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Hair wash, Fundamentals of Nursing
This document provides information on hair washing procedures for patients. It discusses the purposes of hair washing, which include keeping hair clean, healthy and tidy. It outlines the nursing assessment process, common hair and scalp problems, and principles of hair washing such as maintaining privacy and preventing water from entering ears or eyes. The document then describes the hair washing procedure step-by-step and lists the necessary articles. It emphasizes assessing any medical conditions, checking water temperature, and ensuring the patient's comfort throughout the process.
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Hair wash, Fundamentals of Nursing
- 1. Hair wash Prepared by:Pooja Koirala Lecturer NMCTH
- 2. Hair • The appearanceof the hair often reflects a person’s feelings of self concept and socio cultural well being. • Becoming familiar with the care needs and practices that may be different than our own is an important aspect of providing competent nursing care to all clients • A dirty scalp and itchy, uncomfortable hair can have an odor
- 3. Introduction cont…. • Thehair may also reflect state of health (e.g. excessive coarseness and dryness may be associated with endocrine disorders) • A wide toothed comb is usually used because finer combs pull and break the hair
- 4. Developmental variations • Inadolescence, the sebaceous glands increase in activity due to increase in hormone level. • So the adolescent's hair are usually more oily • In older adults, the hair is usually thinner, grows slowly
- 5. Nursing assessment • Historytaking: – Hair care habits – History of scalp problems – History of hair loss (alopecia) • Physical examination – Dandruff – Hair loss – Ticks (small gray brown parasite) – Pediculosis (Lice) – Scabies (skin infection by itch mite: Sarcopetes scabiei)
- 6. Diagnosis • Impaired skinintegrity – Pruritus secondary to scabies – Pruritus secondary to head lice – Insect bite • Risk of infection – Scalp laceration
- 7. Diagnosis cont…. • Dressingself care deficit – Activity intolerance – Imposed immobility (bed rest) – Pain in upper extremity – Altered level of consciousness – Lack of motivation • Disturbed body image
- 8. Hair wash • Hairwashing means washing and cleaning hair with soap or shampoo and water. • Ambulatory patient can wash their hair in the bathroom but bed ridden patients need to wash their hair in the bed.
- 9. Purposes • To keephair clean, healthy and tidy • To provide the sense of well being • To observe the scalp • To increase circulation to the scalp and hair • To prevent accumulation of dirt, dandruff and oil • To promote growth of hair • To prevent itching, infection and lice • To prevent loss of hair • To promote mental relaxation
- 10. Common hair andscalp problems • Dandruff: sealing of scalp accompanied by itching • Pediculosis: lice infection • Alopecia: hair loss
- 11. Principles • Maintain privacy •Empty the bladder before washing • Combing hair should be done first before doing hair washing • Hair must be kept free from snarls, combed and brushed without hurting the patient • Prevent the eyes and ears from soapy water • Water temperature should be around 110 degree F. check the temperature by placing a small amount of water on the inner aspect of forearm
- 12. Principles cont… • Avoidhair wash for the patient who has just taken meal at least for an hour • Consider religious, cultural and personal preferences of the patient • Special precaution should be taken in positioning the patient, if central venous lines are present • Teeth of the comb should be dull to prevent scratching of the scalp • Unbroken skin acts as barrier of infection
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- 14. Principles cont… • Practiceof good techniques saves time and energy • Cotton socked in oil is used to seal the ear as it does not absorb water and thus prevent water from entering the ear • Neglected hair and scalp contain dirt and micro organisms also produce infection at the scalp • A well combed and attended hair provides comfort to the patient and makes appearance more attractive
- 15. Articles required • Atrolley containing: – Bucket with warm water: 1 – Bucket for waste water: 1 – Big towel:1 – Big mackintosh: 1 – Jug:1 • A tray Containing: – Cotton with oil: for ear plug – Shampoo or soap with soap dish – Brush or comb – Oil – Plastic apron • Screen
- 16. Procedure • Before washinga client’s hair, determine that there are no contraindications to this procedure • Certain medical conditions such as head and neck injuries, spinal cord injuries and arthritis could place the client at risk, for injury during shampooing because of positioning and manipulation of client’s head and neck • Assess the general condition of the patient and inspect the hair and scalp prior to initiating the procedure . This determines the presence of any conditions that may require the use of special shampoo or treatments (dandruff or the removal of dried blood)
- 18. Procedure cont… • Checkthe patient’s preference for soap or shampoo • Close the windows and put off the fan • Empty the bladder of the patient • Explain the purposes and procedure to the patient • Wash hands with soap and water • Prepare and bring the articles to the working side of the patient • Screen the patient
- 19. Procedure cont… • Unlesscontraindicated, help the patient move his / her head towards the edge of the bed. • Remove the pillow and place it in a shoulder if not contraindicated • Roll the mackintosh sheet from both sides in a slanting way, to make the shape of a funnel. The narrow end should be folded and put under the patient’s head and the free end should be put in bucket to act as a drain for the water
- 20. Procedure cont… • Placethe towel around the neck and shoulder of the patient • Help the patient to assure in a comfortable position
- 24. Procedure cont… • Askthe patient to close his / her eyes to prevent the soap water getting into the eyes • Brush the hair • Insert cotton swab into the ears • Mix hot and cold water and test the temperature with the back of the hand • Wet the hair by warm water
- 25. Procedure cont… • Applythe shampoo to the hair and massage using fingertips (do not use nails) • Rinse the hair repeatedly with warm water till thorough cleanliness is ensured • Ask the patient if he / she is comfortable • Remove the trough or rolled mackintosh and place it in the bucket.
- 26. Procedure cont… • Removethe cotton plugs from ears into paper bag or kidney tray • Dry the patient’s hair with towel • Reposition the patient in proper alignment • Massage the hair with oil and the comb the hair • Make the patient tidy and comfortable. Change the linen if needed
- 28. Procedure cont… • Cleanthe article and place them in a proper place • Record the procedure including the conditions of the scalp, hair and any abnormalities in the patient’s chart • Report to the senior staff if any abnormalities found
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