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HAIR WASH

Definition

Hair wash is defined as the care given to the hair in order to prevent from infections, dirt
and feeling of well being.

Purposes

 To keep the hair clean and healthy.


 To promote the growth of hair
 To prevent loss of hair.
 To prevent itching and infection.
 To prevent accumulation of dirt, dandruff and oils.
 To prevent tangles
 To provide a sense of wellbeing
 To stimulate circulation
 To appear neat
 To observe the scalp

Indication

 Unconscious patient
 Post operative patient and multiple injuries
 Bed rest patient
 Any infection
 Upper limb amputees

Nurses responsibility in hair wash

Preliminary assessment

1. Check the physicians order to see the specific precaution if any, for the movement
and positioning of patient.
2. Assess the general condition of the patient, condition of the scalp and hair and
need for shampoo.
3. Check the patient’s preference for soaps, shampoo, oil etc.
4. Assess the patient mental state.
5. Check the articles available in the unit.

Preparation of the environment

 Light should be put on


 Fan should be put off.
Preparation of articles

A tray containing,
 Bath towels 2 (One to protect the pillow and other to dry the hair)
 Wash clothes or face towel (To protect the eyes from splattering of soap
and to dry the face at the end of the procedure.)
 Mackintosh 2 (One to make a trough and other to protect the pillow and
bed)
 Cotton balls in a container (To plug the ears)
 Shampoo or liquid soap
 Hair comb
 Kidney tray and paper bag (To collect loose hair and cotton plug)
 Basin 1 (To take water)
 Bucket 1 (To collect dirty water)
 Jug 2 (One for hot water and one for cold water)
 Clean linen. (To change after shampooing or hair wash)

Preparation of patient

 Explain the procedure to the patient in sequence and the way patient can assist.
 Keep the patient flat if the condition permits. Remove the extra pillows and
backrest, unless contraindicated. Move the patients head and shoulder to the edge
of the bed.
 Position the pillow under the shoulder so that head is slightly tilted back.
 Make an improvised trough and place it under the head to facilitate the drainage
of water in to a receptor.
 To make the trough, take a mackintosh, roll the newspaper in to a horse shoe
shape and place the mackintosh flat on it.
 Roll the edge of the mackintosh over the roll of the newspaper, to form rim. This
device is positioned under the head of the patient with the open flat end towards
the side of the bed.
 Place the bucket on the low stool close to the side of the bed. The distal end of the
mackintosh is received.
 Plug the ear with cotton balls.
 Place a wash cloth or a face towel over the eyes to protect the eyes.
 Keep the articles near to the patient.

Preparation of self

 Remove watch and ornaments


 Wear apron.
 Hand washing should be done.
 Gloving should be done.
Procedure steps
Wash hands

Loosen the hair and comb

Mix the hot and cold water and test the temperature of the water at the back of the hand.

Wet the hair and apply soap or shampoo.

Start cleaning at the hair line and working towards back of the head symmetrically.

Massage all areas of the scalp with the finger tips.

Add water or needed to keep a generous lather of soap.

Rinse thoroughly with water. Repeat washing and rinsing until the hair is clean. Squeeze
of water from the hair.

Dry the hair using the second towel. Place the towel in basin.

Dry the face with the wash cloth, placed over the eyes. Discard it in to the basin. Remove
the tangles and place it in the basin.

Discard the cotton plugs used in the ears in to the paper bags

After care of the patient and articles

 Spread the hair over the mackintosh and towel placed on the pillow and allow
it to dry.
 Position the patient in the centre of the bed for comfort and proper alignment.
 Strength the bed linen
 Change the linen if wet
 Offer hot drink
 Take all articles to the utility room, clean all articles, and disinfect the towels,
mackintosh, basin, and bucket. Use carbolic solution 1:20 for disinfect the
article.
 Send the soiled linen to the laundry.
 Put back all articles in proper place.
 Personal articles are replaced in to the bed side table. Clean the top of the bed
side table.
 Wash hands
 Record the procedure in the nurses record with date and time
 Record the abnormalities if any observed.
 Return the bed side when the hair is dry, comb the hair and arrange the hair.
 Remove the mackintosh and towel, spread on the pillow
 Make the patient comfortable.

Bibliography

1. Trained nurses association of India, “fundamentals of nursing a procedure


manual”: first edition-2005,Published by secretary-general Pg. no- 187-190
2. Sr. Nancy, “principles and practice of nursing”, nursing art procedures, sixth
edition, N.R publishing house: 2005 Pg. no 273-75
3. Annamma Jacob, Rekha R, Jadhav Sonali Trachand “clinical nursing procedures:
the art of nursing practice, second edition, Jaypee publication: 2011, pg.no 94-96
4. LC Gupta. “practical nursing procedures, third edition, jaypee publication pg no
37-38
5. Potter.perry, “fundamentals of nursing, 7th edition, Elsevier publication. Pg no-
890-892

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