29 September 2010

Lesson 34, CNA Training - Shower/Tub/Partial Baths [Part1]

http://www.freecnatrainingguide.com/ - Lesson 34, Shower/Tub/Partial Baths - Part 1. Free CNA Training & CNA Certification Videos.

good personal hygiene specifically

bathing is important for patients just like it's important for you and me hi I'm Kathy Gareth I'm a nursing instructor in community health this videotape deals with your responsibility as a caregiver with patient bathing a bath was warm water and mild soap removes dirt and sweat called perspiration increases blood circulation provides mild exercise and promotes an opportunity for close observation of patients skin you will be frequently assigned to bathe patients you as the caregiver will be able to see firsthand how a patient's condition is changing in any way the bathing procedure provides an excellent opportunity to communicate with the patients and to observe the condition of their skin examples of skin observations that you might make could be discoloration rashes sores dryness swelling of the ankles or other joints and incontinence of urine or feces remember always report any change in the patient condition to the nurse assigned to work with you the patient's condition will determine the type of bath that they're able to take some may be allowed to take a tub bath or shower while others will be needing to take a bath in

bed there are two main types of bed baths a complete and a partial bed bath a complete bed bath as the name implies means washing the patient's entire body this is usually done when the patient is perspiring heavily has incontinence of urine fecal or other material or just needs the stimulation that a complete bed bath can provide a partial bath is another type of bath that you will be assisting patients with a partial bath might be given in bed or it might be with the patient seated in a chair or in the bathroom there are two separate meanings to the term partial bath some facilities use the term partial bath to mean when the patient is giving part of the best and you the caregiver is giving the other part of the best usually it's those hard-to-reach areas such as the feet or back that your assistance is needed in this use of the term partial bath the patient's body is being washed in its entirety another meaning of partial bath is when only certain parts of the body are being washed this meaning of partial bath will be the focus of today's discussion some skin doctors called dermatologists suggest that our Western culture is obsessed

with cleanliness and feel that bathing the entire body is not always necessary or even warranted washing too frequently and washing with strong antibacterial soaps can increase skin dryness and also remove the micro bacterial organisms that are natural and helpful on our skin when given a partial bath should include skin surfaces that touch each other an example might be under the breath area and chest also areas likely to harbor odors examples that come to mind might be the axilla or armpit area and the genitals and buttock another partial bath area that should be cleaned is areas that have frequent soil and things that come to mind would be the hem the usual body parts that are included in a partial bath are the face hands armpit or axilla under the female breast the perineal area and the buttocks the nurse will tell you the type of bath that you're assigned patient should have whichever type of bath it is remember that your patient should always be encouraged to participate in their care as much as possible patients receiving specific and special treatments also need bathing items that come to mind would be those

patients that are receiving intravenous or IV treatments patients that have drainage tubes or ones that might be receiving oxygen these patients however will need to have a little bit of special care be careful as you bathe the patient and move them that you do not put stress on the tubes that you never lower the IV bag below the level where the tubing is inserted into the body and never raise the drainage tubes above the drainage insertion site you will now see a demonstration of a caregiver assisting a patient to take a shower in a bathtub assisting with a shower utilizing a shower chair and assisting with a partial bed bath another video tape will give a demonstration of a complete bed bath now please watch as these are demonstrated to assist with a tub bath or shower you must first gather the necessary equipment prior to assisting the patient into the tub to place these items on a shelf nearby place a non-skid mat on the floor as well as one inside the tub place the shower chair in the top if the patient is unsteady the chair should be 17 to 20 inches above the floor close

the door to the bathroom to present dress and be sure that the room is a comfortable temperature explain to the patient what you are going to do assist the patient to disrobe and help into the tub making sure he holds on to the grab bars make certain he has seated safely in the chair close the shower curtain so the patient can finish undressing turn on the water and adjust the temperature 105 to 110 degrees before turning on the shower spray assist the patients as needed