The skin should be clean to function properly­tsionirovat. To do this, hold it ut­renny and evening dress. Human skin zagryaz­nyaetsya secretions of the sebaceous and sweat glands, horny scales, dust, especially in the armpits and folds of skin under the Milk Jelly­Zami in women. perineal skin further contaminated secretions from the genito-urinary organs and intestines.

The patient should be washed in the bath or shower at least once a week. If the patient is weak­flax, it is recommended to wash in the shower in the bathroom, seated on a chair. The necessity daily patient­mo washing, cleaning the washing of hands before meals.

Help the patient during a hygienic shower and washing of the head:

• establish a special bath seat or high chair;
• adjust the water temperature to 35 – 37 ° C;
• help the patient to remove clothing;
• warn the patient of the need to inform­Niya about a possible deterioration of his state of health (Ser­dtsebienie, shortness of breath, etc.);
• help the patient become in a bath, then arrange­camping on a seat, supporting its rear by the elbows;
• rubber gloves;
• folded cloth in several layers, ask the patient to cover her eyes;
• Moisten the patient’s hair, spraying water from soul;
• Apply shampoo and wash the hair with both hand­E, gently massaging the head until the hair will not be completely lathered;
• lather rinse water;
• remove the diaper, close my eyes, wipe the hair;
• help the patient consistently wash Tulo­vische, upper limbs, neck, chest, back, LO­of limbs, groin, perineum, using a soft terry washcloth or mitten;
• wipe dry the patient’s body (preferably soft­Kim towel), paying attention to Pal­tsam lower extremities help to get out of the bath (if necessary, provide assistance together);
• help comb your hair, put on clothes and shoes.

Note: in the same way the patient is carried out washing in the bathroom.

If the bath or shower contraindicated req­Dimo conduct sponging the patient in bed:

• prepare a container of water (temperature 36 – 37 ° C), oil cloth, cloth, rubber glove, mitten terry, terry towels 2;
• rubber gloves;
• Rinse terry mitten (without soap) forever one eye of the patient from the inner corner to the outdoor temp­Nome;
• wipe the eyelids dry with a towel;
• Rinse the other party gloves forever WTO­cerned eyes;
• wipe the eyelids dry with a towel;
• Wash terry mitten forehead, nose, cheeks;
• Wipe dry with a towel;
• Wash with neck and ears soap (we­scrap use sparingly);
• rinse and wipe dry;
• , recline on a sheet with a patient’s arm­to lay down a towel under the arm;
• terry mitt wash, rinse;
• Wipe dry using a towel lying
  hand, the patient’s forearm, shoulder and podmyshech­hydrochloric cavity supporting arm in the region of the joints;
• wash your hands a brush in the container, pre-bed oilcloth on the bed next to the patient and putting her capacity;
• remove the container and oil cloth with the patient’s bed;
• Wipe dry with a brush and cover with a sheet;
• fold the sheet with the other arm of the patient and
  the same sequence wash it and dry it;
• fold the sheet into a roll, releasing the chest and abdomen;
• Wash the patient’s chest and abdomen;
  • rinse and wipe dry (women osmot­Ret skin under the breast);
• hide the chest and abdomen sheets, rolling to the lower extremities;
• put a towel under one of the lower finite­obtained;
• terry wash mitt hip, knee, th­laziness;
• rinse and wipe dry with a towel;
• remove the towel from under his feet, his leg bent in to­county, lay the oilcloth, and put in a container with­Doi;
• lower the stack in a container with water;
• Wash, rinse and dry the foot, paying attention to the skin between the toes;
• remove the container with water and rubber sheet;
• Wash the other leg in the same posledovatelnos­ty;
• cover the patient’s feet to help the patient pover­nutsya side, back to you;
• Put a towel on top of the sheets along the sleep­us and the patient’s buttocks;
• Wash, rinse and dry with a neck, the back, the buttocks of the patient, carefully examining the skin for detection of pressure ulcers;
• spread out under the buttocks of the patient oilcloth, put the ship and turn the patient on his back;
• Change the water in the tank.

If the patient can wash about­region of the perineum, ask him to do it sa­Momo, leaving him alone. Otherwise, about­Enter the procedure themselves.