This is a very important aspect of client care. There are different types of hygienic care that the nurse can provide to a patient. These different types are:
Early morning care- this care is provided as the client is waking up in the mornings. This care consists of giving the client oral care, washing their face, and providing them with a urinal or bedpan if needed.
Morning care-this care is usually provided in the mornings after the client has eaten breakfast. This care consists of providing for the clients elimination needs, a bath or shower, perineal care, changing the client’s bed and oral, hair and nail care.
Hour of sleep or PM care- this type of care is provided prior to when the client is going to bed. This care consists of assisting with the client’s elimination needs, washing face and hands, giving oral care, and giving massage therapy.
As-needed (prn) care-this type of care is given as the client requests or needs it. This type of care consists of extra bathing, frequent bed changes, assistance with elimination needs and etc.
Providing bathing care to client is an essential part of their care. Bathing care can help assist in improving the client’s illness. Some different ways it can help the client is by keeping the skin clean and remove any dirt or bacteria on the body, it can help stimulate the circulation of the body, it allows the nurse to assess the client further, and overall it can help the client to feel relaxed and refreshed. There are different categories of bathing care and they are:
Complete bed bath- the nurse washes the entire body of the dependent client.
Self-help bed bath-this type of bath allows the client to clean the majority of their body in their bed but will require the nurses help cleaning their back and possibly feet.
Partial bath-the only parts that are washed in this bath are those that might cause discomfort or odor if neglected such as the face, hands, axillae, perineal area and back.
Bag bath-this bath is done with commercially prepared product that contains presoaked disposable washcloths that contain no rinse cleanser solution. The whole body is cleansed with these wipes but is then air dried.
Towel bath-this bath is similar to the bag bath but instead of presoaked washcloths regular towels are used.
Tub bath-this particular type of bath is used for therapeutic reasons since many facilities do not have tubs.
Shower-this type of bath is typically used for ambulatory or independent clients. In this type minimal assistance is necessary from the nurse. Also typically an aid is available for the clients that use this specific kind of bath such as a shower chair.
Important aspects to remember when providing bathing care to a client are:
- Determine the type of bath the client will need
- Self-care ability of the client
- Any movement or positioning precautions specific to the client
- The client’s comfort level with being provided this type of care
- Necessary equipment that will be needed
- To use universal standard precautions when bathing unless the client is under a specific type
- Ensure privacy for the client
- Remember to clean the body by rubbing with long smooth strokes from the distal to proximal parts of the extremities