Shampooing Clients in Bed

SHAMPOOING CLIENTS IN BED frustrations of the patient.
from feeling
DEFINITION wet and chilled.
- Washing or cleaning of the hair with the use of PLANNING
shampoo or a cleaning agent for weak or 3. Assembles the equipment’s
bedridden clients. IMPLEMENTATION
PURPOSES: 4. Moves the patient near the side of the bed.
- To cleanse the hair and scalp. - Supine position facilitates drainage away
- To stimulate scalp circulation from the face, eyes and head.
- To remove dirt and soil from the scalp. - Layered materials absorb water and
- To treat conditions of the scalp with topical prevents the patient
applications of medications, 5. Positions a bath blanket and fanfolds the top
CONSIDERATIONS: sheet to the foot part.
- Frequency of shampooing depends on the 6. Covers the floor with newspaper and places a
length and nature of the client’s hair, duration of pail over it.
hospitalization and client’s condition 7. Places a bath towel around the patient’s
- When shampooing, check the client’s scalp for shoulders and neck.
signs of disorder or skin breakdown 8. Removes the pillow and cover the pillow with a
- Ensure that each client has his/her own comb waterproof pad and a towel
for use. - Using a trough proved a method of collecting
- Shampooing in bed is contraindicated to clients and draining the water from the patients and
with post – craniotomy procedure, depressed the bed.
skull fracture, clients for intracranial pressure 9. Places the pillow under the patient’s head so
monitoring and other conditions affecting the when the patient lies the head is tilted
cranium. backward.
EQUIPMENT’S: 10. Arrange a trough under the patient’s head with
1. TRAY CONTAINING: one end extending to the pail.
a) Hair shampoo 11. Plugs ears with cotton balls. Covers the eyes
b) 3 bath towels with a folded washcloth or asks the patient to
c) Pitcher with hot water hold the folded washcloth.
d) Comb/hair brush 12. Checks the temperature of the water.
e) 2 dry CB - To give appropriate temperature of the
2. PAILS water to be used in for shampoo in bed.
a) Pail containing ⅔ full of clean water - Wet hair dilutes the shampoo and helps to
b) Empty pail form suds.
3. Plastic shampoo trough 13. Wets the hair, taking care to keep the water out
4. Waterproof pad of the patient’s eye.
5. Washcloth 14. Applies shampoo and, using both hands wash
PROCEDURE the hair and massages the scalp with the
ACTION fingertips. Avoid using the fingernails.
ASSESSMENT 15. Rinses the shampoo by pouring water over the
1. Checks the chart and nursing care plan for any hair.
information related to patient’s diagnosis, - Rinsing prevents leaving shampoo in the
doctors’ orders, limitations. hair, which gives the hair a dull appearance,
- Remember that hygienic procedures are if left in the scalp, shampoo could cause
less priority than patient with pain or with irritation for some people.
shortness of breath. 16. Repeats the washing and the rinsing 2 – 3 as
2. Assessing clients’ condition that requires higher necessary.
priority than shampooing such as pain, fatigue, 17. Dries the patient’s forehead and ears.
level of sedation etc. 18. Removes the cotton from the ears.
- Organization is a form of appropriate time 19. Raises the patient’s head and wrap it in a bath
management and prevent fatigue and towel.
- Towel absorbs water.
20. Rubs the patient’s head with a towel to dry it as
much as possible.
21. . Removes the trough and adjusts the pillow.
22. Combs and arranges the hair.
23. Leaves a towel under the patient’s head.
24. Removes bath blanket and at the same time,
brings up the top sheet.
25. Changes the patient’s gown if necessary.
26. Lowers the bed and raises the side rails.
27. Makes the patient comfortable.
28. Returns equipment’s to be cleaned.
- Discarding the water and the equipment
will prevent accidentals spilling.
- Hand washing deters the spread of
microorganisms; to break the cycle of
- Infection.
- Careful recording is important for planning
and individualizing the patient care.
29. Washes hands.
30. Documents pertinent observations.

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SHAMPOOING CLIENTS IN BED frustrations of the patient.

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