Name: UBAIDILLAH

Class: PSIK 3B
Nim: 1019031146

English for Nursing 2

Topic 8

BEDSIDE/COMPLETE BATHING

Instructional objective
The students are expected to be able:

 to act out a conversation and practice of bathing patient, and

 to write a nursing documentation after bathing patient.

Reading
Direction. Read the nursing note below and get some useful informations regarding giving bed bathing
patients. Then, answer the following questions.

NURSING NOTE
Supporting patients to maintain their hygiene needs while they are in hospital is a
fundamental aspect of nursing care, yet there is very little evidence to support
practice (Coyer et al, 2011). Personal hygiene includes care of the:
 Hair;
 Skin;
 Nails;
 Mouth, eyes, ears and nose;
 Perineal areas (Dougherty and Lister, 2015);
 Facial shaving (Ette and Gretton, 2019).

Hygiene and skin care should be considered as one entity, as both have a potential
impact on skin health and on patients’ comfort and wellbeing. All patient should have
their own toiletries or be supplied with single-patient use items until their own
toiletries can be brought into hospital.

Helping patients to wash and dress is frequently delegated to junior staff, but time
spent attending to a patient’s hygiene needs is a valuable opportunity for nurses to
carry out a holistic assessment (Dougherty and Lister, 2015; Burns and Day, 2012). It
also allows time to address any concerns patients have and provides a valuable
opportunity to assess the condition of their skin.

Patients will have their own values and practices relating to hygiene, which nurses
need to consider when planning care. For example, some patients may bathe in the

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 evening as it helps them settle for the night, while others may prefer to shower in the
morning. Nurses should also discuss with patients any religious and cultural issues
relating to personal care (Dougherty and Lister, 2015). For example, ideally, Muslim
patients should be cared for by a nurse of the same gender (Rassool, 2015), and
Hindus may wish to wash before prayer (Dougherty and Lister, 2015).

Bed bathing is not as effective as showering or bathing and should only be

undertaken when there is no alternative (Dougherty and Lister, 2015). If a bed bath
is required, it is important to offer patients the opportunity to participate in their
own care, which helps to maintain their independence, self-esteem and dignity.

(Source: nursingtimes.net)

Questions:
1. What does personal hygiene include?
2. Why is attending time to patient’s hygiene needs valuable?
3. What do nurses need to consider when planning care of bathing patient?
4. Why is it important to offer patients the opportunity to participate in their own
care?

Answer:
1. Personal hygiene includes care of the: Hair, skin, nails, mouth, eyes, ear, and
nose, perineal areas, facial shaving.
2. Because, Patient hygiene is a valuable opportunity for nurses to carry out a
holistic assessment. It also gives time to address any concerns the patient has
and provides a valuable opportunity to assess their skin condition.
3. that the nurse should consider when planning care. For example, some patients
may bathe at night because it helps them calm down at night, while others may
prefer to bathe in the morning.
4. If bed baths are necessary, it is important to offer them the opportunity to
participate in their own care, which helps maintain their independence, self-
esteem and dignity.

Related Vocabularies
Direction. The followings are the vocabularies related to giving bathing patient. Practice the
pronunciation. Complete the blanks with the proper pronunciation.
A. Needed Equipment

Disposable Apron Non-Sterile Gloves Patient Toiletries

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 / dɪˈspəʊzəb(ə)l ˈeɪprən / / nä n-ˈsteraɪl ɡlʌvz / / peɪʃ(ə)nt ˈtɔɪlətriz /

Bath Towels Comb Wash Clothes

/baTH ˈtou(ə)l/ /kōm/ /wäSH klō(T͟H)z/

Disposable Wash Bowl Clean Bed Linen Linen Skip

/ dɪˈspəʊzəb(ə)l wɒʃ bəʊl / / kliːn bEd ˈlɪnɪn/ / lɪnɪn skɪp /

B. Verbs
1. Prepare /prɪˈpeə(r)/ : mempersiapkan
2. Wash /wɒʃ/ : membasuh
3. Cover /ˈkʌvə(r)/ : menutup
4. Place /pleɪs/ : meletakkan
5. Remove / rɪˈmuːv/ : mengangkat, melepaskan
6. Apply / əˈplaɪ / : mengoles

C. Adjective
1. Comfortable /’kamfetebl/ : nyaman

Useful Expressions
Direction. Study the following useful expressions when helping patient bathe. Then, practice them.
A. Greeting
 Hi. How are you?
 Good morning, Maam.

