1 00:00:00,276 --> 00:00:02,776 (piano music) 2 00:00:04,590 --> 00:00:06,750 [Narrator] When someone is confined to bed, 3 00:00:06,750 --> 00:00:08,100 help with personal hygiene 4 00:00:08,100 --> 00:00:11,250 can provide physical and emotional comfort. 5 00:00:11,250 --> 00:00:12,420 It's also a good time to talk 6 00:00:12,420 --> 00:00:14,020 to the person you're caring for. 7 00:00:15,570 --> 00:00:17,160 When bathing a person, 8 00:00:17,160 --> 00:00:19,060 it's important to consider the timing. 9 00:00:20,190 --> 00:00:21,750 Bathing can sometimes be tiring 10 00:00:21,750 --> 00:00:23,910 for the person who has little energy. 11 00:00:23,910 --> 00:00:26,640 So, timing the bath to allow for rest afterward 12 00:00:26,640 --> 00:00:27,990 can help ensure they're still able 13 00:00:27,990 --> 00:00:30,740 to participate in activities that they find meaningful. 14 00:00:32,340 --> 00:00:35,760 If the person experiences discomfort or pain with movement, 15 00:00:35,760 --> 00:00:38,280 administering pain medication prior to the bath 16 00:00:38,280 --> 00:00:40,440 can help them to be more comfortable. 17 00:00:40,440 --> 00:00:42,930 Check with your healthcare provider about what kind 18 00:00:42,930 --> 00:00:45,033 and how much medication should be given. 19 00:00:46,020 --> 00:00:47,550 Gather the supplies you'll need 20 00:00:47,550 --> 00:00:50,430 so they're close at hand during the bath. 21 00:00:50,430 --> 00:00:53,403 These may include a clean nightgown or clothing, 22 00:00:55,290 --> 00:00:57,780 a wash basin filled with warm water, 23 00:00:57,780 --> 00:00:59,823 a mild soap that's gentle to the skin, 24 00:01:00,780 --> 00:01:02,700 face cloths and towels, 25 00:01:02,700 --> 00:01:05,133 and lotion that's non-alcohol-based. 26 00:01:07,200 --> 00:01:08,550 It's important to wash your hands 27 00:01:08,550 --> 00:01:10,623 before and after providing care. 28 00:01:12,720 --> 00:01:15,420 Raise the level of the bed if possible. 29 00:01:15,420 --> 00:01:17,460 This will help reduce the amount of strain on your back 30 00:01:17,460 --> 00:01:18,543 when giving the bath. 31 00:01:19,710 --> 00:01:21,330 If the bed has side rails, 32 00:01:21,330 --> 00:01:23,640 lower the side rail closest to you, 33 00:01:23,640 --> 00:01:26,340 but leave the rail on the opposite side up for safety 34 00:01:26,340 --> 00:01:29,193 and for the person to hold onto as able when turning. 35 00:01:31,320 --> 00:01:34,380 To ensure privacy and help the person stay warm, 36 00:01:34,380 --> 00:01:37,620 make sure they're covered with a blanket during the bath. 37 00:01:37,620 --> 00:01:39,330 Try to expose only the part of the body 38 00:01:39,330 --> 00:01:40,890 you're actually washing, 39 00:01:40,890 --> 00:01:43,653 and recover that area after it's been washed and dried. 40 00:01:49,715 --> 00:01:51,270 Dip the washcloth into the basin 41 00:01:51,270 --> 00:01:53,073 and squeeze out any excess water. 42 00:01:54,420 --> 00:01:57,170 Fold the washcloth so it fits comfortably in your hand. 43 00:01:59,610 --> 00:02:00,693 Begin with the face. 44 00:02:06,030 --> 00:02:08,430 Now, maintaining as much independence as possible 45 00:02:08,430 --> 00:02:10,440 is important for a patient's dignity. 46 00:02:10,440 --> 00:02:14,100 So, if they're able, let the patient wash their own face, 47 00:02:14,100 --> 00:02:16,590 showing them how to use a different part of the washcloth 48 00:02:16,590 --> 00:02:17,883 to wipe over each eye. 49 00:02:24,180 --> 00:02:28,200 Next, wash the upper body, hands, and arms. 50 00:02:28,200 --> 00:02:29,700 Be sure to dry the areas well 51 00:02:29,700 --> 00:02:31,900 before recovering the person with a blanket. 52 00:02:37,200 --> 00:02:38,903 You may have to change the water several times 53 00:02:38,903 --> 00:02:40,860 to make sure it stays clean and warm 54 00:02:40,860 --> 00:02:41,860 throughout the bath. 55 00:02:46,170 --> 00:02:48,240 After you've washed their legs and feet, 56 00:02:48,240 --> 00:02:50,220 help the person roll onto their side 57 00:02:50,220 --> 00:02:52,020 so you can wash their back. 58 00:02:52,020 --> 00:02:53,250 Pull yourself right over. 59 00:02:53,250 --> 00:02:55,700 [Narrator] Use a towel to protect the bed linen 60 00:02:57,150 --> 00:03:00,750 As you wash, inspect the skin for any signs of irritation, 61 00:03:00,750 --> 00:03:02,553 pressure sores, or skin breakdown. 62 00:03:03,510 --> 00:03:05,370 If changes are noted in the skin, 63 00:03:05,370 --> 00:03:08,850 it's important to share this with your healthcare provider. 64 00:03:08,850 --> 00:03:11,070 Wash the person's genital area last 65 00:03:11,070 --> 00:03:13,080 while they're in this position, 66 00:03:13,080 --> 00:03:16,380 making sure to wipe from front to back. 67 00:03:16,380 --> 00:03:17,880 You can apply lotion to the back 68 00:03:17,880 --> 00:03:20,730 or any parts of the body that feel dry. 69 00:03:20,730 --> 00:03:23,250 It's important to avoid alcohol-based lotions, 70 00:03:23,250 --> 00:03:24,663 as these can dry the skin. 71 00:03:27,060 --> 00:03:29,860 Change soiled or wet sheets after the bath is completed. 72 00:03:31,800 --> 00:03:34,473 Help the person put on clean pajamas or nightgown, 73 00:03:36,210 --> 00:03:38,190 then lower the bed to its original position 74 00:03:38,190 --> 00:03:40,390 if it was raised prior to starting the bath. 75 00:03:41,490 --> 00:03:43,473 And finally, wash your hands. 76 00:03:45,360 --> 00:03:47,730 Note that as illness progresses, 77 00:03:47,730 --> 00:03:50,343 this procedure may require two people to complete. 78 00:03:51,863 --> 00:03:54,446 (piano music)