(d) Rub the back with lotion. Use firm, gentle, circular movements,
starting at the base of the spine and rubbing with the heel of both hands, up and out,
and over the shoulders. Finish with circular movements at the upper spine and nape of
(18) Wash the genitalia area.
(a) Turn the patient on his back, to the near side of the bed, and place
the towel under his hips.
(b) Hand the patient the prepared washcloth and assist in washing the
pubic area and genitalia as necessary. There should be minimal exposure but thorough
washing, rinsing, and drying.
If the patient has an indwelling catheter, the entire procedure should be done
(19) Put pajamas on the patient.
(a) Replace the coat. If the patient has an injured arm or shoulder,
start replacing the coat from the injured side. Slip your hand through the sleeve cuff to
his shoulder and grasp the patient's hand. Draw his hand and arm through the sleeve.
Now tuck the material under to his other shoulder on the injured side and guide his hand
and arm through the sleeve.
(b) To replace the pants, slip your hand through the pant leg from the
cuff to the waist and grasp the patient's feet to guide each leg through its pant leg.
Raise the patient's buttocks and pull the pants over his hips to the waist. Fasten the
buttons and tie at the waist.
(20) Comb the patient's hair.
(21) Remove the bath equipment to the utility room; clean and store it.
(22) Remake the bed. If possible, assist the patient to a chair or stretcher
and make the bed as in Lesson 3, paragraph 3-4. If the patient must remain in bed,
make it as discussed in Lesson 3, paragraph 3-5.
ADMINISTERING A TOWEL BATH
a. General. When a patient, confined to bed, has casts and/or special dressing,
the medical specialist may be required to give a towel bath. The towel bath prevents
contamination of special dressing or cast. It also will comfort and encourage relaxation.