HAIR CARE/SHAMPOOING – Nursing is a profession within the healthcare sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses may be differentiated from other healthcare providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialisms with differing levels of prescriber authority.
Many nurses provide care within the ordering scope of physicians, and this traditional role has shaped the public image of nurses as care providers. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level. In the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing.
Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient’s family, and other team members, that focus on treating illness to improve quality of life. Nurses may help coordinate the patient care performed by other members of an interdisciplinary healthcare team such as therapists, medical practitioners, and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals.
HAIR CARE/SHAMPOOING
Definition of Shampooing:
Cleaning of hair with shanpoo or soup to remove dirt, oil and odor on scalp and hair, for a helpless patient in bed is called hair care.
or
Hair care is an overall term for hygiene and cosmetology involving the hair which grows from the human scalp, and to a lesser extent facial, pubic and other body hair.
Purposes of Hair Care:
1. To keep hair clean and healthy
2. To promote growth of hair
3. To prevent loss of hair
4. To prevent itching and infection
5. To prevent accumulation of dirt, dandruff and oil.
6. To prevent tangles
7. To stimulate circulation
8. To clean hair after pediculosis treatment
9. To enhance personal appearance and self-esteem
10. To observe the scalp
11. To provide a sense of well-being.

Contraindications:
1. Head and neck injuries
2. Spinal cord injuries
3. Surgeries on back and neck
Procedure of Shampooing:
A. Articles
A tray containing
1. Bath towel-2
2. Washcloth or face towel
3. Mackintosh-2
4. Non-absorbent cotton balls
5. Bath blanket/ sheet
6. Oil (optional)
7. Shampoo or liquid soap
8. Hair comb
9. Kidney tray
10. Basin
11. Bucket
12. Mug
13. Jugs-2
14. Low stool
15. Clean linen
16. Newspaper
B. Procedure
1. Check the physician order for specific precaution if any for movement and positioning of the patient.
2. Assess the general condition of the patient, the scalp hair and need for shampoo
3. Check the patient preference for soap/shampoo
4. Explain procedure to the patient
5. Adjust the bed to comfortable height
6. Close windows and put off the fan
7. Pull the curtains
8. Fan fold the top linen to the foot-end of the bed living a sheet or bath blanket over the patient
9. Make a through with the mackintosh or use a Kelly’s pad if available
10. Unless contraindicated, move the patients head to the edge of the bed, position the patient diagonally with head positioned inside trough.
Figure: Procedure of hair care
11. Place pillow under the shoulder so that the head is slightly tilted backwards
12. Protect the pillow and bed with a mackintosh and towel
13. Place the bucket on a low stool close to the side of bed
14. Plug the ears with non-absorbent cotton balls
15. Place a wash cloth or a towel over the eyes
16. Wash hands
17. Loosen and removes tangles
18. Mix cold and hot water and test the temperature with the back of hand.
19. Start cleaning at hairline and working towards the back of the head symmetrically using shampoo.
20. Rub shampoo and massage the scalp well.
21. Rinse thoroughly with water
22. Instruct patient to inform nurses if any discomfort or pain occur
23. Dry hair with second towel
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