3-9.
BACK MASSAGE AS A PATIENT COMFORT MEASURE
-
Decreases muscle tension and promotes
relaxation.
-
Increases circulation to the area.
-
Aids in the development of the therapeutic
nurse-patient relationship.
3-10. BASIC PRINCIPLES OF BACK MASSAGE
The psychological benefits of back massage
cannot be overstressed for the hospitalized patient. The following statements illustrate the concept
of therapeutic touch as an integral part of the domain of nursing.
Back Massage |
|
|
-
Touch can be perceived as a manifestation of
caring and communication between the nurse and the patient.
-
Tactile communication between healthy and ill
individuals can have highly beneficial results.
Therapeutic touch may make some patients
uncomfortable; you are entering their personal space and their feelings must be
respected, so make sure you ask the patient if he/she would like a back rub.
Agents used for back massage:
-
Lotions or emollients.
-
Lotions and emollients reduce friction and
lubricate the skin.
-
They are appropriate for most patients,
especially those with a tendency toward dry skin; that is, elderly
patients.
Massage Oil |
|
|
-
Rubbing alcohol.
-
Alcohol evaporates quickly, so it has a
cooling but very drying effect.
-
A certain amount of alcohol is absorbed by the
skin so it should not be used on infants, elderly patients, or patients
with liver disease.
-
Powder.
General guidelines.
-
A back massage should take about five to ten
minutes and can be given with the patient's bath, before bedtime, or at any
other time during the day.
-
Determine if any patient allergies or skin
sensitivities exist before applying lotion to the patient's skin.
-
The greatest relaxation effect of a massage
occurs when the rhythm of the massage is coordinated with the patient's
breathing.
3-11.
GUIDELINES FOR SHAVING A MALE PATIENT
If the patient is alert, question him about his
shaving habits, and follow his routine as closely as possible.
-
Gather equipment and supplies.
-
Towels.
-
Washcloth.
-
Basin with hot water.
-
Shaving cream.
-
Razor.
-
Soap.
-
Aftershave lotion.
-
Wet the wash cloth, wring out any excess
moisture, and apply it to the beard area (to soften the beard).
-
Apply shaving cream to the beard.
-
Shave the beard on the cheeks and upper lip in
the direction that the hair grows.
-
Shave the beard on the neck against the
direction of the hair growth.
-
Wash off any remaining shaving cream.
-
With clean water, finish washing the patient's
face.
-
Always use an electric razor on patients with
bleeding disorders to prevent uncontrollable bleeding from facial cuts.
-
Do not use plugged in electric razors on
patients who are receiving oxygen therapy because of the danger of combustion;
safety razors or rechargeable battery operated shavers are safe.
-
Consult with the charge nurse before shaving
any patient who has had facial surgery or who may have hemophilia.
-
Patients who are combative, suicidal, or
disoriented should have supervision and assistance while shaving.
3-12. PERINEAL CARE
Perineal care is often referred to as "pericare;"
it consists of external irrigation of the vulva and perineum following voiding or
defecation and is part of the routine A. M. and P. M. care. Patients may be able to perform their own perineal care or may need partial or total assistance from the nurse. Embarrassment on the part of the patient and
the nurse can be effectively dealt with by ensuring patient privacy during the
procedure and not totally exposing the patient's genital area.
Key points:
-
Ensure patient privacy.
-
Wipe from front to back (vagina toward rectum)
on female patients to avoid contaminating the vagina or urethral meatus.
-
Do not use the same washcloth for any other
portion of the patient's bath.
3-13. BED PATIENT'S HAIR CARE
Principles for
Shampooing the Bed Patient's Hair.
-
The supine position is preferred for weaker
patients.
-
Patients with significant heart or lung
disease will not tolerate being supine; they must be in a sitting position.
-
Hair care should be given regularly during
illness, just as it would be normally.
Purposes of Hair
Care.
-
Hair care improves the morale of the patient.
-
It stimulates the circulation of the scalp.
-
Shampooing removes bacteria, microorganisms,
oils, and dirt that cling to the hair.
3-14. CLOSING .
Nothing points out loss of independence quite as
much as an inability to perform personal hygiene unassisted. Your thoughtfulness
and the professionalism you exhibit when assisting a patient with hygiene needs will
foster that patient's feelings of independence, confidence, trust, and comfort.
Continue with Exercises
The Brookside
Associates Medical Education Division is dedicated to the development and
dissemination of medical information that may be useful to medical professionals
and those in training to become medical professionals. This website is
privately-held and not connected to any governmental agency. The views expressed
here are those of the authors, and unless otherwise noted, do not necessarily
reflect the views of the Brookside Associates, Ltd., any governmental or private
organizations. All writings, discussions, and publications on this website are
unclassified.
© 2007 Medical Education
Division, Brookside Associates, Ltd. All rights reserved
Other
Brookside Products
Contact Us
Advertise on this Site
|
|