Bathing your loved one regularly is an important way to help keep their skin healthy. It can help prevent infections and it's a good time to check for sores or rashes. Bathing also helps your loved one feel fresh and clean.
The amount of help your loved one needs when bathing depends on how well he or she can move. You may be caring for someone who has short-term trouble with self-care because they are recovering from an illness or a surgery. Or you may be taking care of an older person who has memory problems and can't remember how to bathe. Or you could be caring for someone who has a long-term inability to move, such as a person who is paralyzed. This person may need much more help when bathing.
A person who has to stay in bed for a short time and who can move a little may be able to take a shower with some help once or twice a week. Or the person may prefer a partial bath at the sink or with a basin every day. A person who can't move well or who can't move at all needs a bed bath. This is often called a sponge bath, but face cloths are often used too. You can give a full bath in bed without getting the bed sheets wet.
Younger people who have no problems with blood flow can bathe more often if they want to. For older adults, you can give a bed bath 2 or 3 times each week. Bathing more often may put the person at risk for skin problems, such as sores.
Let your loved one clean himself or herself as much as possible. As you help to undress and bathe them, try to be as relaxed as possible. Bath time can be embarrassing for you and the person you're caring for. This may be especially true if you are caring for someone of the opposite sex. If you are calm and don't seem embarrassed, they may feel more comfortable.
To get ready to give someone a bed bath, start by gathering materials. You will need:
Ask the person if the room is too warm or too cool, and change the temperature if needed. Make sure that the bed is high enough so that you don't hurt your back. If it is low, it is okay to put your knee on the bed to reach over and bathe the person.
Place a waterproof mat or sheet under the person to keep the bed dry. And for privacy, make sure the door is shut and the blinds or drapes are closed.
When you help someone bathe you may have a chance to check the skin for redness or sores. Pay special attention to areas with creases, such as beneath the breasts or in the folds on the stomach. Also look at the groin area and bony areas, such as the elbows and shoulders.
Start by filling two basins with warm water. Use the first basin for soaping up a face cloth and wringing it out. Use the second to hold clean water for rising the soap off. Use the back of your hand to test the water to make sure it's not too hot. You don't have to wear gloves, but it might be a good idea if the person has been vomiting or has had diarrhea. And it's a good idea to wear a mask if you or the person has an illness that can spread, such as a cold or influenza (flu).
When you are finished with the bath, apply an unscented body lotion to protect the skin and keep it from becoming dry. Don't put lotion on areas that can become moist, such as under the breasts or in the folds of the groin. Help the person as needed to finish dressing. Put away your supplies and wash your hands.
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Current as of: April 18, 2018
Adam Husney, MD - Family Medicine & Gayle E. Stauffer, RN - Registered Nurse & Kathleen Romito, MD - Family Medicine
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