containing

clean water

Empty pail


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EQUIPMENT

Shampoo trough/Kelly pad

Paper lining

Plastic sheet or pad

Shampoo trough/Kelly pad

Paper liningPlastic sheet or pad


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PROCEDURE

Explain the procedure to the patient,prepare equipment and take to thebedside.

Screen the bed. Loosen the patients

gown.

Replace the top sheet with a bathblanket. Fold the top sheet down to themiddle of the bed and cover chest with

a bath towel.


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PROCEDURE

Remove pillow and bring the patient

to the edge of the bed or in a diagonalposition.

Protect one pillow with rubber protectorand cover with a bath towel and place

under the patients shoulder.Arrange Kelly pad under the shoulder.


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PROCEDURE

Comb hair, cover eyes with folded facetowel, and plug ears with cotton balls.

Wet hair with lukewarm

water, shampoo and massage with yourfingers.

Rinse the hair, repeat until hair is clean.

Squeeze water from hair. Remove face towel from eyes and cotton

balls from ears.


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PROCEDURE

Drop the Kelly pad to the pail, cover hairwith the bath towel.

Bring the patient to the normal position; the

rubber protector is still in place, covering thepillow while hair is dry.

Comb hair, fasten the gown and leave the

patient comfortably and do the after care ofthe equipment.

Record all significant observations


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http://../bed%20shampoo1_2.flv


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EQUIPMENT

TOOTHBRUSH

TOOTH PASTE

EMESIS BASINGLASS WITH WATER

TOWELPETROLEUM JELLY


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PROCEDURE

Explain the procedure to the

patient.

Position the patient properly andcomfortably, place towel under thechin.

Remove dentures if theres any.


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PROCEDURE

Gargle with water, place emesis basin underthe chin.

Give the toothbrush with a cleansing agent.

Hold the emesis basin with one hand and aglass of water with the other hand.

Place brush at a 45-degree angle to the gum

line and brush from the gum line to crownusing small, vibrating, circular motion toremove plaque


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PROCEDURE

Use the same action on the front &

back of the teeth. Brush the tongue

gently to remove coating on the tongue.

Allow patient to rinse the mouth withwater and spit it into the emesis basin.

Wipe patients mouth.Lubricate lipswith petroleum jelly as needed


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Removing plaque that is notreached by brushing and which,

if not removed, causes toothand gum disease


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EQUIPMENT

FLOSS

MIRROR

MOUTHWASH


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PROCEDURE

While looking into the mirror, floss bywrapping the floss around the 2nd or 3rd

fingers of both hands supported with the

thumbs.Starting from the molars and without

injuring the gums, insert the floss

between each pair of teeth as close to thegums as possible, towards the direction ofthe incisors.


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PROCEDURE

Clean by pulling the floss up anddown against the side of each

tooth.Adjust the floss and use the cleansection, about an inch apart, for

every floss insertion.

Use mouthwash to rinse the mouth.


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EQUIPMENT

GLOVES

CB SOAKED IN NSS

MINERAL OILDRY CB

EYE OINMENT

EYE PADS

PROCEDURE


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PROCEDURE

Wash your hands thoroughly

Put on gloves for infection

control.Tell the patient what you're

about to do, even if he iscomatose or appearsunresponsive to reduce anxiety.

PROCEDURE


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PROCEDURE

To remove secretions or crustsadhering to the eyelids andeyelashes:

first soak a cotton ball in sterilenormal saline solution.

gently wipe the patient's eye with

the moistened cotton ball, workingfrom the inner canthus to the outercanthus

PROCEDURE


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PROCEDURE

Use a fresh cotton ball for eachwipe until the eye is clean to

prevent cross-contamination.After giving eye care, cover thebasin with a sterile towel and

change the eye care setup (basin,towel, and normal saline) daily.

PROCEDURE


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PROCEDURE

Close the patient's eyelids. Dab a smallamount of mineral oil on each lid tolubricate and protect fragile skin.

Soak gauze or eye pads in sterilenormal saline solution, place them overthe eyelids, and secure with

nonallergenic tape to keep themsaturated. Change gauze pads, asnecessary.

PROCEDURE


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PROCEDURE

Avoid using soap for cleaning theeyes to prevent irritation. Repeat

the procedure for the other eye.After cleaning the eyes, instillartificial tears or apply eye

ointment, as ordered, to keep themmoist.


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PURPOSES


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PURPOSES To cleanse and promote the comfort of the

feet.

To maintain the integrity of the integument.

To stimulate circulation to the lowerextremities.

To prevent injury.

To treat local infections by soaking the feetin a medicated solution.

To prevent odors.

E i t


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Equipment Warm water in a pitcher

Wash basin

Soap in a soap dish

Hand towels, two pieces

Nail cutter or scissors

Nail file

Lotion (optional)

Foot powder (optional)

Waterproof underpad

Working gloves

Nail brush

PROCEDURE


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PROCEDURE

Identify the patient and assess thecondition of the feet and toenails toindividualize foot care plan.

Explain the procedure.

Wash your hands.

Assemble the equipment .Provide privacy.

Don your working gloves.

PROCEDURE


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PROCEDURE

Lay the waterproof under pad at the foot partof the bed and line it with towel beneath thepatients feet.

Soak each foot one at a time in warm waterfor approximately 3-5 minutes

Wash each foot with liberal amount of

lathered soap . Brush toenails as dead cells & dirt may be

trapped between the nail and toes

PROCEDURE


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PROCEDURE

Change the water between thecare of each foot to maintain clean

and warm water.Cut the nails straight across

Dry each foot thoroughly.

Apply lotion to the legs

PROCEDURE


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PROCEDURE

Dispose of the water and do after careof equipment

Remove gloves and wash your hands

Make the patient comfortable.

Chart the care given, the response of

the patient, and the necessaryobservations seen.