B. Self-Introduction
 My name is Nancy. I will be your assisting nurse for today.
 Can you tell me your name?
 Can you state your birth date?

C. Explaining what you are going to do

 I am here to ....  I am here to help you bath.
 I am going to ....  I am going to put this towel

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 under your hand.
 I would like to ....  I would like to wash your face
and neck.
 I need to ....  I need to check your visual
 I just want to .... acuity.
 I just want to help you take off
 Let me ... your gown.
 Let me soak your feet.

D. Giving questions
 Do you ...............?  Do you need my assistance for
bathing?
 Do you have any problem with
your skin?
 Do you have skin allergic
reaction to cosmetic products?
 Do you have your own soap?
 Do you usually use lotion after
bath?
 Is there any of your family or
next of kin who wants to help
you take a bath?
 Is there ......?  Is it warm enough for your
body?
 Is it too hot?
 Is it ............?  Is it comfortable?
 Is it okay?
 Where do you put your
toiletries?
 (question-words) Where do
you ...?

E. Giving instructions  Please lie on your side.

 Please (V1) ............  Can you lie sideways?
 Will/Would/Could/Can  Could you close your eyes?
you ...............?  I want you to move closer to me.
 I want you to ......

Integrated Listening and Speaking Exercise

Direction. Accomplish the following conversation then act out the dialogue.

Nurse : Good morning, Mrs. Johnson.

Patient : Good morning.

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Nurse : How are you today?
Patient : Not too well. I’m afraid.
Nurse : can you move yourself well?
Patient : I don’t think so.
Nurse : Well, It is time (1) to have a bath.
I will help you bath.
Is there any next of kin who will help you bath?
Patient : Well yes, it is usually my sister. But she is out this morning.
Nurse : No problem. I will help you.
Do you have (2) pain in any part of your body if you press or touch it?
Patient : No, I don’t think so.
Nurse : Do you have (3) any problem with your skin?
Patient : Not really.
Nurse : Where do you keep your soap?
Patient : It is in that drawer.
Nurse : well, let me help you open your gown.

Communication Exercise
Direction. Choose a pair and write a complete conversation on the acts of helping patient bath on bed.
You can use the useful expressions above. Then, practice and present your communication practice.
Nurse: Puput
Patient: Syahrir

Puput: Good morning Mr. I'll check first whether your name matches the name on this
bracelet.
Oh yes, that's right with Mr. Syahrir 20 years old. How are you , did you take a
shower this morning?
Syahrir: Not yet a nurse, my body feels dirty, smells, and itches.
Puput: Yes, for that I am Puput's nurse. This morning, I will help Mr. Syahrir to bathe in bed.
How do you allow?
Syahrir: Yes nurse

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Puput: Well, my goal is to help you, so that you feel clean, fragrant, and free from germs.
Later I will bathe you starting from the face, left and right arms, then the chest and
stomach, back to the legs. It takes about 10 to 15 minutes. How is there anything you
want to ask sir?
Syahrir: No nurse
Puput: Okay then I'm allowed to wash my hands and prepare tools, sir (leave the patient
room)
Puput: Mr. Syahrir, let's start. (To maintain patient privacy close the curtain first)
Okay, sir, before taking a shower, do you want to defecate or urinate first?
Syahrir: No nurse
Puput: “After the bathing process”… How do you feel after being showered this morning?
what do you feel?
Syahrir: It feels very fresh, feels clean, and smells good
Puput: Alright, Mr. Syahrir. I have finished bathing you, for later in the afternoon or
tomorrow morning, if you want to take a shower, you can do it like I did earlier, by asking
your family for help. Do you understand?
Syahrir: Yes I understand
Puput: Ok sir then I'll excuse myself first. If you need something, please press the red button
behind you
Syahrir: Okay nurse thank you
Puput: Your welcome

Nursing Documentation
Direction. Write a nursing documentation after helping patient bath

What to document?
1. Patient’s Identity (at least name and age)
2. Nurse’s name
3. Date and time
4. Significant observations and assessment findings

Example
Patient Identity
Name : Mr Syahrir Age : 20 y.o.

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Results and Findings
The patient feels fresher and smells better after bathing
Time : 08.00 p.m.

Day, date: Teusday, 02, 11, 2021

Nurse : Puput Putri Fatimah