existing hygiene practices, or establish if
there is a needs deficit and if any changes
have to be made to accommodate the
individual’s needs and preferences.
Wilkes et al (2005) note that age and
educational attainment significantly
impact on a person’s hygiene practices,
such as how often they bathe or shower.
The HCA and AP should aim to
encourage independence as much as
possible, supporting the patient, to the
best of their ability, to take part in the bed
bath, helping when the person requires
assistance. It is essential to maintain
patients’ privacy and dignity at all times
(Department of Health (DH), 2010).
When a person is able to carry out this
activity independently, the HCA or AP
need only ensure that privacy is provided
and a safe environment is maintained.
At other times, if the person is too ill or
confused, or if they are physically unable
to do this for themselves, the HCA or AP
will have to provide total personal care.
This activity can provide an ideal
opportunity for the HCA or AP to
undertake a full assessment of the
patient’s skin integrity, noting colour,
presence of any rashes, wounds, pressure
areas and any other abnormalities.
The HCA and AP will also be able to
undertake an assessment of the patient’s
ability to carry out straightforward
instructions and the person’s ability to
move within the bed and their full range
of movement.