授课题目

Bath Care

授课形式

lecture and demonstrate

授课时间

2006．10．17

授课学时

1

教学目的

与 要 求

1.  Demonstrate the whole procedure of bed bath.

2.   Describe the purpose of bath care.

基本内容

1.  Objectives

2.  Types of bath

3.  Procedure of bed bath

4.  Principles

重 点

难 点

1.  Types of bath

2.  Contraindications (禁忌症) of tub bath.

主要教学

媒 体

PPT

主 要 外

语 词 汇

Bed bath, Partial bath, Shower, Tub bath, Menstruating, towel mitt, canthus, umbilicus, axilla, groin

有关本内容的新进展

主要参考资料或相关网站

1、Zhou Kexiong. Basic Nursing Skills

2、SABDRA F.SMITH. Clinical Nursing Skills. Prentice Hall Health.

系、教研室

审查意见

已审合格，同意授课。

课后体会

1.  时间正好

2.  本节内容相对简单，学生基本能听懂和理解。

3.  适当增加与学生的交流，锻炼学生口语。

教学内容

时间分配和

媒体选择

Bath care

u  Objectives

1.  To clean skin and to eliminate dead skin cells. Otherwise, dead skin cells will lead to infection if impaired skin integrity occurs.

2.  It’s essential to prevent body odor, because excessive perspiration interacts with bacteria to cause odor.

3.  Relaxation and improved circulation are benefits of bathing and play a therapeutic role in the care of clients on bedrest.

4.  Bathing promotes a feeling of self-worth by improving a person’s appearance. It meets the patients’ demands of comfort and cleaning.

5.  The bath affords the nurse time to spend in communication and assessment. Skin condition, mobility, self-care deficits, and state of illness can be detected while bathing the client.

u   Types of bath

1.  Bed bath: the client, who is usually totally dependent, is bathed by the nurse due to physical or mental incapacity. The client www.med126.com/kuaiji/is encouraged to complete as much of his or her bath as possible.

2.  Partial bath: face, axilla(腋窝)，hands, back and genital（生殖的)area are bathed instead of the whole body.

3.  Shower: preferred method of bath if client is ambulatory(能自理的).

4.  Tub bath: used by ambulatory clients.

    –Contraindication(禁忌症) of tub bath: in the followed cases, the persons can’t have tub bath in order to avoid genital system infection.

u  Bed bath

[Preparation]

1.  Patient

2.  Environment

3.  Equipment

 [Procedure]

1.  Put equipment on suitable place.

2.  Help client to the side of bed closest to you. Keep the side rail on the far side of the bed.

3.  Fold a towel mitt(露指手套)

Wrap one edge of towel Wrap towel around hand Tuck far edge of towel under

around palm and fingers and anchor with thumb edge in palm of hand

4.  Basic bathing steps: wash, rinse and dry.

5.  Bathing sequence: begin bath at face and work downward toward feet.

6.  Assist client to comfortable position. Replace equipment.

u   Principles

1.  When the water is dirty, change it timely.

2.  The order of two sides while doffing(脱) and donning（穿) the clothing：

a.  General patients：the close side sleeve first while doffing; the far side sleeve first while donning.

b.  Wounded patients: the healthy side sleeve first while doffing; the wounded side sleeve first while donning.

3.  Pay attention to skin folds, such as axilla, under breasts and groin. Clean these areas carefully.

4.  Respect client’s privacy.

5.  Keep warm. Don’t let the client get a cold during the bath. Notice   temperatures of room and water and don’t forget to cover the patient with bath blanket and quilt.

[Exercise]

Jone, 34y, has injured his left arm in a accident. Now he wants to change a clean hospital clothing, the order is: order is:

Right first while doffing

left first while donning

Example

5’

[PPT]

question

[PPT]

question

10’

Question

photo

20’

photo

30’

perform

Question

discuss

[PPT]

35’

40’

Question