SHAMPOOING HAIR OR SHAMPOO IN BED Hair accumulates the same dirt and oil as the skin.

It should be washed as often as necessary to keep it clean. A weekly shampoo may be sufficient for some persons whereas others may prefer to perform this aspect of personal hygiene daily. The nurse may need to shampoo the hair of those clients who cannot get out of bed for bathing and showering or who lack of strength or ability to independently care for their hair. PURPOSES OF PROCEDURE Shampooing of hair is done to: 1. Cleanse the hair and scalp. 2. Maintain or improve self esteem. 3. Treat conditions of the scalp with topical applications of medications 4. Remove substances such as blood, body secretions, or electrode jelly (used when an electroencephalogram or other such study is done) ASSESSMENT OBJECTIVE DATA: *Examine the hair; note its distribution, cleanliness, texture and any indications of parasitic infection, such as the nits of head, lice on the hair shaft * Inspect the scalp for lacerations, dry scaly patches, scratches, lesions and swollen areas. * Observe the client for signs of any itchy scalp, such as scratching the head. * Note the signs of dandruff on the shoulders and back of clothing. * Determine if the client is receiving toxic chemotherapy or radiation treatments that may cause loss of hair. * Read the clients medical record to determine if the client has any pathology, such as hypothyroidism, or is receiving long-term steroid therapy that may alter the texture and distribution of hair * Identify if there are any sensory, cognitive, endurance, mobility, or motivational deficit that interferes with the clients ability to perform hygiene practices. SUBJECTIVE DATA: * Ask the client to describe the usual routine for shampooing, including the frequency and types of hair care products routinely used. * Inquire if the client experiences any itching, burning, or tenderness of the scalp. * Note the clients history of hair or scalp problems and related treatments. RELEVANT NURSING DIAGNOSIS: Those clients who need assistance with shampooing are likely to have the following nursing diagnoses: * Self-care deficit * Disturbance in Self Concept *Altered Health maintenance * Unilateral Neglect PLANNING ESTABLISHING PRIORITIES When blood or body fluids, such as emesis, collect in the hair, the nurse should thoroughly sponge the areas as soon as possible. Care of the scalp and accessory structures, such as the hair, helps maintain the integrity of the skin a s a barrier to infection and trauma. Personal hygiene practices should always be considered an important aspect of preventive care. Since appearance is linked to self-esteem, regular shampooing also meets higher level needs. SETTING GOALS: * The clients hair and scalp will be free of dirt, oil and other substances. *The hair will be dried and combed free of tangles. * The client will express feelings of well-being and satisfaction about his appearance. PREPARATION OF EQUIPMENT: The nurse should assemble the following items: Several towels Hair care products, such as shampoo, conditioner, mousse, setting gel, or petroleum (optional) Water pitcher Shampoo through Bath blanket Absorbent pad Comb/hairbrush Hair dryer (optional) ahocampo

TECHNIQUE FOR SHAMPOOING HAIR: ACTION: 1. Explain the procedure to the client. RATIONALE: An explanation facilitates understanding and cooperation. Handwashing deters the spread of microorganism. Organization is a form of appropriate time-management and prevents fatigue and frustration of the client. Adjusting the bed helps to prevent muscle strain or fatigue. A supine position facilitates drainage away from the face, eyes and head. Removing tangles before washing will prevent Breaking strands of hair. Layered material absorbs water and prevents the client from feeling wet and chilled. It also avoids Saturating the bed linen.

2. Wash your hands. 3. Assemble the equipment near the client.

4. Raise the bed to a height convenient for you and Lower the nearer side rail. 5. Position the client on the back.

6. Comb or brush the clients hair.

7. Place a folded bath blanket, several towels, or an Absorbent pad under the clients head, shoulders and back.

8. Place a plastic tray or through, under the clients head. Using a through provides a method for collecting and draining the water away from the client and the bed. 9. Lay a towel or bath blanket over the clients chest And shoulders. 10. Wet the hair thoroughly with warm water 11. Work the shampoo into a lather The edge can be used to wipe away any water that Splashes the clients face or ears. Wet hair dilutes the shampoo and helps to form suds. Lathering helps distribute the shampoo throughout the entire head of hair for uniform cleansing. Rinsing prevents leaving shampoo in the hair, which gives hair a dull appearance; if left on the scalp, shampoo could cause irritation for some people. Towels absorb water, beginning the process of drying while allowing the client to assume a more comfortable position. Discarding the water and the equipment will prevent accidental spilling Loosening and combing the hair prepare it for styling. Most clients prefer to style the hair in order to make it attractive as well as clean Precautionary measures prevent falls and injury to the client Handwashing deters the spread of microorganism. Careful recording is important for planning and individualizing the clients care

12. Rinse the hair with clean, running water

13. Wrap the clients head with dry towels.

14. Remove the equipment used for shampooing.

15. Fluff the hair with towels and comb out the hair. 16. Braid blow dry, or set the hair

17. Raise the side rail and lower the bed when leaving The client. 18. Wash your hands 19. Document the assessments, care provided, the clients Ability to participate and the clients response

EVALUATION REASSESSMENT: Inspect the condition of the hair and scalp during daily physical assessment. Ask the client if the current plan for hygiene is satisfactory and meets expectation. Revise the plan for care when goals are unachieved.

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