Assisting with Personal Hygiene

This document discusses the importance of assisting clients with personal hygiene, focusing on the case of Mrs. Alen Walker, who requires assistance in taking baths and showers. It covers the necessary preparations, equipment required, good infection control practices, effective communication with the client, and the rationale for intervention. The implementation of health and safety requirements and communication with other team members are also addressed.

SKILLS
DEMONSTRATION

Contents
TASK 1............................................................................................................................................3
Feeding a client with meal...........................................................................................................3
TASK 2............................................................................................................................................3
Assisting the client with personal hygiene..................................................................................3
TASK 3............................................................................................................................................4
Assisting client to a commode or emptying a catheter................................................................4
REFERENCES................................................................................................................................5

TASK 1
Feeding a client with meal
Introduction to the client: I am working with John Green, who is 75-year-old patient
suffering from leukaemia. He also has a medical history of diabetes and high blood pressure.
Patient is too weak and requires assistance even in feeding. He has been admitted to intense care
unit from past 7 days. Patient is having problem in feeding, he cannot walk and even cannot sit.
Preparation for feeding client: There are some of the basic items which will be necessary
for feeding client. Nasogastric tubes can be used to feed service users who are being admitted in
intensive care unit. The other method that can be used to feed Mr. John is intravenous feeding, it
means patient is provided with nutrition through the stomach. The dependent patient who does
not require enteral or parenteral feeding may still need help with eating. To feed client with meal,
it is essential for care worker to be patient and attentive. They must allow service user to have a
drink between each bite nurse has given in his/her mouth. While feeding nurse must make sure
that patient is eating in a position which is comfortable to them. After eating the service users
must not sleep and kept seated for at least 15 minutes (Jukic and et.al., 2017). It is really
necessary that health care professionals must be engaged in taking consent from service users.
Consent must be taken in written as it is really important for service users safety and security.
Level of assistance: The level of assistance which is being required by Mr. John will be
known by health care professional through liaising with nurse and reading the care plan.
Equipment Required: In order to provide acute care in Intensive care unit, it is really
necessary for health care professionals to make use of certain equipment’s includes feeding
pump, nasojejunal tube, PEG tube and others.
Good infection control practice: I will take care of patient hand hygiene and will make
sure that my hands are also clean before I get engaged with feeding service user.
Effective communication with Client: While feeding patient effective communication
must lay between care worker and patients, Nurses must motivate them to have healthy diet, they
must be engaged in asking questions about the problems they are facing in care.
Rationale for intervention: Various interventions will be taken in order to provide Mr.
John with acute care like limiting the visitor, making sure that they have proper diet. Making use
of good hand washing material to all visitors.

Implementation of health and Safety requirements: Nurses must make sure that sudden
movement of patients while having food do not make them suffer from back injury. They must
communicate with service user’s family for providing them with safe and secure environment.
Communication with other team members: Other team members will be made aware by
making use of effective communication. Care plan will be communicated to each team member
so that acute care can be provided (Olatunji, 2019).
Good and bad about the experience: Feeding client in ICU was really a good experience but
maintaining equipment’s clean for patient safety and hygiene was really tough task.
TASK 2
Assisting the client with personal hygiene
Introduction to the client: I was engaged in curing client who was facing problem related
to personal hygiene. Mrs Alen Walker was the patient who was suffering from substance abuse
and has blockage in her heart. She also has a history of suffering from type 2 diabetes. Patient
has been admitted in Emergency ward and requires assistance in taking bath and showering.
Preparation for assisting client with bed bathing and Showering: It is really necessary for
health care professionals to provide bed bathing to patient in a safe and secure environment.
They need to make sure that service users can easily empty their bowel whenever the nurses are
engaged in doing the bathing procedure. Nurses while giving bed bath must make sure that
patient do not fall form bed. Room must be kept warm so that service user does not found cold.
Water Temperature must be kept normal. Towel must be kept under person, so that bed does not
get wet. Nurses must wear disposable gloves while bed bathing patient. Nurses must make sure
that the waterproof cloth which has been used to shower service user is kept dry.
Level of assistance: The level of assistance which will be required by health care
professional in order to treat patient suffering from cardiovascular problem can be known
through liaising with nurses or having a brief idea related to care plan that has been made for
patient.
Equipment Required: There are various type of Equipment’s which will be needed for bed
bathing and showering like for example bath towels, apron, disposable bowls which can be
washed. Patient toiletries also need to be maintained.
Good infection control techniques: Nurses and midwives who are engaged in providing
Mrs. Alen walker bed bath needs to make sure that waste from there bowel or bladder has been

