護(hù)理學(xué)基礎(chǔ)雙語教學(xué)-授課教案:7 Bath care

授課題目

Bath Care

授課形式

lecture and demonstrate

授課時(shí)間

2006．10．17

授課學(xué)時(shí)

1

教學(xué)目的

與 要 求

1.  Demonstrate the whole procedure of bed bath.

2.   Describe the purpose of bath care.

基本內(nèi)容

1.  Objectives

2.  Types of bath

3.  Procedure of bed bath

4.  Principles

重 點(diǎn)

難 點(diǎn)

1.  Types of bath

2.  Contraindications (禁忌癥) of tub bath.

主要教學(xué)

媒 體

PPT

主 要 外

語 詞 匯

Bed bath, Partial bath, Shower, Tub bath, Menstruating, towel mitt, canthus, umbilicus, axilla, groin

有關(guān)本內(nèi)容的新進(jìn)展

主要參考資料或相關(guān)網(wǎng)站

1、Zhou Kexiong. Basic Nursing Skills

2、SABDRA F.SMITH. Clinical Nursing Skills. Prentice Hall Health.

系、教研室

審查意見

已審合格，同意授課。

課后體會(huì)

1.  時(shí)間正好

2.  本節(jié)內(nèi)容相對(duì)簡單，學(xué)生基本能聽懂和理解。

3.  適當(dāng)增加與學(xué)生的交流，鍛煉學(xué)生口語。

教學(xué)內(nèi)容

時(shí)間分配和

媒體選擇

Bath care

u  Objectives

1.  To clean skin and to eliminate dead skin cells. Otherwise, dead skin cells will lead to infection if impaired skin integrity occurs.

2.  It’s essential to prevent body odor, because excessive perspiration interacts with bacteria to cause odor.

3.  Relaxation and improved circulation are benefits of bathing and play a therapeutic role in the care of clients on bedrest.

4.  Bathing promotes a feeling of self-worth by improving a person’s appearance. It meets the patients’ demands of comfort and cleaning.

5.  The bath affords the nurse time to spend in communication and assessment. Skin condition, mobility, self-care deficits, and state of illness can be detected while bathing the client.

u   Types of bath

1.  Bed bath: the client, who is usually totally dependent, is bathed by the nurse due to physical or mental incapacity. The client gydjdsj.org.cn/kuaiji/is encouraged to complete as much of his or her bath as possible.

2.  Partial bath: face, axilla(腋窩)，hands, back and genital（生殖的)area are bathed instead of the whole body.

3.  Shower: preferred method of bath if client is ambulatory(能自理的).

4.  Tub bath: used by ambulatory clients.

    –Contraindication(禁忌癥) of tub bath: in the followed cases, the persons can’t have tub bath in order to avoid genital system infection.

u  Bed bath

[Preparation]

1.  Patient

2.  Environment

3.  Equipment

 [Procedure]

1.  Put equipment on suitable place.

2.  Help client to the side of bed closest to you. Keep the side rail on the far side of the bed.

3.  Fold a towel mitt(露指手套)

Wrap one edge of towel Wrap towel around hand Tuck far edge of towel under

around palm and fingers and anchor with thumb edge in palm of hand

4.  Basic bathing steps: wash, rinse and dry.

5.  Bathing sequence: begin bath at face and work downward toward feet.

6.  Assist client to comfortable position. Replace equipment.

u   Principles

1.  When the water is dirty, change it timely.

2.  The order of two sides while doffing(脫) and donning（穿) the clothing：

a.  General patients：the close side sleeve first while doffing; the far side sleeve first while donning.

b.  Wounded patients: the healthy side sleeve first while doffing; the wounded side sleeve first while donning.

3.  Pay attention to skin folds, such as axilla, under breasts and groin. Clean these areas carefully.

4.  Respect client’s privacy.

5.  Keep warm. Don’t let the client get a cold during the bath. Notice   temperatures of room and water and don’t forget to cover the patient with bath blanket and quilt.

[Exercise]

Jone, 34y, has injured his left arm in a accident. Now he wants to change a clean hospital clothing, the order is: order is:

Right first while doffing

left first while donning

Example

5’

[PPT]

question

[PPT]

question

10’

Question

photo

20’

photo

30’

perform

Question

discuss

[PPT]

35’

40’

Question