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SHAMPOOING CLIENTS IN BED

Definition: Washing or cleaning of the hair with the use of shampoo or a cleaning agent for weak or bedridden clients. Purposes: To cleanse the hair and scalp. To stimulate scalp circulation To remove dirt and soil from the scalp. To treat conditions of the scalp with topical applications of medications, Considerations:

CONSIDERATIONS
Frequency of shampooing depends on the length and nature of the clients hair, duration of hospitalization and clients condition When shampooing, check the clients scalp for signs of disorder or skin breakdown Ensure that each client has his/her own comb for use. Shampooing in bed is contraindicated to clients with post craniotomy procedure, depressed skull fracture, clients for intracranial pressure monitoring and other conditions affecting the cranium.

Equipments:
1. Tray containing: a. hair shampoo b. 3 bath towels c. pitcher with hot water d. comb/hair brush e. 2 dry CB 2. pails a. pail containing full of clean water b. empty pail 3. Plastic shampoo trough 4. Waterproof pad 5. Washcloth

 ACTION

PROCEDURE

RATIONALE

Assessment 1. Checks the chart and nursing care plan for any information related to patients diagnosis, doctors orders, limitations. 2. Assessing clients condition that requires higher priority than shampooing such as pain, fatigue, level of sedation etc. Planning 3. Assembles the equipments

Remember that hygienic procedures are less priority than patient with pain or with shortness of breath. Organization is a form of appropriate time management and prevents fatigue and frustrations of the patient.

Implementation
4. Moves the patient A supine position near the side of the facilitates drainage bed. away from the face, eyes and 5. Positions a bath head. blanket and Layered materials fanfolds the top sheet to the foot absorbs water and part. prevents the patient from 6. Covers the floor feeling wet and with newspaper chilled. and places a pail over it. 7. Places a bath

 8. Removes the pillow and cover the pillow with a waterproof pad and a towel. 9. Places the pillow under the patients head so when the patient lies the head is tilted backward. 10. Arrange a trough under the patients head with one end extending to the pail. 11. Plugs ears with cotton balls. Covers the eyes with a folded washcloth or asks the patient to hold the

Using a trough proved a method of collecting and draining the water from the patients and the bed.

12. Checks the temperature of the water. 13. Wets the hair, taking care to keep the water out of the patients eye. 14. Applies shampoo and, using both hands wash the hair and massages the scalp with the fingertips. Avoid using the

To give appropriate temperature of the water to be used in for shampoo in bed. Wet hair dilutes the shampoo and helps to form suds.

15. Rinses the shampoo by pouring water over the hair. 16. Repeats the washing and the rinsing 2 3 as necessary. 17. Dries the patients forehead and ears. 18. Removes the cotton from the ears. 19. Raises the

Rinsing prevents leaving shampoo in the hair, which gives the hair a dull appearance, if left in the scalp, shampoo could cause irritation for some people. Towel absorbs water.

20. Rubs the patients 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 patients head. 24. Removes bath blanket and at the same time, brings up the top sheet.

26. Lowers the bed and raises the side rails. 27. Makes the patient comfortable. 28. Returns equipments to be cleaned. 29. Washes hands. 30. Documents pertinent observations.

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.