disposed properly and only timely basis. They must also be engaged in maintaining the hand
hygiene and also equipment’s must be kept clean in order to protect the service user from any
type of infection. This can assist them in improvising the health outcome of patients.
Effective communication with Client: Nurses must be engaged in asking taking verbal
consent from client (Hørdam and et.al., 2018). They must ask if patient have any trouble in bed
bathing. Care worker can ask about if they are facing any trouble related to care workers. Also in
order to know the level of improvement that has happened in client includes observing the body
language of patient. Nurses needs to engaged in keeping a keen check upon even a slightest
change in movement of patient. They can also be engaged in doing effective listening so that
problems of patients can be analysed further.
Rationale for intervention: Nurses, must make sure that proper eating plan has been made
of patient suffering from cardiovascular problem who is unable to even take bath. They must
provide them with better dietary plan so that their health outcome can be improvised.
Implementation of health and Safety requirements: Safe environment must be given to
service user so that dignity and privacy can be maintained (Fortuna, Korcal and Thomas, 2018).
Hygiene needs of service users must also be taken in mind. Risk related to cross contamination
must also be minimised.
Communication with other team members: If health care professionals are not engaged in
communicating effectively than health of patients is at stake. It can be because of lack of
knowledge or can be caused because of miss-interpretation.
Good and bad experiences: The good experience was that it was really easy for me to
communicate with patient and have an idea about their problem. The bad experience was it was
really difficult for me to provide service users with bed bathing.
TASK 3
Assisting client to a commode or emptying a catheter
Introduction to the client: The client which is been treated by me is suffering from
dementia. Mr. Harry Lew is being also been suffering from substance abuse. The patient is 75-
year-old and it has also been analysed that service user lives alone away from his daughters. H is
also suffering from depression and anxiety.
Preparation for Assisting client to a commode or emptying a catheter: Support must be
provided by nurses when taking patient to commode. If patient have weak eye sight, then bright

colour commode must be used by nurses. It can be kept close to bed so that it is easier for patient
to move over commode seat (Takeda and et.al., 2019). Environment where patient is kept needs
to be safe and secure.
Level of assistance: level of assistance which is required to be given to patient can be
known through by care plan or even by communicating with patient.
Equipment required: Various type of equipment is required to assist patient while emptying
catheter and taking them to commode like waterproof mattress, bedpan, removal and upside
down toilet seat.
Good infection control practice: Whenever emptying a catheter or assisting patient to
commode, it is really necessary to perform and hygiene. It will assist nurses in decreasing the
spread of micro-organisms.
Effective communication with Client: Nurses must interact with patient while assisting
them in toileting so that service users become comfortable with them.
Rationale for intervention: Holistic and person cantered care will be provided to patient in
order to enhance their health outcome.
Implementation of health and Safety requirements: While assisting patients during
toileting, they must be wrapped up with towel so that privacy and dignity can be maintained.
Nurses must make sure that commode are kept clean so that patient does not suffer from any
kind of infection (Kang and et.al., 2018).
Communication with other team members: It is really necessary for nurses to communicate
with other team members, so that actual problem that is being faced by patient can be known by
them. They can communicate face to face or through emails.
Good and bad experiences: The good experience was that I was able to build a good bond
with patient and easily analyse their problem. Bad experience was that there was leess
coordination in team.

REFERENCES
Books and Journals
Jukic, N. and et.al., 2017. Home Enteral Nutrition therapy: Difficulties, satisfactions and support
needs of caregivers assisting older patients. Clinical Nutrition. 36(4). pp.1062-1067.
Takeda, E. and et.al., 2019. Development of a toileting performance assessment test for patients
in the early stroke phase. Disability and rehabilitation.41(23). pp.2826-2831.
Hørdam, B. and et.al., 2018. Nurse-assisted personal hygiene to older adults 65+ in home care
setting. Journal of Nursing Education and Practice.8(2). pp.23-29
Kang, S. and et.al., 2018. A feasibility study using cadaver: Efficacy and safety of the novel
automatic urinary catheterization device. Medicine.97(51).
Fortuna, S.M., Korcal, L. and Thomas, G., 2018. Bladder Management in Children: Intermittent
Catheterization Education. NASN School Nurse.33(3). pp.178-185.
Olatunji, O., 2019. Education Program for Critical Care Nurses on Preventing Catheter-
Associated Urinary Tract Infections.

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