Providing Evening Care To Patients
Justine, in her determination to score good grades this semester, is studying in advance for her nursing lessons next week. She is scanning through her book when she comes upon the evening care concept and becomes intrigued. Hmm, evening care? What is it and what is the nurse’s role when it comes to it? Is it really necessary? Hungry with information, she continues reading and hopes that she could learn a lot about it tonight.
Evening care: An overview
Evening care is one a way to refresh and prepare patients for sleep. This promotes relaxation on the patient (muscular relaxation) as well as prevents bed sores.
In order to perform evening care to patients, one needs the following at hand:
- Basin of warm water
- Alcohol 70%
- Soap in soap dish
- Talcum powder
- Hair comb or brush
- Bath towel & wash cloth
- Pitcher of warm water
- Mouth wash tray with
- Mouth wash solution
- Tooth brush
- Kidney basin
- Linen required
- Explain the procedure to the patient and gather needed equipment.
- Perform oral care. Allow patient to brush his teeth, wash his face, hands and forearms. If patient is unable to help himself do it for him.
- Perform partial bath. Turn patient to her side, unfasten her camisa and bath her back.
- Massage back with alcohol 700/0 or (skin lotion) paying particular attention to the bony prominences and other reddish pots on the back.
- Dust with powder
- If the patient is wearing a binder, remove it when giving care to the back. Inspect dressing for bleeding or discharge and changes or reinforce p.r.n. Return the binder in place.
- Brush and comb hair. Protect back and camisa with towel
- For perineal care:
- Gather equipment; follow with external douche or perineal flushing. Explain the procedure to the patient.
- Provide privacy and position the patient to dorsal. Offer bedpan.
- Drape patient properly.
- Place the perineal care tray (Flushing tray) between legs. Pour lukewarm water over the vaginal area.
- Use cotton balls soaked in water, clean midline in one down ward stroke.
- Start from the father side, use cotton balls with soap. Clean vulva gently towards the anus then the inner labia to the outer labia by using the figure of “7” stroke. Use only a cotton ball at a time for each stroke then discard. Do the same at the nearer side.
- Rinse vulva by using cotton balls with water in the same manner as in step #13.
- Pour lukewarm water and dry the area using dry cotton balls following the same manner.
- Clean the groin and thigh, starting at the father thigh from inner to outer direction. Use the same procedure in cleansing. Pat dry with towel.
- Remove bed pan and flushing tray and turn patient towards the nurse.
- Clean the buttocks and the anal region using cotton balls with soap, then with water for rinsing. Pat dry with towel.
- Fix patient (place napkin if necessary). Tidy the area and do the after care of the equipment.
- Fasten patient’s camisa Move patient to one side brush crumbs or dirt from the bed.
- Tighten beddings.
- Fluff up pillows and replace
- Replace ice cap or hot water bag p.r.n
- Give bedtime medicine if any. Attend to all patient’s request
- Place signal cord or bell within the reach of the patient.
- Remove all unnecessary things from the room: trays, dishes, etc. Empty waste basket.
- Adjust screen or blinds and light.